2022
DOI: 10.1136/bmjopen-2021-054860
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Co-development and piloting of a menstrual, sexual and reproductive health intervention to improve social and psychological outcomes among secondary schoolgirls in Northern Tanzania: the PASS MHW study protocol

Abstract: IntroductionPoor menstrual health negatively impacts psychosocial and physical health, and subsequently leads to poor school outcomes, but the effort to improve adolescent girls’ menstrual health in Tanzania remains fragmented. This study aimed to develop and pilot a scalable, comprehensive menstrual, sexual and reproductive health (MSRH) intervention within Tanzanian government structures to improve MSRH practices and perceptions and the overall school climate to ensure the psychosocial well-being and optimal… Show more

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Cited by 6 publications
(11 citation statements)
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“…The primary sample size calculation was powered to detect an intervention effect in the endline survey and has previously been reported in the protocol paper. [19]. For this analysis, the sample of 486 schoolgirls provides adequate precision to report the prevalence of different menstrual practices and needs, including menstrual product use and appropriate pain management, with a precision of 5% around an estimated prevalence of 50%.…”
Section: Discussionmentioning
confidence: 99%
“…The primary sample size calculation was powered to detect an intervention effect in the endline survey and has previously been reported in the protocol paper. [19]. For this analysis, the sample of 486 schoolgirls provides adequate precision to report the prevalence of different menstrual practices and needs, including menstrual product use and appropriate pain management, with a precision of 5% around an estimated prevalence of 50%.…”
Section: Discussionmentioning
confidence: 99%
“…Basic CBT skills, such as deep breathing, activity pacing, stress reduction, and meditation, could be taught as part of menstrual education sessions. For example, research on deep breathing as a key component of pain management strategies is currently being evaluated for acceptability and efficacy in a school-based menstrual health intervention in Tanzania [ 45 ]. Additional research is needed to explore the feasibility, acceptability, and efficacy of CBT strategies for menstrual pain, particularly when taught by non-clinicians.…”
Section: Discussionmentioning
confidence: 99%
“…Trials using the MPNS measures as primary or secondary outcomes will provide insights into the sensitivity of the measure to change and use for evaluation. [8,12] Finally, future research should investigate the validity of the shorter MPNS forms in new cultural contexts, languages and age groups. As found previously, [6] the dimensionality of the MPNS-36 differs for adult women, and we would hypothesise similar differences for the short form.…”
Section: Implications For Research and Practicementioning
confidence: 99%
“…[1,2] The Menstrual Practice Needs Scale (MPNS-36) [3] was published in 2020 to address this gap and has seen rapid uptake in research and practice. [4][5][6][7][8][9][10][11][12] However, this comprehensive scale is 36-items in length, presenting a barrier to implementation in short needs assessments or multicomponent surveys. Stakeholders have requested a short form to enable greater uptake.…”
Section: Introductionmentioning
confidence: 99%
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