scholarly journals Knowledge and practice regarding menstrual hygiene among physically disabled women in Kathmandu, Nepal

2019 ◽  
Vol 7 (1) ◽  
pp. 8-13
Author(s):  
Bishal Pokhrel ◽  
Sunita Mahat ◽  
Kritri Parajuli

Background and Objectives: Disability is the condition of difficulty in carrying out daily activities normally and in taking part in social life due to problems in parts of the body and the physical system. Disability also carries stigma, so disabled people may face layers of discrimination when they are menstruating. The objective of the review is to assess the menstrual hygiene practice of disabled women, the barriers they face, and the available interventions to help them manage their menstruation hygienically and with dignity. Material and Methods: This was a cross-sectional descriptive study that was conducted among 151 physically disabled peoples.Self-structured questionnaire and face-to-face interview was used as data collection tools and techniques. Data entry and analysis was done using SPSS 16.0. The results of the study were presented with the help of tabular description using the same software along with Microsoft word and excel 2007. Results: Most of respondents knew the 26-30 days as normal cycle duration (80.13%). Majority of respondents had reported that they do not go to holy places (91.39%) and should not cook food (94.03%) during menstruation. Most of respondents had stayed (96.68%) and eat (98.01%) at same place and 31.38% of respondents had bath daily during menstruation. 83.44% of respondents used sanitary while 69.53 % of respondents changed pad twice a day. Maximum number of the respondents 91.39% disposed sanitary pad in dustbin. 87.41% of respondents learned about menstrual hygiene from parents. Conclusion: Good and satisfactory knowledge about menstrual hygiene was found among girls of age group 15-24years.

Author(s):  
Bishal Pokhrel ◽  
Sunita Mahat ◽  
Kriti Parajuli ◽  
Nishant Lama

Background: Disability is the condition of difficulty in carrying out daily activities normally and in taking part in social life due to problems in parts of the body and the physical system as well as obstacles created by physical, social, cultural environment and by communication. Disability also carries stigma, so disabled people may face layers of discrimination when they are menstruating. The objective of the research is to assess the knowledge and practice regarding menstrual health of disabled women. Method: Descriptive, cross sectional study was conducted among 151 participations. Self-structured questionnaire and face-to-face interview were used as data collection tool and technique respectively. Data entry and analysis were done using SPSS version 20. Descriptive analysis like frequency and percentages were computed and presented in a table. Results: Most of participants knew 26-30 days were the normal menstrual cycle duration (80.13%). Only 31% of participants bath daily during menstruation. About 83% of participants used sanitary pad, 69.54% of participants changed pad twice a day. Maximum number (91.39%) disposed sanitary pad in dustbin. 76.82% of participants learned about menstrual hygiene from parents and friends. Majority of the participants (61.59%), cleaned the genitalia haphazardly 88.08% cleaned with soap and water Most of the respondent 90.06% had taken rest during menstruation. Conclusions: Disabled women were aware about normal duration of menstrual cycle and blood loss. However, improper practices related to menstrual health and hygiene were prevalent among disabled women, it should be timely and rightly approached to prevent and control adverse health conditions that may arise of it. Mother and peer groups could be the best choices of source of information to improve menstrual health and hygiene of differently able women.


Author(s):  
Prabakaran Jayaraman ◽  
Mohammad Alshay ◽  
Saad Eid Alanazi ◽  
Abdul Malik Hasan Al Maswari ◽  
Zakaria Hammad ◽  
...  

Background: Anemia, a low hemoglobin (Hb) status in the body is a serious nutritional public health problem in the world. It causes divergent morbidity and mortality in the affected population. Prevalence of anemia among women of reproductive age (women ages 15-49 years) in Saudi Arabia was 40.30% in 2011. In this study, we attempted to explore the burden of anemia in Hospital attendees in Saudi Arabia. Methods: A cross sectional study was conducted with the laboratory hematological values of walk-in clients from January 2016 and February 2016. Client's sex, Hb, HCT, MCV, MCH, MCHC values were collected. Hb values categorized as mild anemia: Male: 11-12.9 gm/dl; Female: 11-11.9 g/dl., moderate anemia 8-11 gm/dl and severe anemia <8 g/dl. Data entry done was using Microsoft Excel and data analysis by STATA 15. Results: Out of total 2805 client's data, 49% (n=1377) were male and 51% (n=1428) were females. The mean Hb% was 12.31 g/dl (SD–2.54), 11.50 g/dl in females and 13.13 g/dl in males. The overall prevalence of anemia was 48.73% (CI: 46.87%-50.6%) as per WHO criteria and it was higher in females (45.53%, CI: 42.88-48.21) in men and 51.82% (CI: 49.19-54.44) in women). Severe anemia was also higher in women (Male: 2.76% vs. Females: 7.49%) while mild anemia was high in men (Male: 28.61% vs. Female: 17.79%). Prevalence of anemia was 25.6% and 40.7% if lower margin of Hb kept at 11 g/dl and 12 g/dl respectively. Conclusions: The prevalence of anemia in Tayma region was high which needs integrated intervention at different levels to improve Hb status in the community. 


