Assessment of knowledge, attitude, and practice of menstrual hygiene amongst school students in rural India
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20232469Keywords:
Knowledge, Attitude, Practice, Menstrual hygieneAbstract
Background: Lack of information access, traditions, socio-cultural taboos, and hence social embarrassment regarding menstrual hygiene has led to women's health deterioration which led to the development of an embarrassing attitude among women toward practicing menstrual hygiene in rural settings. The information gathered on this issue can be utilized by various NGOs and policymakers to make necessary changes. This study was undertaken to assess the knowledge and attitude about menstruation among school teachers, boys, and girls, including the menstrual hygiene practices of the school girls.
Methods: A cross-sectional study was conducted at two schools in Sawarde village, Ratnagiri, India, among 450 boys, 361 girls, and 20 teachers from 7th to 12th grade. Analysis of knowledge, attitude, and practice was done using descriptive analysis.
Results: 100% of teachers, 72.02% of female students had good knowledge, while only 32.44% of male students had good knowledge. It was found that 100% of teachers, 28.81% of female students, and only 2.89% of male students had positive attitudes about menstruation. It was found that 90.86% of female students used sanitary pads, 36.29% changed their pads three times or more a day, 52.08% used paper to wrap and dispose of pads, 87.26% disposed it into dustbins, 93.63% cleaned genitalia during menses.
Conclusions: IEC and behaviour change communication are needed to spread awareness and empower females regarding menstruation and menstrual hygiene. This program should include girls, their families, peers, and the community.
References
Krenz A, Strulik H. Menstruation hygiene management and work attendance in a developing country. CEGE Discussion Papers, Number 364. 2019.
Sumpter C, Torondel B. A systematic review of the health and social effects of menstrual hygiene management. Plos One. 2013;8(4):e62004.
Bhatti il, Fikree F. Health-seeking behavior of Karachi women with reproductive tract infections. Social Sci Med. 2002;54(1):105-17.
Atashili J, Poole C, Ndumbe P, Adimora A, Smith J. Bacterial vaginosis and HIV acquisition: a meta-analysis of published studies. AIDS. 2008;22(12):1493-501.
Nehulkar P, Holambe V, Thakur N. Knowledge, attitude and practices of adolescent girls regarding menstruation: A community-based cross-sectional study. Int J Recent Trends Sci Technol. 2016;17:266-9.
Karout N. Knowledge and beliefs regarding menstruation among Saudi nursing students. J Nurs Educ Pract. 2016;6:23-30.
Fakhri M, Hamzehgardeshi Z, Hajikhani Golchin NA, Komili A. Promoting menstrual health among Persian adolescent girls from low socioeconomic backgrounds: A quasi-experimental study. BMC Public Health. 2012;12:2-6.
Chauhan S, Kumar P, Marbaniang SP, Id SS. Examining the predictors of use of sanitary napkins among adolescent girls: A multi-level approach. PLoS One. 2021;30:e0250788.
Wangmo D, Pelzom S, Dem T. National Formative Study on Sanitation and Hygiene Behaviours. Bhutan. Bhutan: Ministry of Health. 2014.
Pandey A. Challenges experienced by adolescent girls while menstruation in Kathmandu, valley: A qualitative study. J Community Med Health Educ. 2014;04:41-5.
Goldblatt B, Steele L. Bloody unfair: inequality related to menstruation — considering the role of discrimination law. SSRN Electron J. 2019;41(3):293-325.
van Eijk AM, Sivakami M, Thakkar MB, Bauman A, Laserson KF, Coates S, et al. Menstrual hygiene management among adolescent girls in India: a systematic review and meta-analysis. BMJ Open. 2016;6:e010290.
Garg S, Anand T. Menstruation-related myths in India: strategies for combating it. J Fam Med Prim Care. 2015;4:184-6.
Mohammed S, Larsen-Reindorf R, Awal I. Menstrual hygiene management and school absenteeism among adolescents in Ghana: results from a school-based cross-sectional study in a rural community. Int J Reprod Med. 2020;2020:1-9.
Mahon SH, Cavill ST. Menstrual hygiene matters: a resource for improving menstrual hygiene around the world on Jstor. Available at: https://www.jstor.org/ stable/43288983. Accessed on 21 June 2023.
Sangra S, Choudhary N, Kouser W, Faizal I. Assessment of knowledge, attitude, and practice about menstruation and menstrual hygiene among adolescent girls in rural area of district Kathua, Jammu and Kashmir. Int J Community Med Public Health. 2019;6:5215-8.
Isano S, Iradukunda IG, Ingabire P, Igiraneza B, Nkurunziza F, Wong R. Assessing the knowledge and attitude of menstrual hygiene among high school students, and menstrual practices among high school girls in rural Rwanda. Int J Reprod Contracept Obstet Gynecol. 2022;11:696-703.
Sapkota D, Sharma D, Pokharel HP, Budhathoki SS, Khanal VK. Knowledge and practices regarding menstruation among school going adolescents of rural Nepal. J Kathmandu Med Coll. 2014;2(3):122-8.
Juyal R, Kandpal SD, Semwal J, Negi KS. Practices of menstrual hygiene among adolescent girls in a district of Uttarakhand. Indian J Community Health. 2012;24(2):124-8.
Yadav RN, Joshi S, Poudel R, Pandeya P. Knowledge, Attitude, and Practice on Menstrual Hygiene Management among School Adolescents. J Nepal Health Res Counc. 2018;15(3):212-6.
Pramodha MS, Shashirekha HD. Knowledge, attitude, and practice of menstrual hygiene among adolescent schoolgirls of rural area, Dakshina Kannada, India. Int J Reprod Contracept Obstet Gynecol. 2021;10:1788-94.
Sharma S, Mehra D, Kohli C, Singh MM. Menstrual hygiene practices among adolescent girls in a resettlement colony of Delhi: a cross-sectional study. Int J Reprod Contracept Obstet Gynecol. 2017;6(5):1945-51.
Lawan UM, Nafisa WY, Musa AB. Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. Afr J Reprod Health. 2010;14(3):201-7.
Dasgupta A, Sarkar M. Menstrual hygiene: How hygienic is the adolescent girl? Indian J Community Med. 2008 Apr;33(2):77. Dasgupta A, Sarkar M. Menstrual hygiene: How hygienic is the adolescent girl? Indian J Community Med. 2008;33(2):77.
Adinma ED, Adinma JI. Perceptions and practices on menstruation amongst Nigerian secondary school girls. Afr J Reprod Health. 2008;12(1):74-83.
Pundkar RD, Zambare MB, Baride JP. The knowledge and practice of menstrual hygiene among adolescent girls in one of the municipal corporation schools of Ahmednagar. VIMS Health Sci J. 2014;1:118-24.
