scholarly journals Menstrual health status and cultural practices of tribal adolescent girls

Author(s):  
Sridhar D. ◽  
Gauthami N.

Background: Adolescence in the life cycle of a Homosapien organism is a period of transition from childhood to adulthood. The word ‘Adolescent’ has been derived from Latin word ‘Adolescere’ which means ‘to grow to maturity’. The children from the poor scheduled tribes families are not being sent to school because of the tendency of some parents to utilize their services in augmenting their family income. Therefore a provision for educational opportunities forms a very important part of the programme for the welfare of the scheduled tribes. The aim of the present study was to observe menstrual health of the tribal adolescent girls and to describe cultural factors on study population.Methods: Community based cross sectional descriptive study done on 425 tribal adolescent girls residing in 18 habitations of Achampet mandal. Pre designed pre tested semi structured schedule applied on the subjects after a written informed consent.Results: Out of 425 study subjects majority 178 (41.9%) were from early adolescent age i.e. 10-13 years, followed by 144 (33.9%) from mid adolescent age i.e., 14-15 years and 103 (24.2%) from late adolescent age i.e. 16-19 years. Majority illiterate subjects (55.1%) menstrual hygiene was non sanitary. Subjects who had illiterate mothers their menstrual hygiene was non sanitary way (55.1%). Girls in joint families were having sanitary menstrual hygiene.Conclusions: Present study showed education and awareness play key role in maintaining menstrual hygiene. Hygiene education is supposed to be given at all levels. Bad cultural practices supposed be addressed at community level with intervention. 

2019 ◽  
Vol 5 (2) ◽  
pp. 141
Author(s):  
AnitaShankar Acharya ◽  
Nidhi Tiwari ◽  
SanjeevKumar Rasania ◽  
Jyoti Khandekar ◽  
Damodar Bachani

2021 ◽  
Vol 8 (2) ◽  
pp. 120-124
Author(s):  
Saraswati V Sajjan ◽  
Neeta P N ◽  
Poonam P Shingade

Adolescence is the significant period in the life of a woman. Menstrual disturbances are the commonest presenting complaint in adolescent age group and unhygienic practices during menstruation can lead to untoward consequences like pelvic inflammatory disease and even infertility. To study the knowledge and practice regarding menstrual hygiene among adolescents. This is a cross-sectional study conducted from October 2018 to December 2018 among 100 adolescent girls who attended adolescent clinics at Urban Health Training centre of KBNU Medical College, Kalaburagi. The mean age of participants was 16.2 ± 2.1 SD. only 26% of participants were aware about menstruation before menarche. Majority (91%) of participants had knowledge about use of sanitary pads during menstruation but only 78% used them. The most common reason for non usage was the cost of pads (68%). The method of disposal was satisfactory among 62% of participants and 84% of participants change their pads /cloth pieces 2-3 times per day. Restriction of diet during menstruation was seen in 40% and 30% missed school during their periods. Although there was good knowledge regarding menstrual hygiene among adolescent girls, practice needs to improve. Health education sessions at urban health clinics and schools involving mothers of these adolescent girls can aid to overcome socio cultural practices of restricting movement and diet restrictions during menstruation.


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 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.


