Knowledge on menstruation and menstrual hygiene practices among adolescent girls of selected schools, Chitwan

Sharma, Mamata; Sharma, Kalpana; Bista, Archana Pandey; Subedi, Subash; Lamichhane, Sandesh

doi:10.3126/jcmc.v10i1.28075

Cited by 9 publications

(16 citation statements)

References 7 publications

(25 reference statements)

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“…Less than one-fifth of the school girls took daily bath during menstruation. In this study, about two-thirds of school-going adolescent girls practiced good menstrual hygiene which is in line with studies done in Nepal [22] and Ethiopia [23]. However, several studies done in Ethiopia [24], Nigeria [25], and Ghana [26] found that higher proportion of the girls practiced good menstrual hygiene as compared to this study.…”

Section: Discussionsupporting

confidence: 89%

Practice of Menstrual Hygiene and Associated Factors among Adolescent School Girls in Dang District, Nepal

Bhusal

2020

Advances in Preventive Medicine

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Background. Menstrual hygiene management has not been sufficiently addressed in developing countries. In many Nepalese societies, menstrual practices are still surrounded by sociocultural restrictions and taboos resulting in adverse health outcomes for adolescent girls. The purpose of this study was to determine menstrual hygiene practice and sociodemographic as well as socioeconomic factors associated with good menstrual hygiene practice amongst adolescent school girls in Dang district, Nepal. Methods. A cross-sectional study was conducted in Dang district, Nepal, among 406 adolescent girls studying in grades 8, 9, and 10 between ages of 10 and 19 years from April to October 2019. Randomly 5 units were selected from a total of 10 local units. After 5 units had been decided, 10 schools consisting of 5 government and 5 private schools were selected through a disproportionate stratified random sampling technique. A further 406 students were then selected randomly from the 10 selected schools. Bivariate analysis was used primarily to assess the association between dependent and independent variables and final measure of association was odds ratio. Variables which were associated with bivariate analysis were entered into a multivariable logistic regression model to identify associated factors of menstrual hygiene practice. Results. The mean age and family size were 15.13 ± 1.19 and 5.58 ± 1.81, respectively. A total of 272 (67.0%) adolescents have good menstrual hygiene practice. Mothers and fathers with literature educational background (adjusted odds ratio = 0.52, confidence interval: 0.30–0.89 and AOR = 2.55, CI: 1.26–5.15, respectively), family size greater than or equal to 5 (AOR = 0.61, CI: 0.37–0.98), and living with relatives (AOR = 0.45, CI: 0.24–0.85) were significantly associated with good menstrual hygiene practice. Conclusions. Educational status of mother and father, family size, and living status were found to be independent associated factors of menstrual hygiene practice. In this context, this study demonstrates that administrators and policy makers should provide specific education regarding menstrual hygiene to both parents. Similarly local government needs to subsidize hygiene towels for school adolescents.

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Section: Discussionsupporting

confidence: 89%

Practice of Menstrual Hygiene and Associated Factors among Adolescent School Girls in Dang District, Nepal

Bhusal

2020

Advances in Preventive Medicine

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“…The majority of the school-going adolescent girls in this study knew menstruation is a cyclic process which is in line with study conducted in northwestern Nigeria [ 31 ]. Most of school-going adolescent girls in this study were aware that menstruation is a normal physiological process which is in line with the study done in remote Doti district [ 34 ] and Chitwan district [ 42 ] of Nepal. However, studies conducted in India [ 41 ] and Nigeria [ 37 ] found lower proportion of school girls reported that it is a physiological process.…”

Section: Discussionsupporting

confidence: 86%

Level and Associated Factors of Knowledge regarding Menstrual Hygiene among School-Going Adolescent Girls in Dang District, Nepal

