Impact of health education on menstrual hygiene practices among school-going adolescent girls in an urban area of Lucknow: a quasi-experimental study

Authors

  • Bilkish Nabilal Patavegar Department of Community Medicine, United Institute of Medical Sciences, Prayagraj, Uttar Pradesh, India
  • Siraj Ahmad Department of Community Medicine, Integral Institute of Medical Sciences and Research, Integral University, Lucknow, Uttar Pradesh, India
  • Syed Belal Hassan Department of Community Medicine, Integral Institute of Medical Sciences and Research, Integral University, Lucknow, Uttar Pradesh, India
  • Aparnesh Pandey Department of Community Medicine, United Institute of Medical Sciences, Prayagraj, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20263635

Keywords:

Menstrual hygiene, Adolescent girls, Educational intervention, Menstrual hygiene practices

Abstract

Background: The issue of menstrual hygiene is inefficiently accepted and has not received appropriate consideration. Numerous studies have confirmed that scientific health education can bring about an affirmative change in knowledge and practice among adolescent girls concerning menstrual hygiene management.

Methods: A quasi-experimental study was conducted among 473 adolescent girls in schools offering classes from 9th to 12th standards. Multistage stratified random sampling technique was applied to select adolescent girl students. After completion of data collection all girls were given health education talk on menstrual health and hygiene practices with help of Flipbook provided by Menstrual Hygiene Management Scheme under National Rural Health Mission. A pamphlet prepared in vernacular language (Hindi) from this flipbook was given to each girl. After 3 months effect of health education talk was assessed by post-test questionnaire.

Results: The hygienic practices of adolescent girls during menstruation before and after health education intervention were compared. Notable improvements include increased use of sanitary pads (65.1% to 75.6%), higher frequency of changing absorbents daily (>2 times: 40.4% to 52%), and better hand washing with soap and water (42.1% to 55.8%) was observed. The proportion of participants with good practice scores increased significantly from 35.3% to 61.3% after the intervention (p < 0.001).

Conclusions: This study provides comprehensive insights into menstrual hygiene among adolescent girls, highlighting the effectiveness of a health educational intervention in improving knowledge and practices surrounding menstruation.

Author Biographies

Siraj Ahmad, Department of Community Medicine, Integral Institute of Medical Sciences and Research, Integral University, Lucknow, Uttar Pradesh, India

Professor, Department of Community Medicine, Integral Institute of Medical Sciences and Research, Integral   University, Lucknow

Syed Belal Hassan, Department of Community Medicine, Integral Institute of Medical Sciences and Research, Integral University, Lucknow, Uttar Pradesh, India

  1. Professor,sbelal@iul.ac.in, Department of Community Medicine, Integral Institute of Medical Sciences and Research, Integral University, Lucknow.

Aparnesh Pandey , Department of Community Medicine, United Institute of Medical Sciences, Prayagraj, Uttar Pradesh, India

  1. Assistant Professor cum Statistician,aparneshbhu27s@gmail.com,Department of Community Medicine, United Institute of Medical Sciences, Prayagraj, UP.

References

Ministry of Drinking Water and Sanitation, Government of India. Menstrual Hygiene Management: National Guidelines. New Delhi: Ministry of Drinking Water and Sanitation; 2015 [cited 2026 Jun 5]. Available at: https://healtheducationresources.unesco.org/library/documents/menstrual-hygiene-management-national-guidelines. Accessed on 17 May 2026.

United Nations Children's Fund (UNICEF). Guidance on Menstrual Health and Hygiene. New York: UNICEF; 2019 [cited 2026 Jun 7]. Available at: https://www.unicef.org/documents/guidance-menstrual-health-and-hygiene. Accessed on 17 May 2026.

Dasgupta A, Sarkar M. Menstrual hygiene: How hygienic is the adolescent girl? Indian J Community Med. 2008;33(2):77-80.

Sinha RN, Paul B. Menstrual hygiene management in India: The concerns. Indian J Public Health. 2018;62(2):71-4.

Vyas S, Deepshikha, Kakkar R. Adolescent health. In: Kadri AM, editor. IAPSM's Textbook of Community Medicine. 2nd ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2021;639-54.

PATH. Pushing the Boundaries on the MHM Dialogue in India: Disposal and Treatment Management of Menstrual Waste. Seattle (WA): PATH; 2017 [cited 2026 Jun 12]. Available from: https://www.path.org/our-impact/resources/pushing-the-boundaries-on-the-menstrual-health-management-dialogue/. Accessed on 17 May 2026.

Harrison ME, Tyson N. Menstruation: Environmental impact and need for global health equity. Int J Gynaecol Obstet. 2023;160(2):378-82.

Srivastava D, Kumari A, Lal SP. Factors influencing adoption of climate-friendly Oxo-biodegradable Jan Ausadhi Suvidha sanitary napkins among women in India. Int J Environ Clim Change. 2022;12(12):1754-60.

World Health Organization. Education and provisions for adequate menstrual hygiene management at school can prevent adverse health consequences [Internet]. 2022 May 27 [cited 2026 Jun 12]. Available at: https://www.who.int/europe/news/item/27-05-2022-education-and-provisions-for-adequate-menstrual-hygiene-management-at-school-can-prevent-adverse-health-consequences. Accessed on 17 May 2026.