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):  
Sasmita Ghimire

Background: Adolescence in girls has been recognized as a special period which signifies the transition from girlhood to womanhood. Menstruation is generally considered as unclean in the society. Isolation of the menstruating girls and restrictions being imposed on them in the family, have reinforced a negative attitude towards this phenomenon. And the issue of menstrual hygiene is inadequately acknowledged and has not received proper attention.Methods: Quantitative approach with descriptive cross-sectional design was used to assess the knowledge regarding menstrual hygiene among adolescent girls. A structured knowledge questionnaire was developed focusing on menstrual hygiene. Validity was ensured in consultation with guides and experts in the field of nursing, medicine and statistics. Reliability of the tool was tested by test retest method and found to be highly reliable with a score of 0.80. The study was carried out in 2 schools of Dharan, Nepal. About 100 adolescent girls were selected by simple random sampling technique. Structured knowledge questionnaire was used to collect needed data on knowledge of adolescent girls. The data collected were tabulated and analyzed by using descriptive and inferential statistics.Results: Maximum numbers 42 of the subjects were in the age group of 12 years, majority i.e. 81 of the subjects belonged to nuclear family, majority i.e. 39 of the subjects were in 7th standard, maximum of 72 subjects belonged to Hindu  religion, majority i.e.79 had family income below 5000, majority of the subjects 35 had their first menstruation at the age of 14, 35 subjects father were self-employed, 60 subjects had their mothers as government employee , majority of the respondents, 80 had previous knowledge on menstrual hygiene. Majority of the subjects 70% had average knowledge, 25% of them had poor knowledge and only 5% had good knowledge regarding menstrual hygiene. There was a significant association of knowledge adolescent girls with demographic variables such as age at first menstruation.Conclusions: Present study showed overall average knowledge of menstrual hygiene in adolescent girls. Formal as well as informal channels of communication need to be emphasized for the delivery of information on menstrual hygiene through organized community efforts. Institutions and organizations at community level should be strengthened for effective delivery of health and nutrition care services for overall better health of community beneficiaries.


2021 ◽  
pp. 1-3
Author(s):  
Anum Fatima ◽  
Pratap Bhan Kaushik

INTRODUCTION: INDIA HAS LARGEST ADOLESCENT POPULATION IN WORLD. ADOLESCENT IS CHARACTERIZED BY SIGNIFICANT PHYSIOLOGICAL AND PSYCHOLOGICAL CHANGES.OBJECTIVE: TO ASSESS KNOWLEDGE AND AWARENESS OF LATE-ADOLESCENT GIRLS REGARDING MENSTRUAL HYGIENE AND REPRODUCTIVE HEALTH INCLUDING CONTRACEPTION.METHODS: A CROSS SECTIONAL STUDY WAS CONDUCTED IN THE MONTH OF OCTOBER 2020 AMONG LATE-ADOLESCENT GIRLS WHO CAME TO OUTDOOR OF AN URBAN HEALTH TRAINING CENTRE, UDAIPUR.160 SUCH GIRLS WHO CAME WITH GUARDIAN AND GAVE CONSENT WERE INCLUDED.A PRETESTED, SEMI-STRUCTURED QUESTIONNAIRE WAS USED.DATA WAS ENTERED IN MS EXCEL2016 AND ANALYSED USING SPSS.RESULTS: AMONG 160 PARTICIPANTS, 43% BELONGED TO AGE GROUP 15-17 YEARS AND 57% TO 18-19 YEARS.5% WERE MARRIED, ALL WERE LITERATE.THE MAIN SOURCE OF INFORMATION FOR KNOWLEGDE ABOUT PUBERTY WERE TEACHERS(46.9%), ALTHOUGH THEY WISHED TO HAD KNOWLEDGE FROM DOCTORS(36.9%).THEY HAD GOOD KNOWLEDGE AND PRACTICES FOR MENSTRUAL HYGIENE.MOST OF THEM WERE FAMILIAR WITH HIV(79.4%) BUT LACKED INDEPTH KNOWLEDGE.MAJORITY DID NOT KNOW ABOUT ANY OTHER SEXUALLY TRANSMITTED DISEASES (67.5%).AMONG CONTRACEPTIVE METHODS, MAJORITY HAD KNOWLEDGE ABOUT CONDOMS (73%), AND LEAST ABOUT EMERGENCY CONTRACEPTIVE(26%).CONCLUSION: PARTICIPANTS HAD GOOD MENSTRUAL HABITS BUT LACK REPRODUCTIVE HEALTH KNOWLEDGE.ATTEMPTS TO INCREASE BASIC KNOWLEDGE ABOUT MENSTRUATION AND REPRODUCTIVE HEALTH THROUGH SCHOOL CURRICULUM OR COMPULSORY WORKSHOPS, COUNSELLING ,COMMUNITY AND PARENTERAL COMMUNICATION IS REQUIRED.