Bhusal

Bhattarai

Kafle

et al. 2020

Advances in Preventive Medicine

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Background. Adolescent girls in developing countries do not have proper information, and proper information is covered up by sociocultural boundaries resulting in various morbidities. This study aimed to determine level of knowledge and its associated factors regarding menstrual hygiene amongst adolescent school girls in Dang district, Nepal. Methods. Institution-based cross-sectional study was conducted between April and October 2019 among 406 adolescent girls studying in grades 8–10 between ages of 10–19 years in Dang district, Nepal. From a total of 10 local units, 5 were selected randomly. Out of the selected 5 units, 10 schools consisting of 5 government and 5 private schools were selected through disproportionate stratified random sampling. A further 406 students were then selected randomly from the 10 selected schools. Bivariate analysis was used primarily to assess the association between dependent and independent variables. Variables which were associated with bivariate analysis were entered into a multivariable logistic regression model to identify associated factors of menstrual hygiene practice. Results. The mean age and family size were 15.13 ± 1.19 and 5.58 ± 1.81, respectively. A total of 87.7% of adolescents had good knowledge regarding menstrual hygiene. Adolescents living in rural area (AOR = 0.27, CI: 0.12–0.61, p ≤ 0.001 ), private schools (AOR = 6.10, CI: 1.58–23.46, p ≤ 0.001 ), mothers who can read and write (AOR = 0.22, CI: 0.07–0.64, p ≤ 0.001 ), fathers who have up-to-grade-10 education (AOR = 5.15, CI: 1.84–14.39, p ≤ 0.001 ), and living only with mothers (AOR = 0.29, CI: 0.12–0.69, p ≤ 0.018 ) were significantly associated with level of knowledge of menstrual hygiene. Conclusions. Though the majority of respondents had a good level of knowledge regarding menstrual hygiene, there was a knowledge gap in specific areas. The level of knowledge was significantly poor among adolescents in rural areas and those living only with mothers. Thus, this study concerns the need for policy makers to focus on specific education regarding menstrual hygiene in rural areas including both parents.

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“…Whereas it was high as compared to a study conducted in Kenya (28.8%) [ 27 ]. The finding was also high as compared to a study conducted in Nepal (27.5%) [ 19 ]. This difference may be due to the previous studies were among the pastoralist community and the current study was among the non-pastoralist community.…”

Section: Discussioncontrasting

confidence: 52%

“…The response of each item was measure “1” for correct answers ad “0” for I don’t know or wrong answers. Individuals with a total sum score of less than 50% were classified as had poor menstrual hygiene practice, otherwise good practice [ 19 , 20 , 30 , 42 – 44 ]. Similarly, knowledge was measured using eight items.…”

Section: Methodsmentioning

confidence: 99%

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Menstrual hygiene practice among female adolescents and its association with knowledge in Ethiopia: A systematic review and meta-analysis

et al. 2021

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Background Previous studies on menstrual hygiene practice were largely inconsistent and single national evidence is required. Thus, this study aimed to assess the pooled prevalence of menstrual hygiene and its association with knowledge about menstrual hygiene among female adolescents in Ethiopia. Methods The study was designed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-2015 Guidelines). This systematic review included studies conducted on female adolescents in Ethiopia irrespective of their publication and study period until the end of July 1, 2020. The data extracted in the Microsoft Excel sheet format was exported into the STATA/SE14 version statistical software for further analysis. I2 test was used to test heterogeneity and publication bias was assessed by using Egger’s weighted regression test. Results Thirteen full-text articles including 6907 participants were included in this systematic review and meta-analysis. Using the random effect model, the pooled prevalence of poor menstrual hygiene practice was 48.98% [95% CI: (36.42, 61.53)]. Those female adolescents who had poor knowledge were 2.6 times more likely to have poor menstrual hygiene practice as compared to counterparts [AOR = 2.61, 95% CI: (1.45, 4.72)]. Conclusions The prevalence of poor menstrual hygiene practice was high and knowledge regarding menstrual hygiene was significantly associated with poor menstrual hygiene practice. Information education communication and behavioral change communication at all levels of education should be the primary focus area of the government.

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Knowledge on menstruation and menstrual hygiene practices among adolescent girls of selected schools, Chitwan

Cited by 9 publications

References 7 publications

Practice of Menstrual Hygiene and Associated Factors among Adolescent School Girls in Dang District, Nepal

Practice of Menstrual Hygiene and Associated Factors among Adolescent School Girls in Dang District, Nepal

Level and Associated Factors of Knowledge regarding Menstrual Hygiene among School-Going Adolescent Girls in Dang District, Nepal

Menstrual hygiene practice among female adolescents and its association with knowledge in Ethiopia: A systematic review and meta-analysis

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