scholarly journals Poor management of menstrual hygiene: a leading cause of school absenteeism among adolescent girls in the urban slum of Madhya Pradesh

Author(s):  
Surya Bali ◽  
Sembagamuthu Sembiah ◽  
Kriti Yadav ◽  
Jayeeta Burman

Background: Despite the strides made in the field of adolescent and women health, menstrual problems remain a stigma. Unsatisfactory menstrual hygiene practices have a profound influence on the adolescent girl’s health and academic performance. Therefore, the present study aimed to assess the relationship between school absenteeism and poor MHM and its impacts on school girl’s day to day lives.Methods: This is a cross-sectional study conducted among 384 adolescent girls enrolled in anganwadi centres of the urban slum of Madhya Pradesh from January to June 2018. A pre-designed and pretested questionnaire used to collect the data regarding menstrual hygiene practices and school absenteeism. Data were analyzed using the SPSS software (version 16.0. Chicago, SPSS Inc.).Results: The study found that around two-thirds (64.3%) and nearly one third (30%) of the participants were using a simple cloth and sanitary pads. About half (50.6%) of the respondents miss their school during the menstruation. Majority of them perceived that menstruation interferes with their school performance. The main reason for missing the schools was fear/ shame of leakage. In multivariable regression lack of sanitary facilities and painful menstruation remained significant predictors of school absenteeism.Conclusions: There is a dire need to fortify efforts directed towards increasing awareness on menstrual hygiene, to revamp the existing measures for improving menstrual health of the adolescent girls. Focused attention is warranted by policymakers to improve the quality of life of this vulnerable group.

Author(s):  
Hema Priya S. ◽  
Partha Nandi ◽  
Seetharaman N. ◽  
Ramya M. R. ◽  
Nishanthini N. ◽  
...  

Background: Adolescent population occupies 1/5th of world’s population and in India 20.9% of the population falls into this age group. Social prohibitions and traditional beliefs blocked the access to get the right kind of information to adolescent girls that led to poor hygiene practices. These practices results in harbouring of micro-organisms that increases susceptibility to genito-urinary infections. Hence this study was conducted to study the menstrual hygiene practices among adolescent girls and in rural Puducherry.Objectives: To study the menstrual hygiene practices among adolescent girls in rural Puducherry.Methodology: A community based descriptive cross sectional study was conducted in rural field practicing area of MGMCRI, Puducherry, from 15th of March 2013 to 31st April 2014 by using semi-structured questionnaire. 528 adolescent girls were included by complete enumeration.Results: Majority (89.2%) of the adolescent girls was using sanitary pads, fresh and reusable cloths were used by 6.6% and 4.2%, respectively.  65.3% girls changed their soaked absorbent 2-5 times in a day. Majority (60.8%) of the girls disposed their used absorbent by burying or burning. 67.9% girls were washing genitalia during micturition. 54.4% used soap and water for hand cleaning purpose and 1.4% used ash & mud etc.Conclusions: Even though sanitary pad users were high, unhygienic practices were noticed, so more emphasize is needed to be given on awareness of menstrual hygiene practices among adolescent girls.Key words: Adolescent girls, menstrual health and hygiene, sanitary pads, genito-urinary illness.


2021 ◽  
Vol 3 (March) ◽  
pp. 1-8
Author(s):  
Mehedi Hasan ◽  
Md Nazmul Hassan ◽  
Mohsina Mita ◽  
Fatema Zahara ◽  
Md Hasib

2019 ◽  
Vol 21 (4) ◽  
pp. 258-264
Author(s):  
D Ranabhat ◽  
S Nepal ◽  
B. Regmi

Menstruation is a part of female reproductive cycle that starts when girls become sexually mature at the time of puberty. This study sought to assess the menstrual hygiene practice and school absenteeism among the rural school going adolescent girls. A descriptive cross-sectional study was done among 321 female high school students of 4 selected government schools of Kalikot a rural district of Nepal. It was found that majority of student’s menstrual hygiene practice was poor i.e. 86.9%. Majority of respondents (96 %) used clean cloth during their menstruation cycle, whereas only 4% of respondents used sanitary pad. Almost every adolescent girl i.e. 98.8 % practiced any cultural restriction. Nearly 1 in 4 respondents (22.1%) did not attend school during their last menstruation and more than 1 in 10 adolescent girls felt that their academic performance was degraded after menarche. Adolescent girls of 10-14 age group were three time more likely to have poor practice than those who were between 15-19 years. Adolescent girls from nuclear families are 1.9 times more likely to be absent from school during the menstrual cycle in comparison to girls from joint families. The study revealed that among the adolescent girls of the study area, the overall menstrual hygiene practice was found to be poor and the various beliefs were found to be inappropriate and school absenteeism was also prevalent during menstrual cycle.


