Menstruation physiology knowledge and hygiene practices among adolescent girls from rural and urban backgrounds: a comparative study

Indu Khare; Ruchi Kalra

doi:10.18203/2320-1770.ijrcog20260543

Authors

Indu Khare Department of Obstetrics and Gynecology, People’s College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India
Ruchi Kalra Department of Obstetrics and Gynecology, People’s College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20260543

Keywords:

Menstrual hygiene, Knowledge, Comparative urban and rural menstrual hygiene practice, Attitude and practice, Physiology of menstruation

Abstract

Background: Proper menstrual hygiene practices are needed for optimum health and dignity of women. One such practice is use of menstrual cup which has not gained widespread acceptance due to lack of awareness and inadequate promotion. A mixed method study conducted to assess the prevalence, practice and effectiveness of technology assisted intervention on knowledge and attitude of menstrual cup usage among working women at selected institution, Salem.

Methods: With formal consent, the prevalence and practice of menstrual cup usage was assessed from working women along with the pre and post-test level of knowledge and attitude.

Results: Strong positive approach was found among the samples who felt comfortable and happy, and even recommended to others. Among 120 working women, only 4 (3.3%) of them were using menstrual cup. Highest percentage of them had moderately adequate knowledge (60.50%) and neutral attitude (15.7%) in pretest with the mean score of 9.13±2.93 and 60.4±9.6 respectively. Whereas, highest percentage of them had adequate knowledge (81.56%) and positive attitude (52.6%) in post-test with the mean score of 14.13±3.22 and 70.47±10.7 respectively which is highly significant at p≤0.001 level. Also, high positive correlation (r=0.89) was found between knowledge and attitude. Significant association was found between selected variables.

Conclusions: The study concluded that though many of the women have heard of menstrual cup, the usage is lesser due to lack of awareness about the usage, its benefits and fear of using. Hence measures need to be taken to promote awareness.

References

Marques P, Madeira T, Gama A. Menstrual cycle among adolescents: girls’ awareness and influence of age at menarche and overweight. Revista Paulista de Pediatria. 2022;40:e2020494. DOI: https://doi.org/10.1590/1984-0462/2022/40/2020494

Prajapati J, Patel R. Menstrual hygiene among adolescent girls: A cross sectional study in urban community of Gandhinagar. J Med Res. 2015;1(4):122-5.

Krasniqi E, Cakirpaloglu P. The role of puberty in adolescent development. PhD existence 10. 2020:241.

Reena M. Psychological changes during puberty-adolescent school girls. Age. 2015;12(26):16-6.

Burfoot A, Güngör D. Women and reproductive technologies: The socio-economic development of technologies changing the world. Taylor & Francis; 2022. DOI: https://doi.org/10.4324/9780429467646

Garg S, Bhatnagar N, Singh MM, Basu S, Borle A, Marimuthu Y, et al. Menstrual hygiene management and its determinants among adolescent girls in low-income urban areas of Delhi, India: a community-based study. Osong Public Health Res Perspect. 2022;13(4):273-281. DOI: https://doi.org/10.24171/j.phrp.2022.0127

Menstrual Hygiene Scheme. National Health Mission, Ministry of Health and Family Welfare. Available at: https://nhm.gov.in/index1.php?lang=1&level=3&sublinkid=1021&lid=391. Accessed 01 October 2025.

Kamran I, Niazi RM, Khan K, Abbas F. Situation analysis of reproductive health of adolescents and youth in Pakistan. 2019 Jan. DOI: https://doi.org/10.31899/rh11.1025

Khan ME, Bhatnagar I, Hazra A, Kumar M. Situation analysis of behavior change communication activities in Bihar: a step towards developing a comprehensive bcc strategy. 2012 Jan. DOI: https://doi.org/10.31899/rh2.1051

Menstrual Hygiene Management Guidelines 2015/Swach Bharat Mission. Available at: https://swachhbharatmission.ddws.gov.in/sites/default/files/Guidelines/Menstrual-Hygiene-Management-Guidelines.pdf. Accessed 01 October 2025.

