Perceptions and practices of menstrual hygiene management among adolescent girls and young women in an urban underprivileged area of Bengaluru, India: a qualitative study

Sayvithaa Shalini V.; Avita Johnson; Joe Amalan

doi:10.18203/2394-6040.ijcmph20251705

Authors

Sayvithaa Shalini V. Department of Community Medicine, St. John's Medical College, Bangalore, Karnataka, India
Avita Johnson Department of Community Medicine, St. John's Medical College, Bangalore, Karnataka, India
Joe Amalan Department of Community Medicine, St. John's Medical College, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20251705

Keywords:

Adolescent, Menstrual hygiene products, Menstruation, Hygiene, Sanitation

Abstract

Background: Menstrual hygiene management (MHM) is vital for the physical, emotional, and social well-being of adolescent girls and young women. In low- and middle-income countries, including India, cultural taboos and limited access to hygiene products create significant challenges. This study explores MHM perceptions and practices among adolescent girls and young women in Austin Town, Bengaluru, Karnataka, with a focus on cultural practices and barriers to effective MHM.

Methods: A qualitative study was conducted between March and April 2023 with IEC study ref. no.110/2023 using focus group discussions (FGDs) with adolescent girls and young women (aged 13-30 years) from underprivileged areas of Neelasandra and Maya Bazar in Austin Town, Bengaluru. A total of 6 FGDs were conducted with 8-12 participants per group. Data were analysed using thematic analysis and inductive coding.

Results: Key findings include the lack of prior awareness of menstruation for some participants, with family members and school as primary sources of information. Hygiene practices such as regular pad changes and washing external genitalia were commonly followed, though cloth pads were seen as unhygienic by some. Sanitation concerns, particularly in school washrooms, were prevalent. Cultural taboos regarding isolation, dietary restrictions, and participation in activities during menstruation were reported. Support from family varied, and there were mixed opinions on involving boys in menstruation discussions.

Conclusions: The study highlights gaps in MHM, including limited knowledge, sanitation barriers, and cultural taboos. Public health interventions should focus on early education, improved facilities, and engaging boys and men to reduce stigma and promote equality.

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References

World Health Organization. Menstrual health. 2022. Available at: https://www.who.int. Accessed on 28 January 2025.

UNICEF. Guidance on menstrual health and hygiene. 2019. Available at: https://www.unicef.org. Accessed on 28 January 2025.

Dasgupta A, Sarkar M. Menstrual hygiene: How hygienic is the adolescent girl? Indian J Community Med. 2008;33(2):77-80. DOI: https://doi.org/10.4103/0970-0218.40872

Sommer M, Caruso BA, Sahin M, Calderon T, Cavill S, Mahon T, et al. A time for global action: Addressing girls' menstrual hygiene management needs in schools. PLoS Med. 2015;12(2):e1001962. DOI: https://doi.org/10.1371/journal.pmed.1001962

Garg S, Sharma N, Sahay R. Socio-cultural aspects of menstruation in an urban slum in Delhi, India. Reprod Health Matters. 2012;10(19):16-25. DOI: https://doi.org/10.1016/S0968-8080(01)90004-7

Sumpter C, Torondel B. A systematic review of menstrual hygiene management in low-income countries. PLoS One. 2013;8(1):e62004. DOI: https://doi.org/10.1371/journal.pone.0062004

Jain S, Sharma M. Exploring menstrual hygiene practices and associated factors among adolescent girls in rural areas of India. J Health Soc Behav. 2018;59(3):343-58.

Said S, Ansari MS, Rahman MM. Environmental sustainability of cloth pads: A viable alternative to disposable sanitary products. J Environ Manage. 2020;253:109762.

Sharma A, Awasthi A. Eco-friendly menstrual products: The promise and challenges of sustainable menstruation. Environ Sci Pollut Res. 2019;26(16):16442-50.

Sahin M, Arslan A. Menstrual hygiene management and its association with school attendance and academic performance. Health Educ Res. 2017;32(5):379-90.

Das P, Baker KK. Menstrual hygiene practices, WASH access, and the risk of urogenital infection in women in low-resource settings: A systematic review. Int J Environ Res Public Health. 2015;12(6):7227-55. DOI: https://doi.org/10.1371/journal.pone.0130777

Mathur S, Dhanraj A. Menstrual practices and restrictions among adolescent girls: A study from rural India. Int J Reprod Med. 2014;2014:1-6.

Sen G, Ostlin P. Unequal, unfair, ineffective, and inefficient: Gender inequality in health: Why it exists and how we can change it. Glob Public Health. 2007;2(1):1-18. DOI: https://doi.org/10.1080/17441690801900795

Santhya KG, Jejeebhoy SJ. Transition to adulthood and health outcomes among adolescents in low- and middle-income countries. Asian Popul Stud. 2015;11(1):22-40.

Kadir MM, Rahman S. The impact of cultural beliefs and practices on menstrual hygiene among adolescent girls in Bangladesh. J Public Health. 2014;35(3):332-41.

Prusty RK, Sahoo S. Menstrual hygiene practices and their impact on reproductive health in India: A review of studies. Int J Health Sci. 2016;10(3):413-25.