scholarly journals Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0248825
Author(s):  
Yohannes Habtegiorgis ◽  
Tadesse Sisay ◽  
Helmut Kloos ◽  
Asmamaw Malede ◽  
Melaku Yalew ◽  
...  

Background Poor menstrual hygiene practices influence school girls’ dignity, well-being and health, school-absenteeism, academic performance, and school dropout in developing countries. Despite this, menstrual hygienic practices are not well understood and have not received proper attention by school WASH programs. Therefore, this study examined the extent of good menstrual hygiene practices and associated factors among high school girls in Dessie City, Amhara Region, northeastern Ethiopia. Methods A school-based cross-sectional study was employed to examine 546 randomly selected high school students in Dessie City, northeastern Ethiopia. Pretested interviewer-administered questionnaires and a school observational checklist were used for data collection. EpiData Version 4.6 and the Statistical Package for the Social Sciences Version 25.0 were used for data entry and analysis, respectively. Bivariate and multivariable logistics regression analyses were employed to identify factors associated with good menstrual hygiene practices. During bivariable analysis, variables with P-values less than 0.25 were retained for multivariable analysis. In the multivariable analysis, variables with a P-value less than 0.05 were declared to be significantly associated with good menstrual hygiene practices. Results Of the respondents, 53.9% (95% CI [49.6, 58.2]) reported good menstrual hygiene practices. The following factors were found to be significantly associated with good menstrual hygiene practices: age range 16–19 years (AOR = 1.93, 95% CI: [1.22–3.06]); school grade level 10 (AOR = 1.90, 95% CI: [1.18–3.07]); maternal education (primary) (AOR = 3.72, 95% CI: [1.81–7.63]), maternal education (secondary) (AOR = 8.54, 95% CI: [4.18–17.44]), maternal education (college) (AOR = 6.78, 95% CI: [3.28–14.02]) respectively]; having regular menses [AOR = 1.85, 95% CI: (1.03–3.32); good knowledge regarding menstruation (AOR = 2.02, 95% CI: [1.32–3.09]); discussing menstrual hygiene with friends (AOR = 1.79, 95% CI: [1.12–2.86]), and obtaining money for pads from the family (AOR = 2.08, 95% CI: [1.15–3.78]). Conclusion We found that more than half of high school girls had good menstrual hygiene practices. Factors significantly associated with good menstrual hygiene practices include high school girls age 16–18 years, girls grade level 10, maternal education being completed primary, secondary and college level, having regular menses, good knowledge regarding menstruation, discussing menstrual hygiene with friends and obtaining money for pads from the family. Therefore, educating of high school student mothers about MHP should be a priority intervention area to eliminate the problem of menstrual hygiene among daughters. Furthermore, in order to improve the MHP among high school girls, further attention is needed to improving knowledge regarding menstruation among high school girls, encouraging high school girls’ families to support their daughters by buying sanitary pads and promoting discussions among friends about menstrual hygiene. Schools need to focus on making the school environment conducive to managing menstrual hygiene by increasing awareness of safe MHP and providing adequate water/sanitation facilities.

Author(s):  
Kanchanaganga Hassan Kailasraj ◽  
Vidya Basavaraju ◽  
Jayanth Kumar ◽  
Shashikala Manjunatha

Background: The word adolescent is derived from Latin word adolescence which means to grow into maturity. Adolescence is a period of transition from childhood to adulthood. WHO has defined adolescence as the age group 10-19 years. These are formative years when maximum amount of physical, psychological, developmental and behavioral changes take place. In India adolescent girls accounts for a little more than one- fifth of the population. The onset on menstruation is one of the most important changes occurring among the girls during the adolescent years. The event of menarche may be associated with taboos and myths existing in our traditional society which has a negative implication for women’s health, particularly their menstrual hygiene. Women having better knowledge regarding menstrual hygiene and safe practices are less vulnerable to reproductive tract infections.Methods: This was a cross-sectional descriptive study. The sample size of 184 is obtained in each group and rounded off to 190 (urban and rural schools). The duration of the study was for 5 months among adolescent high school girls in randomly selected schools.Results: The mean age of urban girls was 12.87±0.94 years whereas rural girls it was 12.85±0.86 years. Among 380 study subjects 43.4% were aware about menstruation before attaining menarche, 62.4% were aware that menstruation is a natural process. Majority of study subjects (58.9%) were using sanitary pads during menstruation and 46.8% of study subject’s changes absorbents twice a day. Conclusion: Knowledge and practice regarding menstrual hygiene among adolescent high school girls is better in rural area as compared to urban adolescent high school girls.


1995 ◽  
Vol 19 (3) ◽  
pp. 373-396 ◽  
Author(s):  
Kathleen M. Pike

This study tests the explanatory power of an integrated sociocultural and personality model in predicting bulimic symptomatology. Family, peer, and personality factors were assessed at three levels of analysis. The first level of the model measured the general functioning of the family system and friendship network. The second level assessed the extent to which the family system and friendship network were concerned with issues of weight and dieting, as well as the rate of eating disorders among members in these groups. The third level investigated the relationship of certain personality variables to bulimic symptoms. Based on self-report data from approximately 400 high school girls, correlates of bulimic symptomatology at each of the three levels of analysis were identified. An integrated model, in which the three levels of analysis were considered in unison, demonstrated that risk factors at each level of analysis cumulatively contribute to an increase in bulimic symptoms.