Parasuraman G, Vijay V, Balaji S, Nisha B, Dutta R, Jain T, et al. Impact of health education intervention on menstruation and its hygiene among urban school-going adolescent girls in Thiruvallur, Tamil Nadu. J Family Med Prim Care. 2022;11(9):5271-6.

Vaishali RN, Mahantshetti GJ, Baliga SS, Patil AJ. Effect of health education on knowledge and attitudes toward reproductive health among pre-university girls in an urban area. Cureus. 2024;16(12):e76354.

Dharmalingam GP, Megala M, Prarthana S. Effectiveness of health education in improving menstrual hygiene knowledge and practices among adolescent girls of rural area of Tamil Nadu. Healthline. 2022;13(2):130-7.

Nakaweesi M. Factors associated with menstrual hygiene management practices among secondary school girls in Lira Subcounty, Lira City West. Student J Health Res Afr. 2023;4(6):12.

Daniel N, Kejela G, Fantahun F, Desalegn M, Guteta F. Menstrual hygiene management practice and its associated factors among in-school adolescent girls in Western Ethiopia. Contracept Reprod Med. 2023;8(1):1.

Nimithamohan K, Murthy MRN, Divya KL, Amoghashree. A cross-sectional study on menstrual hygiene and associated factors among high school girls in rural Mysuru. Int J Community Med Public Health. 2022;9(11):4207-12.

Bajracharya A, Pandey Bista A. Menstrual hygiene practice among adolescent girls in the public schools of Mahalaxmi Municipality in Lalitpur District. JHAS. 2022;11(2):21-7.

Swami PD. Prevailing menstrual hygiene practices and help-seeking behaviour among school-going adolescent girls in Gwalior Township. J Med Sci Clin Res. 2019;7(5):955-61.

Chajhlana SPS, Amaravadhi SR, Mazodi SD, Kolusu VS. Determinants of menstrual hygiene among school going adolescent girls in urban areas of Hyderabad. Int J Community Med Public Health. 2019;6(5):2211-5.

Khatuja R, Mehta S, Dinani B, Chawla D, Mehta S. Menstrual health management: Knowledge and practices among adolescent girls. Trop J Obstet Gynaecol. 2019;36(2):283-6.

Bajracharya S, Baniya A. Awareness of menstrual hygiene among adolescent girls at a government school, Chitwan, Nepal. J Chitwan Med Coll. 2022;12(40):14-8.

Parikh V, Nagar S. Menstrual hygiene among adolescent girls studying in a university of Gujarat. J Family Med Prim Care. 2022;11(7):3607-12.

Janvekar SS, Doddihal CR, Pattankar TP. Impact of health education on knowledge, attitude and practices about menstrual hygiene among adolescent girls of a college in Vijayapura. Int J Community Med Public Health. 2022;9(5):2106-11.

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.

Aulia Nastiti A, Triharini M, Pratiwi AH, Gouda ADK. Educational intervention to improve menstrual hygiene management in adolescent girls in Kalimantan, Indonesia. JPMA J Pak Med Assoc. 2023;73(2 Suppl):S13-7.

Rezaei M, Solaimani L, Mohammadinia N. Effect of Educational Intervention Based on PRECEDE Model on Improving Menstrual Health Behaviors Among Female Students. Shiraz E Med J. 2022;23(12):e123461.

Mustikarani IK, Wulandari Y, Widiaswati A. Health education using MAGIS booklet to increasing menstrual hygiene perception of teenage girls. J Kebidanan Kesehat Tradis. 2021;6(1):53-8.

Sitohang NA, Adella CA. The influence of health education on knowledge and attitude of students of Dharma Pancasila Middle School about menstrual health management. Abdimas Talenta J Pengabdian Kpd Masy. 2022;7(1):170-86.

Khandaker S, Kabir S, Rahman MR, Toaha MM, Ferdoshi N, Islam F, et al. Menstrual hygiene practice among rural adolescent school girls: An intervention study. Mymensingh Med J. 2022;31(1):99-106.

Nawaz I, Manan MR, Rahman S. Inadequate menstrual health education - A neglected risk factor for gender-based violence. J Family Med Prim Care. 2022;11(10):6604-5.

Rasheed TO, Afolabi WA. Maternal and adolescent factors associated with menstrual hygiene of girls in senior secondary schools in Lagos, Nigeria. J Matern Child Health. 2021;6(1):35-45.

Hasan M, Hassan NM, Mita M, Zahara F, Hasib M. Menstrual hygiene practices and school absenteeism among adolescent girls in Bangladesh: A cross-sectional study. Popul Med. 2021;3(8):1-8.

Wungtongkum P. Factors associated with hygiene behavior among high school students in Chiangmai, Thailand. Int J Res Publ. 2022;111(1):192-8.

Downloads

Published

2026-09-30

How to Cite

Patavegar, B. N., Ahmad, S., Hassan, S. B., & Pandey , A. (2026). Impact of health education on menstrual hygiene practices among school-going adolescent girls in an urban area of Lucknow: a quasi-experimental study. International Journal Of Community Medicine And Public Health, 13(10), 5960–5966. https://doi.org/10.18203/2394-6040.ijcmph20263635

Issue

Section

Original Research Articles