scholarly journals Assessment of menstrual hygiene management and its determinants among adolescent girls: A cross-sectional study in school adolescent girls in Addis Ababa, Ethiopia

2018 ◽  
Author(s):  
Ephrem Biruk ◽  
Worku Tefera ◽  
Nardos Tadesse ◽  
Ashagre Sisay

AbstractIntroductionManaging menstruation is essentially dealing with menstrual flow and also in continuing regular activities like going to school, working etc. However, menstruation can place significant obstacles in girls’ access to health, education and future prospects if they are not equipped for effective menstrual hygiene management.ObjectiveTo assess the menstrual hygiene management and its determinant among school girls in Addis Ababa, Ethiopia.MethodsCross-sectional study design with quantitative method was carried out among 770 systematically selected adolescent school girls of Addis Ababa from April 1 to May 5, 2017. A self-administered pre-test close ended Amharic questionnaire at school setting was used for data collection. The coding was done using the original English version and entered to EPI-7 software. The quantitative file exported to statistical package for social science (SPSS) version 25.0 software for analysis. Total mean score was used to categorize individuals as good and poor while AOR; 95% CI with p < 0.05 was used to determine factors of menstrual hygiene management practice.ResultThis study had 98% response rate. 530 (70.1%) and 388(51.3%) respondents had good knowledge and practice of menstrual hygiene respectively. The findings also showed a significant positive association between good knowledge of menstruation and girls from mother’s whose education were secondary (AOR = 10.012, 95 % CI = 3.628-27.629). Wealth index quantile five (AOR = 9.038, 95 % CI = 3.728-21.909) revealed significant positive association with good practice of menstrual hygiene.Conclusion and recommendationMajority of participants had good knowledge and practice of menstrual hygiene and majority of them were from private school. Although knowledge was better than practice, girls should be educated about the process, use of proper pads or absorbents and its proper disposal.

Author(s):  
Pradeep Senapathi ◽  
Hemant Kumar

Background: Menstruation is a completely normal biological process. Yet women and girls, the world over, face numerous challenges and taboos which often portray them as inferior to men. Poor hygiene and sanitation facilities in schools cause girls to experience menstruation as shameful and uncomfortable. The objective of the study was to assess and compare the status of menstrual hygiene management among rural and urban adolescent school girls.Methods: A community-based cross-sectional study was carried out from 01 September 2016 to 31 October 2016, among 244 adolescent school girls, in urban and rural field practice areas of A.J. Institute of Medical Sciences of Research, Mangaluru, Karnataka.Results: A total of 244 adolescent school girls participated in this study. Out of these, 54.17% girls were from rural, while 45.83% were from the urban school. Mean age of menarche of all the respondents was 12.61±0.81 years. Overall, 69.67% girls were aware of menstruation prior to attainment of menarche. The awareness was found to be more among urban school girls (72.32%) as compared to rural girls (67.42%). The study brings out that 49.24% of the girls in the rural school and 65.17% of the girls in urban school were using sanitary pads. ‘High cost’ was cited as the main reason for not using the sanitary pads.Conclusions: Menstrual hygiene management was found to be sub-optimal among both, urban as well as rural adolescent girls.


2021 ◽  
Vol 21 (2) ◽  
pp. 842-851
Author(s):  
Esther Umahi Nnennaya ◽  
Sonnen Atinge ◽  
Somterimmam Paul Dogara ◽  
Rimande Joel Ubandoma

Background: The onset of menstruation denotes a landmark event in pubertal development of the adolescent girl. Lack of adequate knowledge and good menstrual hygiene management can have far reaching consequences on the girl’s wellbeing, dignity and reproductive health. Objectives: This study assessed the menstrual knowledge and hygiene practices of adolescent school girls in Taraba State, Nigeria. Methods: A descriptive cross sectional study conducted among 297 adolescent school girls. Participants were selected using multistage sampling technique. A self-administered, structured questionnaire was used for data collection. The Statistical Package for Social Sciences (SPSS) version 22.0 was used for the analysis of data. Results: The mean age at menarche was 13.7 years (± 6.7). Over three-quarter (76.1%) of the girls knew about menstruation before experiencing it. Mothers (48.1%) were the leading source of information about menstruation to the students. The study found that 207 (69.7%) of respondents had good knowledge about menstruation while 171 (57.58%) had good men- strual hygiene management. Knowledge was significantly associated with good menstrual hygiene management (p<0.001). Conclusion: Knowledge of menstruation and hygienic practices during menstruation among the participants in the study was encouraging. Every adolescent girl should be equipped with the right knowledge and support for good menstrual hy- giene management. Keywords: Menstrual hygiene; adolescents; Taraba; Nigeria.


