Knowledge, use and acceptability of menstrual cup: an explorative study among women health professionals in Kerala, India

Anjana V. M.; Jissa V. T.; Mini G. K.

doi:10.18203/2394-6040.ijcmph20240896

Authors

Anjana V. M. Global Institute of Public Health, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India; Women’s Institute for Social and Health Studies (WISHS), Women's Social and Health Studies Foundation, Thiruvananthapuram, Kerala, India
Jissa V. T. Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
Mini G. K. Global Institute of Public Health, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India; Women’s Institute for Social and Health Studies (WISHS), Women's Social and Health Studies Foundation, Thiruvananthapuram, Kerala, India; Department of Public Health Dentistry, Saveetha Dental Colleges and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240896

Keywords:

Health professionals, India, Kerala, Menstrual cup

Abstract

Background: Globally, despite a long history of invention and safety measures, the menstrual cup is not a widely used method of menstrual management among women. As comprehensive evidence on the menstrual cup use is relatively limited in India, this study aimed to describe the knowledge, use, and acceptability of menstrual cup among women health professionals in Kerala, India.

Methods: We conducted a web-based cross-sectional survey among adult menstruating women health professionals. Information on knowledge of menstrual cups, pattern of use and acceptability of menstrual cups, and factors associated with the usage of menstrual cups were collected. Qualitative interviews were also conducted among current, discontinued and non-users of menstrual cup.

Results: Of the 346 women studied, the majority (97%) of the participants were acquainted with menstrual cups. Ever use of a menstrual cup was reported by 34.7% of participants. Currently, women mainly used sanitary pads (73%), followed by the menstrual cup (26%) as the main menstrual hygiene product. The quantitative and qualitative analysis showed a high level of acceptability among users of menstrual cups and perceptible restraints among non-users. Environment safety and affordability were the most appealing factors for menstrual cup use.

Conclusions: Nearly a fourth of health professionals in the study were currently using the menstrual cup. A high level of overall knowledge and acceptability among the users of the menstrual cup as seen in the study is likely to motivate and enhance better choice of menstrual products among women in general.

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References

UNICEF. Guidance on Menstrual health and hygiene. 2019. Available at: https://www.unicef.org/media/ 91341/file/UNICEF-Guidance-menstrual-health-hygiene-2019.pdf. Accessed on 01 January 2023.

Sommer M. Utilizing participatory and quantitative methods for effective menstrual-hygiene management related policy and planning. UNICEF GPIA International conference: 2010. Available at: https://watsanmissionassistant.org/wpcontent/uploads/2018/10/marnisommer_participatoryquantativemethodsmhmpolicyplanning_2010.pdf. Accessed on 01 January 2023.

Phillips-Howard PA, Nyothach E, Ter Kuile FO, Omoto J, Wang D, Zeh C, et al. Menstrual cups and sanitary pads to reduce school attrition, and sexually transmitted and reproductive tract infections: A cluster randomised controlled feasibility study in rural Western Kenya. BMJ Open. 2016;6(11):e013229.

Warashinta DL, Astari AM, Merdikawati A. Analysis of the Use of Menstrual Pad, Tampons, and Menstrual Cup During Menarche. J Comm Health Prev Med. 2021;1(2):24-31.

Arenas-Gallo C, Ramírez-Rocha G, González-Hakspiel L, Merlano-Alcendra C, Palomino-Suárez D, Rueda-Espinel S. Acceptability and safety of the menstrual cup: A systematic review of the literature. Rev Colomb Obstet Ginecol. 2020;71(2):163-77.

Flamand I. The Menstrual Cup Effect. An environmental impact analysis of four menstrual products and a menstrual waste scenario analysis of increasing future menstrual cup use. Student Undergrad Res E-J. 2018;4.

Peberdy E, Jones A, Green D. A study into public awareness of the environmental impact of menstrual products and product choice. Sustainability. 2019;11(2):473.

North BB, Oldham MJ. Preclinical, clinical, and over-the-counter postmarketing experience with a new vaginal cup: Menstrual collection. J Women’s Health. 2011;20(2):303-11.

van Eijk AM, Zulaika G, Lenchner M, Mason L, Sivakami M, Nyothach E, et al. Menstrual cup use, leakage, acceptability, safety, and availability: a systematic review and meta-analysis. The Lancet Public Health. 2019;4(8):e376-93.

Kambala C, Chinangwa A, Chipeta E, Torondel B, Morse T. Acceptability of menstrual products interventions for menstrual hygiene management among women and girls in Malawi. Reprod Health. 2020;17(1):185.

Gharacheh M, Ranjbar F, Hajinasab N, Haghani S. Acceptability and safety of the menstrual cups among Iranian women: a cross-sectional study. BMC Womens Health .2021;21(1):105.

GC Kumari L, Chandrasekharan PA, Sravanthi TP. Advisability of Menstrual Cup for the Management of Menstruation-Survey among South Indian Gynecologists. IOSR J Dent Med Sci. 2019;18(4):1-3.

Eti M, Shreya MS, Sailakshmi MPA. Knowledge about menstrual cup and its usage among medical students. Int J Reprod Contracept Obstet Gynecol. 2019;8(12):4966-70.

K Ballal S, Bhandary A. Menstrual cup: awareness among reproductive women. J Reprod Contracept Obstet Gynecol. 2020;9(4):1-6.

Agrawal A, Ruprai RK. Study of menstrual practices in India-Acquaintance with menstrual cups. Int J Med Biomed Stud. 2020;4(9):44-7.

Kakani CR, Bhatt J. Study of adaptability and efficacy of menstrual cup in managing menstrual health and hygiene. J Reprod Contracept Obstet Gynecol. 2017;6(7):3045-53.

Ghanshamnani L, Adithyan A, Saharan S, Pikale S. Prevalence of common urogenital infections among menstrual cup users. Indian J Obstet Gynecol Res. 2021;8(2):199-205.

NFHS-5-National Family Health Survey 5. Key indicators 22 states/UTs from phase 1. Available at: https://ruralindiaonline.org/en/library/resource/national-family-health-survey-nfhs-5-2019-20-fact-sheets-key-indicators---22-statesuts-from-phase-i/. Accessed on 29 January 2023.

Borker S, Samal IR, Bhat S. Study on Knowledge Attitudes and Practices Regarding menstrual hygiene among rural women in Kerala. Global J Med Res. 2014;14(3).

Mullanvathukkal C. Awareness Regarding Menstrual Cups Among Early Adult Women of Kerala. Conference paper: national seminar on gender and SRH rights. 2018. Available at: https://www. researchgate.net/publication/347516166_Awareness_Regarding_Menstrual_Cups_Among_Early_Adult_Women_of_Kerala. Accessed on 29 January 2023.

Eysenbach G. Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004;6(3):e34. doi: 10.2196/jmir.6.3.e34.

Sreedevi C, Jayasree AK, Zachariah SM, Divyamol N, Deepak KS. Experience and adaptability of menstrual cup as a menstrual hygiene management method among its users in Kerala. Int J Comm Med Public Health. 2022;9(2):918-23.

Devan GMS, Mohanan, G, Ajitha GK, Kavitha H, Majeed I, Kesavan Nair AN. Knowledge, Attitude and Practices Regarding Menstrual Cup Among Females in an Urban Setting of South Kerala. J Family Reprod Health. 2022;16(4):243-7.