2021 ◽  
pp. 1-6
Author(s):  
Abu Ansar Rizwan

Introduction: Menstruation is the normal and regular process for every woman. It can affect both physical and mental status of the women. The main thing of menstrual period is personal hygiene maintenance. Improper management of personal hygiene maintains can causes infectious disease and causes severe gynecological problems. In Bangladesh, most of the adolescent girls cannot ask any question about their physiological changes to their mother or relative because of their shyness and social stigma. Good hygiene management during menstruation can increase personal confidence, while inadequate management can lead to mentally depression and also hamper in their daily activities. This study was aimed to assess the practice on personal hygiene maintenance during menstruation period among school girls in selected schools of Dhaka city, Bangladesh. Methods: A cross-sectional and descriptive type of study was carried out in three randomly selected schools in Dhaka city of Bangladesh with 384 systematic randomly selected adolescent girls. The data were collected from the respondents using semi-structured questionnaire by face-to-face interview, after taking verbal consent form the participants and written consent from their parents and school authority. Data entry and analysis were done by using Statistical Package for Social Sciences (SPSS) statistical software version 20 for the analysis. The anonymity and confidentiality of the respondents were maintained strictly and study participants were informed that they can be able to leave the study at any stage of data collection. Findings: The finding reported that nearly 80% (79%) of the respondent use sanitary napkin and among the non-users, 95.2 percent (77) use piece of cloths. The majority (66%) of the respondents change napkin/other materials after 4 hours and 90% take genital care regularly. Almost all (99.5%) the respondents take bath regularly and 99.5 percent wash their hand with soap and water. About 98 percent used to wear clean dresses and 94.5 percent normally take healthy food. Using sanitary napkin was found to be associated with age, parent’s income whereas it was not associated with mother’s educational level. Conclusion: Awareness regarding the need for information about good menstrual practices is very important and should be given to enhance the good level of knowledge and practices. Mass media should also emphasize on health information about menstrual hygiene. Therefore, policy makers and stakeholders should take necessary initiatives to setup health education program to create awareness and practice of good menstrual hygiene among the adolescents. Keywords: Menstrual Hygiene; School Girls; Practice; Dhaka


2019 ◽  
Vol 2 (1) ◽  
pp. 7
Author(s):  
Farida Ariyani

CORELATION OF MOTHER’S KNOWLEDGE AND ATTITUDE ABOUT BCG TO IMMUNIZATION IN PRIMARY HEALTH CARE OF PAUH PADANG   Farida Ariyani* Prodi D III Kebidanan STIKes MERCUBAKTIJAYA Padang Email: [email protected]/081374144408   ABSTRAK   Introduction : Tuberculosis is a contagious disease that attacks the body organs especially the lungs. This disease is caused by Mycobacterium tuberculosis. The disease can be prevented by giving BCG immunization. Achievement of BCG immunization in Puskesmas Pauh in 2015 amounted to 91.8%. This figure is still below the target of achieving imunsasi BCG city of Padang namely 95%. The purpose of this study to determine the correlation between knowledge and attitudes of mothers about BCG immunization with BCG immunization in infants aged 0-2 months in Padang Pauh Health Center in 2016. Objective : The population of 1264 respondents. Sampling by accidental sampling with 93 respondents. Methode : The study was analytic with cross sectional design. The data collection is done in Puskesmas Padang Pauh, 2016. Data is collected directly by using a questionnaire. Processing of data starts from editing, coding, data entry, tabulating and dry. The data were analyzed by univariate and bivariate statistical test Chi-Square. Result : The results of the 93 respondents, 54 (58.1%) had a low level of knowledge, 34 people (36.6%) of them had given BCG immunization to the baby. And of the 39 (41.9%) who have a negative attitude 26 people (28%) did not immunize her baby. Bivariate analysis showed no association with the level of knowledge of immunization in infants aged 0-2 months and the relationship between mother attitude with BCG immunization in infants aged 0-2 months. Conclutionts : It can be concluded that the immunization tends to be given by mothers who have a positive attitude towards the BCG immunization, health workers are expected to be able to change the negative attitude into a positive attitude so that immunization of BCG can be accomplished with a maximum.   Key word : BCG immunization, Knowledge, attitude


