A cross-sectional study to estimate the prevalence of cloth usage as menstrual hygiene management among young female adults in an urban chawl of Mumbai
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20254449Keywords:
Chawl, Cloth usage, Menstrual hygiene management, Mumbai, Young female adultsAbstract
Background: Menstrual hygiene management (MHM) is a key public health concern in India, where cultural and economic barriers restrict access to proper hygiene products. Safe hygiene practices in early adulthood are crucial for young women’s immediate and long-term health. The study aimed to assess the prevalence of cloth use for menstrual hygiene among young female adults. It evaluated factors that influenced the choice and examined the association between cloth use and genitourinary infections.
Methods: A cross-sectional study was conducted among young female adults aged 18-22 years residing in a chawl area of Mumbai. The sample size was 100, selected through systematic random sampling. Data were collected using a structured questionnaire.
Results: The prevalence of cloth usage was found to be 32%. The married young female adults, the low education level of the mothers, the source of information, and the poor knowledge regarding MHM were the factors that influenced the usage of cloth. Prevalence of genitourinary infections among the participants was 53% and was found to be associated with the use of cloth.
Conclusions: The study identified that 32% of young female adults in Mumbai’s chawl use cloth for menstrual hygiene, which was influenced by factors such as maternal education, marital status, source of information, and knowledge regarding MHM. To enhance reproductive health, it is crucial to improve access to affordable hygiene products and address the cultural barriers. Overcoming these obstacles will promote better menstrual hygiene practices and reproductive health.
Metrics
References
Majeed J, Sharma P, Ajmera P, Dalal K. Menstrual hygiene practices and associated factors among Indian adolescent girls: a meta-analysis. Reprod Health. 2022;19(1):148. DOI: https://doi.org/10.1186/s12978-022-01453-3
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-5), 2019-21 India. Mumbai IIPS. 2022. Available at: https://dhsprogram.com/pubs/pdf/FR375/FR375.pdf. Accessed on 25 October 2025.
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. DOI: https://doi.org/10.1186/s12879-018-3384-2
Press Information Bureau. Menstrual Hygiene Practices. New Delhi: Government of India. Available at: https://pib.gov.in/PressReleaseIframePage.aspx?PRID=1945842. Accessed on 15 November 2025.
McCammon E, Bansal S, Hebert LE, Yan S, Menendez A, Gilliam M. Exploring young women’s menstruation-related challenges in Uttar Pradesh, India, using the socio-ecological framework. Sex Reprod Health Matters. 2020;28(1):1749342. DOI: https://doi.org/10.1080/26410397.2020.1749342
Meher T, Sahoo H. Dynamics of usage of menstrual hygiene and unhygienic methods among young women in India: a spatial analysis. BMC Womens Health. 2023;23(1):573. DOI: https://doi.org/10.1186/s12905-023-02710-8
van Eijk AM, Sivakami M, Thakkar MB, Bauman A, Laserson KF, Coates S, et al. Menstrual hygiene management among adolescent girls in India: a systematic review and meta-analysis. BMJ Open. 2016;6(3):e010290. DOI: https://doi.org/10.1136/bmjopen-2015-010290
Singh P, Rawat R. Menstrual hygiene practices, determinants, and association with reproductive tract infection in India: a large repeated cross-sectional analysis (2015-2021). J Biosoc Sci. 2024;56(2):217-30.
Babbar K, Arora N, Srivastava K, Bhaskar R, Mishra S, Gupta A. What socio-demographic factors support disposable vs sustainable menstrual absorbents? A study of Indian women aged 15-24. PLOS ONE. 2023;18:e0290350. DOI: https://doi.org/10.1371/journal.pone.0290350
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 Public Health. 2022;22:2126. DOI: https://doi.org/10.1186/s12889-022-14622-7
Samantaray SR, Parida S, Mohapatra I. Connecting the dots: Exploring the relationship between menstrual hygiene and bacterial vaginosis in eastern India. J Family Med Prim Care. 2024;13(10):4451-6. DOI: https://doi.org/10.4103/jfmpc.jfmpc_431_24