Author(s):  
Chika O. Duru ◽  
Eugene M. Ikeanyi ◽  
Irene Merenu

Background: Menstrual hygiene management is critical in the life of the woman. For optimal attendance and participation in school activities, future reproductive and sexual health; quality menstrual hygiene practice is crucial. The objective of this study was designed to assess the knowledge, practice and challenges of menstrual hygiene management among the adolescentsMethods: A cross-sectional study was conducted on a community secondary school girls from 1st May to 30th June 2016.  Data was collected with a semi-structured pre-tested questionnaire and analyzed with statistical software as appropriate.Results: A total of 416 (97.4%) of the respondents were analyzed. Their mean chronological age and age at menarche were 15±2.1 years and 12.9±0.7 years respectively. Most (77.9%) of the respondents had premenarchal menstrual hygiene knowledge and mothers (68.8%) were the main source of information. Sanitary pad (56.3%) and cloth (31.2%) were the most commonly used absorbents.  Sanitary pad use was higher in respondents whose mothers had higher level education (RR=6.3, p<0.001). Most of the respondents changed absorbent twice or less daily (77.4%), bathed at least twice (77.4%), washed vulvoperineal region with soap and water (50.2%) and wiped perineum front to back (72.8%).  Burning (51.9%) and refuse dump (26.0%) were the main disposal methods and 48.1% washed hands before and after changing menstrual absorbent materials. Main menstrual disturbances were abdominal pain (37.7%) and malaise (18.5%) and main intervention was medication from patent medicine store (47.2%). Menstruation-related school absenteeism was 30.8%.Conclusions: There was poor premenarchal menstrual awareness and inappropriate menstrual hygiene practices among adolescent schoolgirls.


Author(s):  
Emmy Metta ◽  
Hellen Mwita ◽  
Melkizedeck Leshabari

Background: This study assessed secondary schoolgirls’ menstruation experiences and the appropriateness of the school environment in fostering menstrual hygiene management in Tanzania’s rural settings.Methods: A cross-sectional study was conducted among 506 secondary schools girls from Mara Region, Tarime district in Northern Tanzania. Self-administered questionnaire were used for generating data which was analysed using SPSS version 20.Results: The age at menarche for the 506 secondary schoolgirls in the study ranged from 9-17 with a median age of 14 years. Less than a third (31.6%) were informed about menstruation and how to manage it before the first experience. Mothers were the first source of information to 50.2%of the girls. Slightly more than a half (51.4%) were scared and 43.3% were uncomfortable about the experience when it first occurred. More than half (54.8%) missed school for two days and 18% could not go to school for four or more days during menstruation. Almost three-quarters (73.5%) did not have access to sanitary pads. None of the schools had suitable and appropriate WASH facilities to support girls during menstruation.Conclusions: Secondary school girls in Tarime district experience various challenges during their menstruation. Improved awareness and knowledge on menstruation, enhanced access to sanitary and WASH facilities at the school environment would improve menstrual hygiene management among secondary schoolgirls and boost their school attendance and participation in education generally. 