2021 ◽  
pp. 1-3
Author(s):  
Swati Shikha ◽  
Vivek Kashyap

Introduction: Alcoholic beverages have been a part of social life since ages in the western countries. While alcohol abuse is a problem universally it has not left India untouched. Not only men but also women have included alcohol as a part of their social habit. Aims and objectives: This study aims to find out the prevalence of alcohol use among women residing in rural field practice area of Rajendra Institute of Medical Sciences, Ranchi and to find out the factors leading to initiation and consumption of alcohol. Methodology: This was a cross sectional study done in rural field practice area, ormanjhi of RIMS, Ranchi for a duration of 28 months (from September 2016 to November 2018). The sample size came out to be 336. Templates for data entry were generated in Microsoft office Excel sheet and analysis was done using SPSS 20.0. Results: After analysis of 336 females, it was found that 188 out of 336 (55.95%) of the study subjects are above the age of 40 years, approximately half of them were Hindu (50.9%) and about 46.1% of the study subjects were illiterate. The prevalence of alcohol use among females was found to be 56 out of 336 (16.7%) and 48 out of 336 (14.3%) are current users of alcohol. Among alcoholics custom (39.29%) was the reason for initiation of alcohol, followed by amusement (25%). Total of 24 out of 56 (42.85%) alcoholic women said family member was the reason for their initiation of alcoholic drink. Addiction to alcohol consumption was strongly associated with age group of study subjects. Elderly women were more common consumers of alcohol. Conclusion: we conclude that about 14.3% of women are current consumers of alcohol.


Author(s):  
Sandhya Rani Javalkar

Background: Diabetes mellitus (DM) is a chronic metabolic disease that arises when the pancreas does not produce enough insulin or when the body cannot effectively use insulin. Diabetes is a costly disease because of its chronic nature, the severity of its complications and the means required to control them. The objective of the study was to estimate the expenditure on health care by patients suffering from diabetes mellitus.Methods: A community based cross sectional study was conducted among 189 diabetes mellitus patients in the urban area, Mangalore taluk over a period of 6 months. Data collected by personal interview method, questionnaire was developed to collect the appropriate information on socio demographic details, direct costs and indirect cost in health care for diabetes. Data entry was done in MS Excel and analyzed using SPSS v 16.0.Results: The mean duration of diabetes mellitus 3.93±2.0 years with majority of them had associated co-morbidities 54% and complications 28%. The total expenditure on diabetes is 912 INR per visit, the direct cost of healthcare for diabetic individuals was 553 INR, and indirect expenditure was 359 INR. The average time lost on each visit- 2.6 hours which included travel time, waiting period and consultation.Conclusions: This study shows that the economic burden of diabetes mellitus and its complications are very high and increasingly affecting the lives of urban poor.


2021 ◽  
Vol 4 (3) ◽  
pp. 280
Author(s):  
Raissa Manika Purwaningtias ◽  
Dwiyanti Puspitasari ◽  
Ernawati Ernawati

ABSTRACTBackground: Dysmenorrhea is a common gynecological problem related to the menstrual cycle. Risk factors for dysmenorrhea are age of menarche, length of menstrual cycle, duration and menstrual volume. Teenagers who experienced dysmenorrhea report the negative impact of dysmenorrhea on a social life. This study aimed to determine the relationship between menstrual cycle characteristics with dysmenorrhea and adolescent social life. Method: The study design used in this research was Cross Sectional with statistical analysis of Rank Spearman test and Chi Square and a significance limit of 5%. The population in this study were 449 students with the inclusion criteria of female students aged 14-16 who had menstruated in the last 3 months. Data was collected using primary data. Sample of 151 students were obtained using total sampling techniques. Results: The percentage of respondents who experienced dysmenorrhea in this study were 90.7% and 78.8% of them stated that dysmenorrhea disrupted their social life. There was a relationship between duration (p=0.006) and menstrual volume (p=0.004) with dysmenorrhea. The relationship also found between menstrual volume (p=0.033) and dysmenorrhea (p=<0.001) with adolescent social life. Conclusion: The characteristics of the menstrual cycle that were associated with dysmenorrhea were duration and menstrual volume and the social life of adolescents were significantly correlated with dysmenorrhea.  