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.


Author(s):  
Mohnish N. Tundia ◽  
Dhara V. Thakrar

Background: Adolescence in girls has been recognized as a special period in life cycle. This period is marked with onset of menarche. It is linked with several perceptions and practices, which sometimes results in adverse health outcomes. So, this study was carried out to assess practices of menstruation in adolescent girls, to find out its related problems and socio-cultural beliefs.Methods: A cross sectional study was carried out during January-February 2018 in two schools of Udaipur using convenient sampling method with 440 sample size. Participants were adolescent girls of 9 to 12 standard. Girls were asked to fill a pre formed, pre tested semi-structured questionnaire.Results: Here 68.41% girls gave history of abdominal pain as premenstrual symptoms (PMS). School absenteeism was found 44.54% due to menstruation related problems. Sanitary Napkins were used by 50.22% girls. And 66.54% girls were using water to clean genitals during menstruation. Restriction from attending religious functions was high (91.59%). Associations of absorbents used by participants with absorbents used by their mothers and sisters were statistically significant.Conclusions: Abdominal pain was main PMS. Restrictions due to menstruation were very highly imposed. There were all chances that same types of the adsorbent were used by the adolescent girls, which were used by their mothers and sisters. 


2020 ◽  
Vol 6 (2) ◽  
pp. 44-49
Author(s):  
Naveed Mansoori ◽  
◽  
Hiba Tanweer ◽  
Imtiaz Ahmed ◽  
Abdullah . ◽  
...  

Objectives: To evaluate menstrual hygiene practices among teenage girls and to compare menstrual hygiene practices among secondary and higher secondary school girls in Pakistan Methodology: A cross-sectional study of adolescent girls (grades 9 to 12) from different secondary and higher secondary schools across Pakistan was conducted between November 2017 and September 2018. A pre-tested and standardized questionnaire was administered using a non-probability sampling technique. The menstrual hygiene practices were evaluated and comparisons were made between secondary and higher secondary school girls about these practices. Data was analysed using SPSS version 22. P-value < 0.05 was set for being statistically significant. Results: Out of a total of 2,000 adolescent girls, an equal number of adolescent girls (n=1,000) were chosen from secondary and higher secondary schools. The mean menarchal age was 12.5 ± 1.2 years. Majority of the participants (63.6%) belonged to public sector schools and (71.3%) responded that menstrual blood comes from the womb. One in five (19.3%) girls missed 2 days/month of school due to pain (54.5%). Two-thirds (68.6%) of the participants were using sanitary pads and one of three changed their pads three times/day, and forty-six percent of the girls were unable to carry out daily activities due to menstrual period. Statistically significant (P < 0.05) association was observed between knowledge of menstruation among secondary and higher secondary school girls. Conclusion: The study showed that menstrual hygiene was understood well among young girls. However, a substantial association was noted between secondary and higher secondary school girls’ hygiene practices.


2021 ◽  
Vol 33 (1) ◽  
pp. 82-89
Author(s):  
Suneela Garg ◽  
Mongjam Meghachandra Singh ◽  
Yamini Marimuthu ◽  
Amod Borle ◽  
Nidhi Bhatnagar ◽  
...  

Background: School absenteeism during menstruation and its related effects are preventable through identification of factors associated with it and implementation of region specific appropriate public health measures. Objectives: To assess the prevalence of school absenteeism during menstruation and its associated factors among adolescent girls residing in the resettlement colonies of Delhi. Methods: A community-based cross-sectional study was conducted in the urban resettlement colonies of Delhi during 2019 in which 712 school going adolescent girls were interviewed. The details about school absenteeism, its perceived reasons, various socio-demographic details, menstrual hygiene practices were assessed using pretested semi structured questionnaire. The data were entered in MS Excel and analysed using STATA statistical software version 14. Results: The prevalence of school absenteeism during menstruation among adolescent girls of resettlement colony was 43.1%(95% CI:39.5 – 46.7). Out of 307 girls who had school absenteeism, 285(92.8%) had missed for 1-3days. The most common self-reported reasons for school absenteeism during menstruation were pain during menstruation (75.6%) followed by staining of cloths(43.6%) and uncomfortable feeling(39.4%). Studying in government school (PR=1.4, 95% CI:1.1-2.0), suffering from menstruation-related problems(aPR=1.9, 95% CI:1.5-2.4) and pads being provided from schools(PR=1.3, 95% CI:1.1-1.7) were significantly associated with school absenteeism. Conclusions: Almost half of the adolescent girls in resettlement colonies had school absenteeism. The characteristics like government school, pads being provided from school, menstruation related problems like weakness, irritation, perceived weight gain and breast pain was significantly associated with school absenteeism. The factors associated with school absenteeism needs to be addressed with appropriate public health interventions.