Author(s):  
Nwe Nwe Htun ◽  
Orapin Laosee ◽  
Cheerawit Rattanapan

Objective: The study assessed the underlying factors that influence menstrual hygiene management (MHM) in adolescent girls, and how it can have an effect on the girls’ education, health and daily life.Material and Methods: A community-based, quantitative cross-sectional study was conducted through face-to-face interviews, with 410 adolescent girls. Descriptive statistics, chi-square, bivariate and multivariate logistic regression were applied, to describe and predict significant associations and predictors between MHM and its independent variables; such as knowledge, attitudes and practices related to menstruation, and accessibility of MHM facilities.Results: More than half of the respondents had poor MHM levels. Menstrual knowledge [adjusted odds ratio (AOR)= 2.17, 95% confidence interval (CI): 1.32-3.56], attitude towards menstruation (AOR=1.65, 95% CI: 1.11-2.46), menstrual hygiene practices (AOR=2.53, 1.78-3.98) and the accessibility of MHM facilities (AOR=2.44, 95% CI: 1.29-4.62) were the factors associated with MHM. Girls with poor MHM levels were 1.1 times more likely to be affected in their daily activities, as compared to those with good MHM levels.Conclusion: The adolescent girls participating in the study were still unable to manage their menstrual hygiene well, owing to their inadequate knowledge in relation to menstruation, unhealthy menstrual hygiene practices; and the limited accessibility to MHM facilities. Establishment of such correlation necessitates; for instance, setting up a menstrual health education program as well as provision of MHM facilities, will enable the adolescent girls in Mudon Township, Mon State, Myanmar to minimize the negative impacts on their daily lives.


2019 ◽  
Author(s):  
Seifadin Ahmed Shallo ◽  
Wakeshi Willi ◽  
Abuzumeran Abubekar

I.AbstractBackgroundThough menstruation is normal physiology in the females’ life, if not managed safely, it can interrupt daily activity or it may lead to health problems. Poor water, sanitation and hygiene (WASH) facilities in schools, inadequate puberty education and lack of hygienic menstrual hygiene management items (absorbents) cause girls to experience menstruation as shameful and uncomfortable. This study aimed to assess the extent of unsafe menstrual hygiene practice and factors influencing it among school females in Ambo, Ethiopia.Methodsan institutional-based mixed-method cross-sectional study was conducted from March 01 to 15/2018 to collect data from 364 school females, teachers, and investigators observation. To collect the data, self-administered technique, interview, observational and FGD techniques were used. Data were analyzed using SPSS statistical software version 20. Uni-variate, bivariate and multiple logistic regression analysis were done. With 95% CI, the P-value of less than 0.05 was taken as the level of significance.Resultsthe prevalence of the unsafe menstrual hygiene management practice was 53.6%, which implies urgent response from the stakeholders is of paramount importance. Factors such as the age of the females, frequency of discussing menses with mothers and source of information about menses were variables significantly associated with menstrual hygiene management practice.Conclusion and RecommendationHigh numbers of school females’ menstrual hygiene management were poorly managed. This implies urgent measure is needed from the stakeholders to solve these problems so that sustainable development goal number 3, 4 and 5 will be achieved. To rid off the current problems which school females are facing, comprehensive and different sectors collaboration is important. Specifically, education sectors, water and sanitation sectors, and health sectors bear the frontline responsibilities.


Author(s):  
Koshish Raj Gautam ◽  
Harsha Raj Dahal ◽  
Kshitij Karki ◽  
Shradha Acharya ◽  
Suraksha Subedi ◽  
...  

Background: Good menstrual hygiene is fundamental to health, hygiene and well-being of women and girls. As menstruation itself considered as taboo in Nepalese society, it has direct impacts on the health of the women and adolescent. The objective of the study is to assess the knowledge and practices regarding menstrual hygiene management among adolescent girls.Methods: A cross- sectional study design was conducted among 398 samples. Simple random sampling was done to select the resource center schools and probability proportionate sampling (PPS) technique used to get sample size. Structured interview schedule is used to collect data and analysed from SPSS software after validation.Results: Knowledge on menstrual hygiene management was good in urban adolescent girls (93.69%) as compared to rural (6.31%). Similarly, level of practice was good regarding menstrual hygiene management was good in urban adolescent girls (91.29%) as compared to rural (8.71%). Place of the residence and knowledge level of the adolescent girls was highly significant (p<0.001).Conclusions: The findings showed that rural adolescent girls had poor knowledge, various misconceptions and inadequate practices regarding menstrual hygiene management.