Author(s):  
Nikita Gandotra ◽  
Reena Pal ◽  
Sonam Maheshwari

Background: Menstruation and menstrual practices are still associated with   socio-cultural restriction and taboos which results lack of knowledge and awareness in adolescent girls and remain ignore of scientific facts and hygienic practices during menstruation leads to severe reproductive health problems. The aim of the study is to assess the knowledge and menstrual hygiene practices among urban adolescent girls.Methods: A cross sectional observational study conducted. Total 120 adolescent girls enrolled in this study who were attended in gynaecological OPD. A structured questionnaire was used for data collection. Data was collected regarding menstrual cycle, knowledge about menstruation, practices during menstruation and menstrual hygiene. Data entry and analysis was carried out in Microsoft excel and analysis done by using frequency.Results: All participants were doing schooling, most of them they have done their high school study (47.5%) and 52.5% of adolescent girls were attended menarche between 10-13 yrs of age. Majority of participants were knowing about the menstruation before menarche (62.5%). Friends followed by mothers were the major sources of knowledge i.e.35% and 27.5% respectively. 22.5% of adolescent girls still using cloth as menstrual absorbent.Conclusions: All adolescent girls should be educated about the menstruation, physiological implications, its significance and proper hygienic practices during menstruation. Incorrect restrictions, myths and beliefs associated with menstruation can be removed by the help of parents, teachers, trained school nurses/ health personnel.


Author(s):  
Palani Vel Rajan ◽  
Jeevithan Shanmugam ◽  
Navee Prabhu Jayaraj ◽  
Archana Arumugam

Background: Women in India are restricted in their daily activities and mobility due to taboos, cultural barriers associated with menstruation and menstrual practices. Poor menstrual hygiene can make them susceptible to various reproductive tract infections. In this study we assessed the awareness, knowledge of menstruation and practice of menstrual hygiene among adolescents.Methods: A college based cross-sectional study was conducted in the field practice area of an urban health training centre (UHTC) of a tertiary care hospital in the district of Coimbatore. Universal sampling method was used for selection of participants. A structured proforma was used for data collection. Microsoft excel 2007 was used for data entry and data analysis was done using SPSS version 27.Results: It was found that 80.4% had formal education on menstrual hygiene. 94.5% of them had the habit of changing pads/cloths before they go to bed. 94.1% had the habit of washing with water every time and 76.49% of those who had the habit of washing used soap/antiseptic while washing.Conclusions: Knowledge about menstruation and menstrual hygiene should be provided in schools and colleges. Ensuring availability of sanitary products, water, privacy and appropriate waste disposal in all public services and institutions can address the challenges.


2021 ◽  
Author(s):  
◽  
Franco Aluma ◽  
Ambrose Ongom

Background: Menstruation is a naturally occurring physiological phenomenon in adolescent girls and pre-menopausal women. menstrual hygiene management ( MHM) is the practice that involves women and adolescent girls using clean menstrual management materials to absorb or collect blood that can be changed in privacy as often as necessary for the duration of the menstruation period, using soap and water for washing the body as required and access to the facilities off used menstrual management materials. Method: The research study employed quantitative and simple random sampling techniques from various strata and was carried out for one week from 17th November 2020 to 24th November 2020. A total of 30 pupils were selected, Data was collected on a data collection tool and information was presented using descriptive statics in form of tables, pie charts, and graphs. Results: The overall results showed in the age group between 14-16 years which had 10(52.6%) the least which had 1(5.2%), of the girls who faced challenges in menstrual hygiene management during school period. Conclusion: The high percentage of girls who faced challenges in menstrual hygiene management in school was due unavailability of menstrual hygiene facilities in Ogur primary school and the lack of continuous menstrual health education among girls. Recommendation: There is a need for menstrual health education among girl children, and provision of required menstrual hygiene facilities at school, public awareness on health-seeking behaviors and hygiene to reduce infections on girl children during their menstruation period. I also recommend further studies to be done in this area to evaluate the current challenges of poor menstrual hygiene among girl children in school.


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