scholarly journals Factors Affecting Menstrual Hygiene Management Practice Among School Adolescents in Ambo, Western Ethiopia, 2018: A Cross-Sectional Mixed-Method Study

2020 ◽  
Vol Volume 13 ◽  
pp. 1579-1587
Author(s):  
Seifadin Ahmed Shallo ◽  
Wakeshe Willi ◽  
Abuzumeran Abubeker
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.


2020 ◽  
Author(s):  
Seifadin Ahmed Shallo ◽  
Wakeshi Willi ◽  
Abuzumeran Abubekar

Abstract Background Though 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.Methods An 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.Results The 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 Recommendation High 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):  
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.


BMJ Open ◽  
2017 ◽  
Vol 7 (7) ◽  
pp. e015508 ◽  
Author(s):  
Mahbub-Ul Alam ◽  
Stephen P Luby ◽  
Amal K Halder ◽  
Khairul Islam ◽  
Aftab Opel ◽  
...  

Author(s):  
Ghazala Usman ◽  
Kiran Abbas ◽  
Rimsha Arshad ◽  
Amna Muneer ◽  
Hiba S. Syed ◽  
...  

Background: The aim of the study was to determine the degree of awareness and practice of proper menstrual hygiene management among women living in low-income neighbourhood in Karachi, Pakistan.Methods: A cross-sectional study was conducted at the Bizerta Lines, Karachi between January and June 2019. All women of reproductive age were included in the study. Amenorrheic, menopausal, or women on birth control were excluded from the study. Degree of awareness and current practices pertaining to menstrual hygiene management were assessed through pro-forma. The study tool collected the participant’s knowledge, awareness, and misconceptions about menstruation. The factors affecting the quality of life during menstruation of women living in poor socio-economic conditions were also observed. Statistical Package for Social Sciences (SPSS v.23) was used to analyze the collected data.Results: Of the 338 participants, 82.5% had no knowledge of menstruation prior to their first menstrual period. Only a minority of the women knew that the source of menstrual blood was the uterus while 41.4% of the women incorrectly claimed that the menstrual blood and urine were expelled from the same orifice. More than half of the participants used disposable sanitary napkins (55.5%). 65% of the participants changed the absorbent at least 1 to 3 times a day.Conclusions: Most of the participants used disposable sanitary napkins. However, the basic knowledge of female anatomy and physiology behind menstruation was poor among women.


2020 ◽  
Author(s):  
Md. Abu Tal Ha ◽  
Md. Zakiul Alam

Abstract Introduction:Adolescence is a critical period characterized by significant physical, emotional, cognitive and social changes, and monthly occurrence of menstruation of adolescent girls. Despite being an inevitable natural event, most of the societies consider menstruation and menstrual blood as taboo and impure that prevents many adolescent girls from proper education and information which force them to develop their ways of managing the event. In this study, we attempted to explore the pattern of menstrual hygiene management practice, the urban-rural differences of the practice, and the determinants of the practice among adolescent girls in Rajshahi division, Bangladesh.Methodology:Using a cross-sectional study design with systematic random sampling, we collected data from 589 adolescent girls (aged 14–19 years) from Rajshahi division of Bangladesh. We employed bivariate and multinomial logistic regression analysis.Findings:We found significant differences in menstrual hygiene management practice among adolescent girls between urban and rural areas. Only 37.9% continuously used sanitary pad. Among the cloth users, nearly two-third reused cloths and about 56% of them used water and soap to wash these cloths. About 49% changed menstrual absorbent and 44% washed their genitalia three times a day. About 41% used water only to wash genitalia, and 55% buried sanitary materials under soil after using. Around 22% of the girls practiced terrible, 63.3% fair, and 14.7% proper menstrual management. Multinomial logistic regression found that the place of residence, family size, wealth quintile, parents’ education, and social connectivity was the significant determinant of menstrual hygiene management practice.Conclusion:Although there are some cases of sanitary pad use, still menstrual hygiene management is unhealthy in most cases. The continuous flow of sanitary pads at affordable cost, change in existing social norms about menstruation and proper education, information and services are essential for achieving health-related SDG goals.


2021 ◽  
Vol 2 (Issue 3) ◽  
pp. 107-115
Author(s):  
Renata Magayane ◽  
Jackson Meremo

The study aimed at examining menstrual hygiene management practices among adolescent girls in public secondary schools in Kibondo District. The study used the mixed research approach with the convergent parallel design. The study was comprised of the sample size of 99 respondents from four out of 17 schools, including ten parents, 12 female teachers, 68 students, 4 matrons, 4 Heads of schools and 1 District Education Officer. Data collection was done through semi-structured interview, focus group discussion and questionnaire. Qualitative data analysis was done through content analysis while quantitative data were analyzed descriptively with the help of the Statistical Package for Social Science (SPSS) version 20 and presented in tables through percentages, and frequencies. The study discovered that there are problems in MHM practices among public secondary schools under investigation. There were shortages of menstrual hygiene management practice facilities such as toilets and private areas to change absorbent pads, disposable mechanisms and water. The study recommended that adolescent girls should be provided with sanitary pads and education. There is need to improve MHM facilities such as water, disposable mechanisms and private rooms for changing absorbent materials for effective management of menstrual periods. Menstrual hygiene management topics should be integrated into the syllabi in order to increase awareness on MHM to adolescent girls. Teachers and health workers should closely provide guidance and health talks to adolescent girls, advising them on how to manage their menstrual-related illness effectively for their good performance in school.


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):  
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.


2019 ◽  
Vol 5 (1) ◽  
pp. 26-31
Author(s):  
Thinley Dorji ◽  
Sangay Wangmo ◽  
Krit Pongpirul

 Introduction: In Bhutan, pubertal and adolescent female students (10-19 years) make up 8.5% of the population. The need for menstrual hygiene management (MHM) is more urgent in post-menarcheal female students and in resource-poor settings. However, until recent time, there were strong socio-cultural barriers to discourses on menarche and MHM. This study was conducted to determine the age of menarche among Bhutanese female students to identify when to offer MHM support, their knowledge on menstruation and practices related to menstrual hygiene. Methods: This was a cross-sectional survey of female students studying in Grade 10 in Thimphu, Bhutan. A multistage clustered sampling was used. Data was collected using a self-administered questionnaire developed for the purpose of this study. Results: A total of 439 post-menarcheal female students were interviewed. The mean age of menarche was 12.8±1.1 years, and fear (38.3%) and confusion (25.1%) were the commonest responses. The mean score on knowledge on menstruation and MHM was 5.9±1.5 out of 9. The proportion of students with good knowledge was 36.7%. The common sources of information were the mother, teacher, and sister. The majority used commercial pads (92.5%) while some used clean cloths (5.7%) and tampons (1.6%). The proportion who stayed absent from school during menstruation in the month prior to data collection was 9.8%. Visiting religious places (67.6%) and participating in sports (4.3%) were common restrictions during menstruation. Conclusions: Female students experience difficulties in menstrual hygiene management in schools. Menstruation could lead to missing schools and other activities.  Keywords: Developing country; Health behaviour; Menstrual hygiene product; Standard of living.


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