2019 ◽  
Vol 10 (4) ◽  
pp. 39-43
Author(s):  
Neeti Singh ◽  
Ang Tshering Sherpa ◽  
Srijana Pandey ◽  
Amita Pradhan

Background: Menstrual health hygiene management (MHM) is the basic right of every female. In developing countries like Nepal, this right is less understood or utilized. Parental and family influences and hence the societal influences plays vital role in behavioral change. In urban sector, the girls studying in the private schools are mostly from privileged background. So there is a need to observe the pattern of practices among private school girls which reflects the scenarios in privileged urban sector. Aims and Objectives: This study is to explore the practices and challenges for menstrual health hygiene management among adolescent girls of a Private school in Urban Nepal. Material and Methods: A cross sectional study was conducted in a private school selected purposely in the month of April and May 2019. Girls from grade seven and above were included in the study. Results: All the girls were aware about the process of menstruation. The practices and believes were influenced by their family and facilities provided to them rather knowledge gained at school. All the participants prefer to use disposal pads and   6.3% of participants reported that they use both pads and reusable cloths. Most girls did not change the pads at school (56.2%). All the participants reported that they were hesitant to take help from teachers due to awkwardness. Conclusions: Practices of the individuals is influenced by family beliefs. Again, adolescents spend many hours daily in schools. So strict measures to implement facility in schools for MHM should be taken.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Rajasri G. Yaliwal ◽  
Aruna M. Biradar ◽  
Shreedevi S. Kori ◽  
Subhashchandra R. Mudanur ◽  
Shivakumar U. Pujeri ◽  
...  

Background. Issues of menstrual morbidities, menstrual hygiene, and cultural practices are rarely discussed by adolescents. The burden of menstruation and cultural practices which the adolescent girls have to face has been less quantified. This study aims to assess the issues related to menstruation in school girls. Method. A cross-sectional prospective study was conducted on 1016 school-going adolescent girls in January 2020. A questionnaire in English and in Kannada was distributed to girls of class 8–12 of ages between 10 and 19 years. Results. 70.5% of the girls attained menarche by 12 to 14.9 years, 37.2% of the girls had their periods every 28–34 days, and 12.2% of the girls said they have heavy periods. 61.95% of the girls had dysmenorrheal, and 9.7% of the girls said that they required medications for the pain. 70.7% of the girls were using commercial sanitary napkins, 12.7% were using cloth, and 15.3% were using both. 55.5% of the girls who were using cloth as an absorbent were not drying the cloth in sunlight. 57.1% of the girls were washing their genitals more than 2 times a day. 93.8% were having bath during menses and 87.2% were using soap along with water. 37.7% of the girls disposed their pads by burning them, 50.8% of then disposed them in the dust bin, and 4.9% of them buried them. 8.6% of the girls said that they remained completely absent from school during periods. 17.85% said that they remained absent for a day. 53.4% of the respondents said that they have difficulty in concentrating at school. 76.1% said that they had adequate water and sanitation facilities at school. 22.3% said that there was adequate facility to change their pads at school. 73.2% said that they could get a spare pad at school. 43.3% of the girls said they avoided cultural functions during their periods, and 38.5% said that they avoided religious ceremonies and practices during their periods. 8.7% of the girls were made to sit outside the house during their periods. The girls from rural areas had poorer hygienic habits, in comparison to the urban girls. Cultural restrictions such as sitting outside the house during menstruation and restricting play were more in the rural girls than the urban girls. Conclusion. Menstrual morbidities, menstrual hygiene management, and cultural beliefs all play a role in school absenteeism in adolescent girls. Improvement of facilities at school and conducting awareness programs can help adolescent girls to attend schools.


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