Author(s):  
Nur Aizati Athirah Daud ◽  
Veronica GK Williams ◽  
Zuraidah Daut ◽  
Zaharah Sulaiman

Introduction: Menstruation is the sign of menarche for female adolescents. Previous finding had reported a need for education to improve the knowledge on menstrual hygiene among adolescent girls living in rural Kelantan. However, the access of sanitary pads and the effect of menstruation on school attendance among this population have not been reported elsewhere.Objectives: To determine the prevalence of sanitary pads usage and school absenteeism among adolescent girls in rural Kelantan.Methods: This is a cross-sectional study conducted among female students of Sekolah Kebangsaan Kampung Dangar in Pasir Mas, Kelantan between February and March 2019. Data were collected using a structured questionnaire in Bahasa Malaysia, which were administered by the school counselor.Results: A total of 172 respondents filled the questionnaires, with a mean age of 15 years (s.d. 1.4, range 13 to 17). Nearly half of them (n=78, 45.3%) are the daughters of laborers. Majority of them have fathers and mothers with the highest education level of SPM/STPM, while 7% have fathers with no proper schooling. Their mean age of menarche is 12. Majority of them claimed to use disposable sanitary pad (n=148, 87.2%) and would be wearing it every time during menstruation (n=148, 86.0%), while 4.7% used cloth pad. 40 (23.3%) of respondents would only stay at home during menstruation, mainly because they felt uncomfortable (5.8%) or having period pain (4.1%). 25 (14.5%) of the respondents used to be absent from school during menstruation, mainly due to period pain (12.2%).Conclusion: Disposable sanitary pad usage is highly prevalent among adolescents in this rural area, while menstruation have caused some of them to be absent from school.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 49


2019 ◽  
Vol 78 (7) ◽  
pp. 839-850 ◽  
Author(s):  
Shreya Rastogi ◽  
Aparna Khanna ◽  
Pulkit Mathur

Background: Menstrual hygiene management is a significant issue affecting the health of women around the world. Lack of knowledge and awareness about menstruation and the silence surrounding it is a risk factor for all women. Objective: The objectives of this study were to elicit the knowledge, attitudes, and practices of adolescent girls (13–15 years) regarding issues related to menstruation and to assess the barriers that prevent them from practising menstrual hygiene. Design and Setting: Cross-sectional study involving 187 adolescent girls from four government schools of Delhi. Method: Information was obtained using a mixed-methods approach, including a pretested questionnaire and focus group discussions with girls, parents and school staff. Results: Only 40% of girls were aware of menstruation prior to menarche. The majority of girls (95.7%) did not know the source of menstrual blood. About two-thirds (65.8%) of girls were unaware that the menstrual blood flow could be affected by anaemia. Approximately 17% of the girls believed a woman to be impure during menstruation. About half of the girls absented themselves from school for the first 2–3 days of their menstrual cycle. Thirty-four percent girls did not bathe at all during their menstrual period and a similar number of girls did not bathe daily while menstruating. Dysmenorrhoea was a common problem among 60% of girls. The mothers of girls were identified as the major source of information about menstruation. However, mothers believed that school teachers should also be imparting this knowledge. Teachers expressed the belief that menstrual hygiene was poor among girls. The provision of free sanitary napkins in school has improved hygiene levels. Conclusion: Strategic behaviour change interventions should be designed involving all stakeholders to ensure a sustained change in knowledge, attitude and practices so as to ensure the better health of adolescent girls.


Author(s):  
Sunil Pal Singh Chajhlana ◽  
Sai Ram Amaravadhi ◽  
Sai Deepika Mazodi ◽  
Venkata Sravani Kolusu

Background: The word adolescent is derived from the Latin word “adolescere”, which means to grow into maturity. The adolescent girls get debarred due to various social misconceptions, lack of privacy, illiteracy of parents, especially mother, low socioeconomic conditions, and lack of proper health awareness and education about this sensitive issue which ultimately results this age group into vulnerability to reproductive tract infections, which can be reduced by improving the knowledge about the menstrual hygiene.Methods: A cross sectional study was conducted among school going adolescent girls during the month of November 2018. Data was collected using a questionnaire which includes socio-demographic variables and menstrual hygiene practices. Sample size of the study was 69 students. The assessment of knowledge was done as good knowledge (score: >5/10) poor knowledge (score <5/10). The of data and the. All the data collected was entered and analysed with MS excel software 2007.Results: 28.1% girls were aware of menstruation prior to attainment of menarche.. Major source of information about menstruation is mother (53.6%). More than 80% of adolescent girls are using sanitary pads as an absorbent. Lack of disposal facility and lack of water supply are reasons for school absenteeism.Conclusions: In this study the knowledge of menstruation hygiene among the study population is significantly associated with mother’s education and occupation. 


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