Knowledge, Attitude, Practice and its associated factors on menstrual hygiene among high school students of North Wollo Zone, Ethiopia, 2019: A cross-sectional study
Abstract Introduction Menstruation is the physiologic manifestation of cyclic uterine bleeding due to shedding and proliferation of the endometrium following invisible action and interplay of hormones mainly through the hypothalamus-pituitary-ovarian axis. Lack of proper menstrual hygiene predisposes women to different infectious and chronic obstetric and gynecological problems. Therefore, this study aimed to assess knowledge, attitude, practice and its associated factors of menstrual hygiene among high school students in North Wollo Zone, Woldia, Ethiopia.Methods A Facility based cross-sectional study was implemented from October 1-December 10, 2018. The data was collected using structured, pretested questioners among female high school students. Systematic random sampling technique was implemented. Data was entered and analyzed through Epi data 3.1 and SPSS respectively.Results This study revealed that 365(89.2%), 200(48.9%) and 196(47.9%) of the study participants have good knowledge, good practice and good attitude about menstrual hygiene respectively. Being grade 10 students [AOR=3.96, 95% CI =2.0-7.8], and having good practice of menstrual hygiene (AOR=2.52, 95% CI= 1.26-5) had positive association with menstrual hygiene knowledge. Maternal education level (AOR=1.86, 95% CI=1.18-2.9), being grade 10 students (AOR =2.3, 95% CI=1.48-3.56) were associated factors for practicing menstrual hygiene. Being grade 10 students (AOR=1.9, 95% CI=1.2-2.8), age ≥18 years (AOR=1.67, 95% CI=1.09-2.55) were statistically and positively associated with the attitude of menstrual hygiene.Conclusion This study revealed that the knowledge of the study participants towards menstrual hygiene was high whereas attitude and practice regarding menstrual hygiene was low. Being grade 10 students and having good practice were the associated factors of knowledge. Higher level maternal of education, being grade 10 students and having good knowledge towards menstrual hygiene were the identified associated factors for practicing of menstrual hygiene. Being grade 10 students and age ≥18 were statistically and positively associated with the attitude of menstrual hygiene. Therefore, creating awareness to reproductive health groups, educating their families and parents can change their poor practicing and attitude of menstrual hygiene.