2021 ◽  
Author(s):  
Kwame ADJEI-AMOAFO

Abstract IntroductionMost female adolescents in Ghana enter puberty unprepared and the information they receive is often selective and surrounded by many taboos and other restrictions. This study therefore seeks to assess the knowledge high school girls have concerning menstruation, how they practise menstrual hygiene and the impact menstrual hygiene management has on education.MethodsA cross-sectional survey was carried out in conveniently selected JHS and SHS in the Sunyani West Municipality between March 19 and April 30, 2018 using self-administered questionnaires to elicit information on demographic features, knowledge, practices and challenges of menstruation and its management. A chi-square analysis was used to determine the association between a number of outcomes and explanatory variables. ResultsA total of 306 students participated in the study with a response rate of 87.4%. The mean age at menarche was 13.09±1.24 years. From the study, 83.01% (254) were knowledgeable on MHM. Knowledge of MHM was significantly associated with ethnicity (p-value 0.028). Almost all the participants 95.10% (291) used disposable sanitary material. From the study, 66.67% (204) had good practice of MHM. Practice of MHM was associated with religion (p value 0.037). The study revealed 27.45% (84) had ever absented themselves from school during menstrual period and majority of them 86.27% (264) were distracted about blood staining their dress during teaching. ConclusionThe study group had high knowledge of MHM and a greater percentage observed good menstrual hygiene management. However, their knowledge of MHM does not necessarily translate into good practice of MHM.


2020 ◽  
Vol 33 (8) ◽  
pp. 1003-1008
Author(s):  
Mahnaz Mardani ◽  
Sadegh Rezapour ◽  
Fereshteh Hajipour

AbstractObjectivesSome factors in infancy can play a role in the development of adolescent obesity. Understanding these factors can help prevent early complications in adolescents associated with obesity in adulthood. The aim of this study was to determine the prevalence of overweight and obesity among high school girls in Khorramabad and its relationship with breastfeeding history.MethodsThis was a cross-sectional study. This study was conducted in 832 high school girls during the academic year 2016–2017. Samples were selected by multi-stage random sampling. General questionnaires, physical activity, and 24-h food questions were completed through interviews with students. Data regarding breastfeeding was obtained by mothers.ResultsThe prevalence of overweight and obesity in the study population was 16.3 and 5.8%, respectively. Overweight and obesity had a significant association with breastfeeding history (p = 0.001), while there was no significant relationship between overweight and obesity with school type, student’s age, parental occupation, education Parents, household size, birth rate, physical activity, and energy intake.ConclusionsThe results of this study showed that breast feeding has a protective effect on overweight and obesity during adolescence. To reduce the incidence of overweight and obesity, necessary education regarding breastfeeding should be provided.


2016 ◽  
Vol 7 (2) ◽  
pp. 139-142
Author(s):  
Farhana Salim ◽  
Nasreen Begum

Objective : To assess the hygienic practices during menstruation among adolescent school girls in selected secondary rural schools.Methods : This descriptive, cross-sectional study was conducted from November to December, 2015. Study area was selected on choice were four upazilas of Kishoreganj, Lakshmipur, Barguna and Sirajganj District. From the study area 15 schools were selected on the basis of convenience and accessibility. Data were collected from 438 purposively selected adolescent unmarried school girls aged 15-18 years and studying in class IX and X, through face to face interview by pretested questionnaire. Data were analyzed by using software SPSS version 20.Results : The result of the study revealed that majority (52%) participants were using cloths and 48.4% were using sanitary napkin for menstrual hygiene management. About half of the participants got the information about menstrual and reproductive health from family members. Thirty five percent (35%) girls do not attend school during first two days of menstruation. Majority (69%) of the girls never change pad and 45% complained about unavailability of water at school. However, knowledge of reproductive health issues like minimum age at marriage (18yrs, 85.8%), minimum age of child birth (20yrs, 89%) and need for extra nutrition during pregnancy (99.0%) was quite satisfactory. The level of maternal education and economic condition were significantly associated with sanitary napkin use.Conclusion : The study revealed that higher percentage of participants was not using sanitary napkins, although their knowledge regarding menstrual and reproductive health issues is satisfactory. Implementation of school health programs for adolescents should emphasis on menstrual hygiene management.Northern International Medical College Journal Vol.7(2) Jan 2016: 139-142


2015 ◽  
Vol 48 (6) ◽  
pp. 779-784 ◽  
Author(s):  
Anna C. Ciao ◽  
Janet D. Latner ◽  
Krista E. Brown ◽  
Daria S. Ebneter ◽  
Carolyn B. Becker

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