Author(s):  
Zainab Khan ◽  
Siraj Ahmad ◽  
Jai Vir Singh ◽  
Akhilesh Dutta Dwivedi

Background: There is inadequate information on menstrual hygiene management practices and socio-cultural restrictions among adolescent girls in developing countries. The objective of the present study was to assess the menstrual hygiene management practices and associated socio-cultural restrictions among adolescent school girls.Methods: This descriptive cross-sectional study was carried out among adolescent school girls 10 to 19 years of age, who had attained menarche, in a rural area of district Barabanki. Total 640 adolescent girls were included in the study, and information was recorded on a predesigned and pretested interview schedule. Relevant statistical analysis was done and significant associations were found.Results: 60.5% of the girls were using sanitary pads, and 71.4% took bath during their periods. 41.3% of the girls used to change pads during schools. Unsatisfactory menstrual hygiene management practices were significantly high among girls who were from lower socioeconomic class (p<0.001) and had illiterate mothers (p<0.001). 82.8% of the girls faced religious restriction.Conclusions: Significant associations were found between menstrual hygiene management practices of adolescent school girls with their mother’s education level and socio economic status. A proper menstrual hygiene management practice is very important for every young girl to lead a healthy life and should be achieved at the beginning of their menarche by enhanced information education and communication (IEC) programmes.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Shamsudeen Mohammed ◽  
Roderick Emil Larsen-Reindorf ◽  
Issahaku Awal

The study aimed to deepen our understanding of the menstrual hygiene management (MHM) of adolescents and the influence of menstruation on school absenteeism. We employed a school-based cross-sectional design in five Junior High Schools combining both quantitative and qualitative data collection methods. A questionnaire was used to collect quantitative data from 250 schoolgirls, and key informant interviews were conducted with a teacher in each of the five schools. We performed logistic regression analysis to provide crude and adjusted effect estimates and 95% confidence intervals. About fifty percent of the girls were engaged in good MHM, and approximately forty percent of them reported menstrual-related school absenteeism. We did not find evidence (p=0.858) of association between MHM and menstrual-related school absenteeism. However, after controlling for the effect of other factors, we found evidence that the age of the schoolgirls, their father’s occupation, and the receipt of allowance for menstrual care products were associated with MHM. When compared to those aged 17 to 19, those aged 10 to 13 years had 0.72 (95% CI 0.21, 2.44) decreased odds of poor MHM while those aged 14 to 16 had almost 3-fold increased odds (95% CI 1.49, 4.55) of poor MHM. The adolescents whose fathers were farmers had 0.42 (95% CI 0.21, 0.82) decreased odds of poor MHM while those whose fathers were unemployed had 0.24 (95% CI 0.10, 0.61) decreased odds of poor MHM. We found that girls who did not receive regular allowance for menstrual care products had nearly 2-fold increased odds (95% CI 1.06, 3.09) of poor MHM compared to those who received allowance for menstrual care products. Menstrual pain (82.2%), fear of staining clothing (70.3%), fear of being teased (70.3%), nonavailability of sanitary pad (63.4%), and lack of private place to manage period at school (60.4%) were the common reasons cited for menstrual-related school absenteeism.


2020 ◽  
Vol 2 (4) ◽  
pp. 1-6
Author(s):  
Augustus Osborne ◽  
◽  
Bashiru Mohamed Koroma ◽  
Camilla M Bangura ◽  
◽  
...  

Menstruation can place significant impacts on girl’s health and education if they are not properly informed about effective menstrual hygiene management. The present study was undertaken to assess the knowledge and practices of menstrual hygiene among adolescent girls in five schools in Bo district, Sierra Leone and to assess the restrictions practiced by them during menstruation. A cross sectional study design was carried out among 103 in November 2019. A self-administered structured questionnaire at schools was used for data collection. Data was collected regarding their knowledge about menstruation, from where they get information and practices followed to maintain menstrual hygiene, problems faced while attending school during menstruation and facilities available in school, etc. The analysis part was done with the help of SPSS version 25. Age of respondents varied between 12-21 years with the mean age of 16.5. 69.9% of the girls don’t know from were menstrual bleeding occurs. Majority of the girls are using sanitary pads as absorbent during menstruation. 42.7% of the girls said they have been restricted from praying when seeing their menses and 49.5% of the girls said they feel their school is uncomfortable to keep hygiene during menstruation. The findings led to the conclusion that the girls have deficient knowledge and inadequate practices regarding menstruation and its management.


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