Shoor P. A study of knowledge, attitude, and practices of menstrual health among adolescent school girls in urban field practice area of medical college, Tumkur. Ind J Heal Sci Biomed Res KLEU. 2017;10(3):249-55. DOI: https://doi.org/10.4103/kleuhsj.ijhs_375_16

Prajapati J, Patel R. Menstrual hygiene among adolescent girls: A cross sectional study in urban community of Gandhinagar. J Med Res. 2015;1(4):122-5. DOI: https://doi.org/10.31254/jmr.2015.1406

Sharma P, Singh N, Tempe A, Sharma S. Knowledge, practices and restrictions related to menstruation in young girls: A study from North India. Int J Comm Medi Publ Heal. 2018;5(8):3340-4. DOI: https://doi.org/10.18203/2394-6040.ijcmph20183058

Deshpande TN, Patil SS, Gharai SB, Patil SR, Durgawale PM. Menstrual hygiene among adolescent girls - A study from urban slum area. J Family Med Prim Care. 2018 Nov-;7(6):1439-45. DOI: https://doi.org/10.4103/jfmpc.jfmpc_80_18

Maniar A, Mehta S. Menstrual hygiene practices: myths and taboo. Int J Res Soci Sci. 2017;7(12):93-101.

Paria B, Bhattacharyya A, Das S. A comparative study on menstrual hygiene among urban and rural adolescent girls of West Bengal. J Fam Med Prim Care. 2014 Oct 1;3(4):413-7. DOI: https://doi.org/10.4103/2249-4863.148131

Sinha RN, Paul B. Menstrual hygiene management in India: The concerns. Ind J Publ Heal. 2018;62:71-4. DOI: https://doi.org/10.4103/ijph.IJPH_135_18

Chauhan S, Kumar P, Marbaniang SP, Srivastava S, Patel R, Dhillon P. Examining the predictors of use of sanitary napkins among adolescent girls: a multi-level approach. PLoS One. 2021;16(4 April):1-14. DOI: https://doi.org/10.1371/journal.pone.0250788

Bhusal CK. Practice of menstrual hygiene and associated factors among adolescent school girls in dang district, Nepal. Adv Prev Med. 2020;2020(1):1-7. DOI: https://doi.org/10.1155/2020/1292070

Yaliwal RG, Biradar AM, Kori SS, Mudanur SR, Pujeri SU, Shannawaz M. Menstrual morbidities, menstrual hygiene, cultural practices during menstruation, and wash practices at schools in adolescent girls of north Karnataka, India: A cross‐sectional prospective study. Obstetr Gynecol Int. 2020;2020(1):6238193. DOI: https://doi.org/10.1155/2020/6238193

Thakre SB, Thakre SS, Reddy M, Rathi N, Pathak K, Ughade S. Menstrual hygiene: knowledge and practice among adolescent school girls of Saoner, Nagpur District. J Clin Diagn Res. 2011;5(5):1027-33.

Das A, Majhi TK. Problems of menstruation among adolescent girls and its related cultural practices as expressed by mothers in Kamrup districts, Assam. Int J Curr Adv Res. 2020;9(3):2-10.

Anton B, Kim W, Nair A, Wang E. Menstrual hygiene management- evidence from the 6th round of MICS. In: Data Anal Sect Div Data, Anal Plan Monit UNICEF. New York; 2021:11.

Singh A, Chakrabarty M, Singh S, Chandra R, Chowdhury S, Singh A. Menstrual hygiene practices among adolescent women in rural India: a cross-sectional study. BMC Pub Heal. 2022;22(1):2126. DOI: https://doi.org/10.1186/s12889-022-14622-7

Uttam N. Menstruation: Role of NGO’S in promoting menstrual health and hygiene in Jammu and Kashmir. Int J Ind Psychȯl. 2023;11(1):1077-80.

Sharma S, Mehra D, Brusselaers N, Mehra S. Menstrual hygiene preparedness among schools in India: a systematic review and meta-analysis of system-and policy-level actions. Int J Environ Res Public Health. 2020;17(2):647. DOI: https://doi.org/10.3390/ijerph17020647