Effectiveness of menstrual health and hygiene management training program among tribal women of Jharkhand
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20261276Keywords:
Jharkhand, Sanitary practices, Debunking myths around menstruation, Training and capacity building, Menstrual health and hygiene, Tribal women, Tribal healthAbstract
Background: Menstrual health is one of the many common biological processes that women experience and yet they face challenges to adapting healthier practices due to societal and cultural norms attached to the subject. The intensity of the issue is magnified for tribal women due to a lack of knowledge and accessibility to facilities. CInI (Collectives for integrated livelihood initiatives), Jharkhand based grassroot organization in collaboration with its 6 (FPC) farmer producer companies) implemented menstrual hygiene management (MHM) training for women from 7 blocks across 6 districts.
Methods: This study examines the effectiveness of the MHM program for tribal populations to assess their knowledge, attitudes and infrastructure facilities. A cross-sectional study was conducted amongst the MHM program attendees. Data was collected using questionnaires pre- and post-training from 465 participants.
Results: The post-training answers showed significant improvements in the understanding of menstruation. The 97.6% considered menstruation to be a normal biological process, and 43.4% adopted the practice of changing sanitary napkins three times a day.
Conclusions: The study highlights the need to tailor the menstrual health management program to the context of the community. The model leveraging existing community leaders and practitioners accelerates the program participation and outcome.
References
National Cancer Institute. (n.d.). Menstruation. U. S. Department of Health and Human Services.
Babbar K, Martin J, Ruiz J, Parray AA, Sommer M. Menstrual health is a public health and human rights issue. The Lancet Public Health. 2022;7(1):e10-11.
Anand E, Singh J, Unisa S. Menstrual hygiene practices and its association with reproductive tract infections and abnormal vaginal discharge among women in India. Sexual Reproduct Healthcare. 2015;6(4):249-54.
Nitika, Lohani P. Prevalence and determinants of menstrual disorders and napkin usage among women in India using DLHS-4 data. J Family Med Primary Care. 2019;8(6):2106.
Kumari S, Sood S, Davis S, Chaudhury S. Knowledge and practices related to menstruation among tribal adolescent girls. Indian J Psychiat. 2021;30(1):S160-5.
Mudi PK, Pradhan MR, Meher T. Menstrual health and hygiene among Juang women: A particularly vulnerable tribal group in Odisha, India. Reproduct Health. 2023;20(1):55.
Kakati BK. Enhancing menstrual management behavioral change through awareness training: Insights from the Jalodari Project in Assam, India. Women’s Reproduct Health. 2024;11(4):896-913.
Ki̇Pay S, Baybeki H, Tabak RS. Impact of an interventional training on menstrual hygiene of adolescent schoolgirls. J Int Scientific Res. 2018;3(2):653-63.
Vayeda M, Ghanghar V, Desai S, Shah P, Modi D, Dave K, et al. Improving menstrual hygiene management among adolescent girls in tribal areas of Gujarat: An evaluation of an implementation model integrating the government service delivery system. Sexual Reproduct Health Matters. 2022;29(2):1992199.
Kaur R, Kaur K, Kaur R. Menstrual hygiene, management, and waste disposal: Practices and challenges faced by girls/women of developing countries. J Environmental Publ Heal. 2018;2018:1730964.
Mittal S, Priya S, Kumar R, Verma B, Meena A. Menstrual hygiene practices in Indian tribal females: A systematic review and meta-analysis. Cureus. 2023;15(7):e42216.
Meher T, Sahoo H. Secular trend in age at menarche among Indian women. Scientific Rep. 2024;14(1):5398.
Ahuja M. Age of menopause and determinants of menopause age: A PAN India survey by IMS. J Mid-Life Health, 2016;7(3):126.
Deepa S, Agrawal T, Attokaran T, Fathima FN, Johnson AR. Awareness, perceptions and practices regarding menstruation and menstrual hygiene among students of a college in Bengaluru Urban district, South India: A cross-sectional study. Int J Comm Med Publ Heal. 2019;6(3):1126.
Bhudhagaonkar J, Shinde M. Impact of structured education regarding menstrual hygiene practices among adolescent girls. Int J Sci Res. 2014;3(5):244-52.
John J. Menstrual hygiene practices among adolescent girls in a rural area of Kanyakumari District of Tamil Nadu. Indian J Youth Adolescent Health. 2019;6(1):8-14.
Garg S, Anand T. Menstruation related myths in India: Strategies for combating it. J Fam Med Prim Care. 2015;4(2):184.
Torondel B, Sinha S, Mohanty JR, Swain T, Sahoo P, Panda B, et al. Association between unhygienic menstrual management practices and prevalence of lower reproductive tract infections: A hospital-based cross-sectional study in Odisha, India. BMC Infect Dis. 2018;18(1):473.
Bates S. Vaginal discharge. Curr Obstetr Gynaecol. 2003;13(4):218-23.
Bang RA, Baitule M, Sarmukaddam S, Bang AT, Choudhary Y, Tale O. High prevalence of gynaecological diseases in rural Indian women. The Lancet. 1989;333(8629):85-8.