Menstrual Hygiene Management Practices for Adolescent Girls among Public Secondary Schools in Kibondo District, Tanzania

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):  
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.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257853
Author(s):  
Bikis Yaynie Shibeshi ◽  
Amanu Aragaw Emiru ◽  
Melash Belacehew Asresie

Introduction Even though menstruation is a normal biological process, adolescents are facing managing their menstruation when they are at school. It causes girls to miss their class on average three days every month. Studies in some countries showed that the magnitude of menstrual hygiene management problems is higher in rural adolescent girls, but little is known in the Ethiopia context. The objective of this study was to assess and compare menstrual hygiene management practices among rural and urban schoolgirls, Northeast, Ethiopia. Methods An institution-based comparative cross-sectional study was employed among 1078 schoolgirls (539 urban and 539 rural) from February to March 2020. The participants were selected using a multi-stage sampling technique. A structured self-administrative questionnaire and observational checklist were used for data collection. Bivariate and multivariable logistic regression analysis with a 95% confidence interval was employed. A P- value less than 0.05 was used to declare statistical significance. Results Overall, the magnitude of good menstrual hygiene practice was 52.9% (95%CI: 50.3%-56.5%), which was 65.9% (95% CI: 62.8%-70.7%) among urban and 39.9% (95% CI: 36.2%-44.6%) among rural schoolgirls. Among urban schoolgirls, the odds of good menstrual hygiene management practice was higher for girls aged below 18 years (AOR = 1.58, 95%CI: 1.05–2.39), learned about menstrual hygiene at school (AOR = 1.89, 95%CI: 1.21–2.97), heard about menstrual hygiene before menarche (AOR = 4.98, 95%CI: 2.71–9.13), and discussed menstrual hygiene with parents (AOR = 2.56, 95%CI: 1.25–5.27). Whereas, the odds of good menstrual hygiene management practice was higher among those who were knowledgeable on menstrual hygiene (AOR = 5.47, 95%CI: 3.68–8.12), those who learned about menstrual hygiene at school (AOR = 1.75, 95%CI: 1.13–2.70), and girls who heard about menstrual hygiene before menarche (AOR = 3.34, 95%CI: 1.44–7.76) in rural schoolgirls. Conclusions Though the overall menstrual hygiene practice was low, it was relatively better among urban schoolgirls. This calls for more effort to solve these problems and achieve sustainable development goals. Therefore, education and awareness creation on menstrual hygiene for schoolgirls, even before menarche at both settings should be strengthened. Encouraging parent-adolescent discussion on menstrual hygiene would have paramount importance, particularly to urban schoolgirls.


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 ◽  
Author(s):  
Biniyam Sahiledengle ◽  
Daniel Atlaw ◽  
Abera Kumie ◽  
Yohannes Tekalegn ◽  
Demelash Woldeyohannes ◽  
...  

Abstract Background: Adolescent girls face several challenges relating to menstruation and its proper management. Lack of adequate sanitary products, inadequate water supply, and privacy for changing sanitary pads continue to leave adolescent girls with limited options for safe and proper menstrual hygiene in many low-income settings, including Ethiopia. These situations are also compounded by societal myths, stigmas surrounding menstruation, and discriminatory social norms. This systematic review and meta-analysis aimed to estimate the pooled proportion of safe menstrual hygiene management among adolescent girls in Ethiopia using the available studies. Methods: We searched PubMed, Google Scholar, African Journal Online (AJOL), Hinari, Science Direct, ProQuest, Direct of Open Access Journals, POPLINE, and Cochrane Library database inception to May 31, 2021. Studies reporting the proportion of menstrual hygiene management among adolescent girls in Ethiopia were considered. The Cochrane Q test statistics and I2 tests were used to assess the heterogeneity of the included studies. Since the included studies revealed considerable heterogeneity, a random effect meta-analysis model was used to estimate the pooled proportion of safe MHM. Results: Of 1,045 identified articles, 22 studies were eligible for analysis (n=12,330 participants). The overall pooled proportion (PP) of safe MHM in Ethiopia was 52.69% (95%CI: 44.16, 61.22). The use of commercial menstrual absorbents was common 64.63% (95%CI: 55.32, 73.93, I2 99.2%) followed by homemade cloth 53.03% (95%CI: 22.29,83.77, I2 99.2%). Disposal of absorbent material into the latrine was the most common practice in Ethiopia 62.18% (95%CI:52.87,71.49, I298.7%). One in four girls reported missing one or more school days during menstruation (PP: 32.03%, 95%CI: 22.65%, 41.40%, I2 98.2%). Conclusion: This study revealed that only half of the adolescent girls in Ethiopia had safe MHM practices. To ensure that girls in Ethiopia can manage menstruation hygienically and with dignity, strong gender-specific water, sanitation, and hygiene (WASH) facilities along with strong awareness creation activities at every level are needed.


