Knowledge and attitude of menstruation hygiene, contraception and sexual transmitted disease among school girls of Lunawada, Mahisagar, Gujarat, India


  • Chintan Upadhyay Department of Obstetrics and Gynecology, GMERS Medical College and Civil Hospital, Gandhinagar, Gujarat, India
  • Bipin Nayak Department of Obstetrics and Gynecology, GMERS Medical College and Civil Hospital, Gandhinagar, Gujarat, India
  • Gaurav Desai Department of Community Medicine, GMERS Medical College and Civil Hospital, Gandhinagar, Gujarat, India



Adolescent girl, Menstruation hygiene, Reproduction, Sexually transmitted disease


Background: Around ¾th of adolescent girls have experiencing menstrual dysfunction and it disturbs the routine daily workout4. UNICEF reported that total number of adolescent girls in India is 243 million which cover almost 20% of the Indian population. The objectives of the current study were to observe the knowledge and attitude regarding menstruation, contraception and sexually transmitted diseases among secondary and higher secondary school girls.

Methods: A cross-sectional study was conducted in the city of Vadodara during August 2016 to September 2016. The study included girls high school of standard 8th to 12th of Vadodara city. Around 310 adolescent students of standard 8th, 9th, 10th, 11th, and 12th. From each standard, 62 girls were selected by simple random technique with the help of their attendance register.  

Results: Around 71.4% participants believed that menstruation is natural process and 22.7% believed as abnormal process. Around 62.6% of participants believed for reason of menstruation is “Female becomes capable of child bearing”. Almost 9.0% participants did not know about organ of reproduction and 18.4% did not know about the physical changes during puberty. only 14.5% participants believed that coitus is the culprit of STD transmission. Teacher and mother were the main source of information for participants regarding STD. Almost 55.4% participants were aware about condom as contraceptive method followed by oral pills and permanent sterilization.

Conclusions: Menstrual hygiene and prevention of STD diseases should be considered important issue at all the levels of health care system, where number of factor influence in the awareness and practice in rural area. Education regarding reproductive health should be included in the curriculum in all schools.


Grover S, Garg N, Rupali, Kaur B. Awareness about reproductive health, contraceptive methods, STDs including HIV/AIDS, and HPV vaccine, among adolescent girls in district Faridkot in Punjab. Int J Reprod Contracept Obstet Gynecol. 2017;6(5):2003-9.

Beek, Jonathan S. “Puberty and dysmenorrhea treatment”. Novak’s Gynecology. 14th ed. London: Williams and Wilkins publication Inc; 2006:1696.

Chumlea WC, Schubert CM, Roche AF, Kulin HE, Lee PA, Himes JH, et al. Age at menarche and racial comparisons in US girls. Pediat. 2003;111(1):110-3.

Kumar D, Goel NK, Puri S, Pathak R, Sarpal SS, Gupta S, et al. Menstrual Pattern among Unmarried Women from Northern India. J Clin Diagn Res. 2013;7(9):1926-9.

Ziv A, Boulet JR, Slap GB. Utilization of physician offies by adolescents in the United States. Pediat. 1999;104(1):35-42.

Malleshappa K, Krishna S, Nandini C. Knowledge and attitude about reproductive health among rural adolescent girls in Kuppam mandal: An intervention study. Biomed Res. 2011;22(3):305-10.

Cakir M, Mungan I, Karakas T, Girisken L, Okten A. Menstrual pattern and common menstrual disorders among university students in Turkey. Paediat Int. 2007;49(6):938-42.

Kotecha PV, Patel S, Baxi RK, Mazumdar VS, Misra S, Modi E, et al. Reproductive health awareness among rural school going adolescents of Vadodara district. Indian J Sex Transm Dis. 2009;30(2):94-9.

Das B, Desai GJ. KAP study of reproductive health and sexually transmitted diseases among high school girls of Vadodara city. Int J Med Sci Public Health. 2016;5(3):412-5.

Deb T, Mishra R. Need assessment of adolescents. Indian J Population Educ. 2005;6(1):3-17.

Balasubramanian P. Health needs of poor unmarried adolescent girls - A community-based study in rural Tamil Nadu. Indian J Popul Educ. 2005;6(1):18-33.

Goel MK, K Mittal, Knowledge regarding reproductive health among urban adolescent girls of Haryana. Indian J Community Med. 2010;35(4):529-30.

Khanna A, Goyal SR, Bhawsar R. Menstrual practices and reproductive problems: A study of adolescent girls in Rajasthan. J Health Manag. 2005;7(1):91-107.

Haldar A, Ram R, Chatterjee T, Mishra R, Joardar GK. Study of need of awareness generation regarding component of reproductive and child health programme. Indian J Community Med. 2004;29(2):96-8.

Joshi BN, Chauhan SL, Dande UM, Tryambake VH, Gaitwad NS, Bhadoria V. Reproductive health problems and help seeking behaviour among adolescents in urban India. Indian J Pediatr. 2006;73(6):509-1.

Dube S, Sharma K. Knowledge, Attitude and Practice Regarding Reproductive Health among Urban and Rural Girls: A Comparative Study. Ethno Med. 2012;6(2):85-94.

Kamalam JK, Rajalakshmi B. Reproductive health awareness among college-going girls. Indian J Soc Work. 2005;66(4):414-30.

Nair P, Grover VL, Kannan AT. Awareness and practices of menstruation and pubertal changes amongst unmarried female adolescents in a rural area of East Delhi. Indian J Community Med. 2007;32(2):156-7.

Deo DS, Ghattargi CH. Perceptions and practices regarding menstruation: A comparative study in urban and rural adolescent girls. Indian J Community Med. 2005;30(1):33-4.

Shanbhag D, Shilpa R, D’Souza N, Josephine P, Singh J, Goud BR: Perceptions regarding menstruation and Practices during menstrual cycles among high school going adolescent girls in resource limited settings around Bangalore city, Karnataka, India. Int J Collab Res Intern Med. 2012,4(7):1353-62.

Patel P, Capoor I, Joshi U, Barge S, Uttekar VC. and society for operations research and training knowledge, awareness, belief and practice on sexuality and reproductive health of adolescent in slums of Ahmedabad. Small Research Grants Report. 2000;10:101-2.

Drakshayani Devi K, Venkata Ramaiah P. A study on menstrual hygiene among rural adolescent girls. Indian J Med Sci. 994;48(6):139-43.

Ali TS, Azam Ali P, Waheed H, Memon AA. Understanding of puberty and related health problems among female adolescents in Karachi, Pakistan. J Pak Med Assoc. 2006;56(2):68.

Tiwari VK, Kumar A. The need of sex education among youths: present perspectives and future prospects. Demogr India. 2002;31(1):129-59.

Basir G, Muzaffar A, Rehana K, Shabnam B. Knowledge, attitude and belief on HIV/AIDS among the female senior secondary students in Srinagar District of Kashmir. Health Popul Perspect Issues. 2003;26(3):101-9.






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