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.


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.


Author(s):  
Jyoti Kakwani ◽  
Jitendra Kumar Meena ◽  
Anjana Verma ◽  
Neha Dahiya

Background: Access to Menstrual Hygiene Management (MHM) remains a critical challenge to Indian women especially in remote areas. The problem of poor availability, acceptance, and affordability of MHM products is further aggravated by negative social construct and environmental concerns. Poor menstrual hygiene is linked to significant morbidity and mortality due to reproductive tract infections (RTIs) and cervical cancer etc.Methods: A campaign “Chuppi Todo” was organized in Udaipur; a tribal district in Rajasthan aiming for menstrual health education of adolescent girls and mothers across public schools through interactive means. During the campaign interviews were conducted by trained field staff with participating girls to elicit perspectives related to menstrual hygiene and feedback of the education sessions.Results: Based on qualitative assesments it was observed that women largely ignore menstrual hygiene or follow old traditional practices. They don’t prefer using modern MHM products like sanitary pads etc owing to the difficulty in their disposal and embarrassment.Conclusions: The present study highlights existing knowledge gaps and barriers in providing universal access to MHM to adolescent girls and women living in remote areas in India.  


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.


2020 ◽  
Vol 14 (1) ◽  
pp. 1-12
Author(s):  
Elizabeth Aku Baku ◽  
Victor Adrakpanya ◽  
Kennedy Diema Konlan ◽  
Peter Adatara

Background Young women and adolescent girls experience many challenges in their lives related to sanitation, hygiene, and menstruation. These challenges are often seen in a school setting and are more intense in peri-urban areas, where the infrastructure in educational institutions is often outpaced by the population, generating poor sanitary conditions. This can lead to adolescent girls contracting reproductive tract infections, such as candidiasis, as a result of poor menstrual hygiene. This study assessed menstrual hygiene management among students at a senior high school in the Volta Region, Ghana, in order to identify improvements to be made by school authorities to improve the health and comfort of students during menstruation. Methods This cross-sectional, descriptive study was conducted among 265 students aged 13–22 years, who had attained menarche. A pretested, structured questionnaire was used to collect data on their menstruation knowledge and practices, and the available sanitary facilities for menstrual hygiene management in the school. This was followed by an evaluation of the available facilities using a survey process. The Pearson chi-squared test was used to test the association between a student's year group and their knowledge and practices. Results The majority of the girls had accurate knowledge on menstruation (52.8% reported the correct length of a woman's menses, 74.7% correctly reported that a woman's menses comes once a month). However, the majority (63%) of participants reported the belief that menstrual blood is unhygienic and this belief was significantly associated with year group (P<0.00). When reporting on their practices during menstruation, the majority (76.2%) bathed twice a day and most (47.2%) changed their sanitary product twice a day. The frequency of these practices was significantly associated with year group (P=0.017 and P≤0.00, respectively). Only one-third (33.6%) of girls reported always having access to water for washing when menstruating and only 24.9% reported always having access to soap. The survey of facilities revealed that there was no handwashing facility in the school. Conclusions There is a need for Ghanaian educational institutions to provide proper sanitary facilities and for parents to provide sanitary pads or towels, which will allow girls who are menstruating to be comfortable and free of reproductive health infections. To achieve this, school authorities should be educated on the importance of providing the necessary sanitary facilities and parents should be educated on the necessity of provision of sanitary pads.


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