A cross sectional study on menstrual hygiene practices among the village women attending a primary health centre, Tripura

Dilip Kumar Das, Tamal Chakraborty, Saumik Chakraborty, Kaushik Tripura, Arindam Datta, Anuranjita Pal


Background: Hygienic practices performed by the rural women during menstrual cycle is often remain unsatisfactory, resulting adverse health outcomes and poor productivity. Assessment of the practices among different population groups as well as different geographical locations thus has been a priority issue. The objective of this study is to assess the menstrual hygiene practices among the village women attending a Primary Health Centre of Sipahijala district, Tripura.

Methods: The study was conducted among 141 village women of reproductive age group (15-49 years), visited Madhupur primary health centre, Sipahijala district, Tripura for some other health conditions. Unwilling individuals were excluded from the study. Data were collected using a pre-designed pre tested schedule by interviewing the participants for basic socio-demographic variables as well as questions related to hygienic practices during menstrual period. Data were analysed using IBM SPSS version 20 and presented using principles of descriptive statistics. Ethical clearance was obtained from Institutional Ethics Committee, Tripura Medical College.

Results: Majority of the study subjects belonged to 21-30 years of age group (49.3%). Cloth was the major absorbent material (44.0%) followed by sanitary napkin (36.2%). 47.5% of the study subjects reused the material. Only 2.1% of the study subjects changed the material less than 2 times/day. More than 90% of the study subjects clean their private parts regularly. 66.0% of the study subjects disposed the material in dustbin.

Conclusions: Majority of the participants were performing satisfactory menstrual hygienic practices. However, large scale analytical studies will be helpful to draw a definite conclusion about influence of sociodemographic factors on menstrual hygiene practices.


Menstrual hygiene, Village women, Tripura

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Hawkins SM, Matzuk MM. The menstrual cycle: basic biology. Ann N Y Acad Sci. 2008;1135:10-8.

Sumpter C, Torondel B. A Systematic Review of the Health and Social Effects of Menstrual Hygiene Management. PLoS ONE. 2013:8(4):e62004.

Sharma K. Age at menarche in northwest Indian females and a review of Indian data. Ann Hum Biol. 1990;17:159–62.

Walker AR, Walker BF, Ncongwane J, Tshabalala EN. Age of menopause in black women in South Africa. Br J Obstet Gynaecol. 1984;91:797–801.

Dasgupta A, Sarkar M. Menstrual Hygiene: how hygienic is the adolescent girl? Ind J Comm Med. 2008;33(2):77-81.

Singh A. Place of menstruation in the reproductive life of women in rural north India. 2006;31(1):10-14.

Das A, Dasgupta A, Biswas R, Ray D, Ghosal A, Sarkar T. Knowledge and practices regarding menstrual management among women in a remote village of Eastern India. Int J Biol Med Res. 2014;5(3):4190-6.

Patle RA, Kubde SS. Comparative study on menstrual hygiene in rural and urban adolescent. Int J Med Sci Public Health. 2014;3:129-32.

Garg R, Goyal S, Gupta S. India Moves Towards Menstrual Hygiene: Subsidized Sanitary Napkins for Rural Adolescent Girls—Issues and Challenges. Matern Child Health J. 2012;16:767–74.

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):29-33.

Rathore M, Vyas L, Bhardwaj AK. Prevalence of reproductive tract infections amongst ever married women and socio cultural factors associated with it. J Indian Med Assoc. 2007;105:71-2,4,8.

The health impact of menstrual hygiene management on women of reproductive health and its implications for schoolgirls. WASH in Schools Empowers Girls’ Education. Available from Last Assessed on 28th March 2019.

Economic review of Tripura 2010–11. Directorate of Economics and Statistics, Planning (Statistics) Department, Government of Tripura. pp. 254– 5. Available on 2010_11.pdf. Last Assessed on 28th March 2019.

Das P, Baker KK, Dutta A, Swain T, Sahoo S, Das BS, et al. Menstrual Hygiene Practices, WASH Access and the Risk of Urogenital Infection in Women from Odisha, India. PLoS One. 2015;10(6):e0130777.

National Family Health Survey (NFHS-4)2015-16. Available from Last assessed on 23rd May 2019.

Paul V, Singh P. A study on menstrual hygiene practice among rural women aged between 18-25 years in Jasra and Chaka block of Allahabad district. The Allahabad Farmer. 2018:24(1):17-8.

Paria B, Bhattacharyya A, Das S. A comparative study on menstrual hygiene among urban and rural adolescent girls of west bengal. J Family Med Prim Care. 2014;3(4):413–7.

Prajapati D, Shah J, Kedia G. Menstrual Hygiene: Knowledge and Practice among Adolescent Girls of Rural Kheda District. Ntl J of Community Med. 2015;6(3):349-53.

Kansal S, Singh S, Kumar A. Menstrual Hygiene Practices in Context of Schooling: A Community Study Among Rural Adolescent Girls in Varanasi. Indian J Community Med. 2016;41(1):39–44.

Kamath R, Ghosh D, Lena A, Chandrasekaran V. A study on knowledge and practices regarding menstrual hygiene among rural and urban adolescent girls in Udupi Taluk, Manipal, India. GJMEDPH. 2013;2(4):1-9.

Krishnamurthy L, Ranganath BG, Shruthi MN, Venkatesha M. Menstrual Hygiene Practices and Knowledge among High School Girls of Rural Kolar. Ntl J Community Med. 2016;7(9):754-8.

Rana B, Prajapati A, Sonaliya KN, Shah V, Patel M, Solanki A. An Assessment of Menstrual Hygiene Practices amongst Adolescent Females at Kheda District of Gujarat State, India. Healthline Journal. 2015;6(1):23-9.

Maji S. A study on menstrual knowledge and practices among rural adolescent girls in Burdwan district, West Bengal. Int J Adv Res. 2016;4(9):896-902.

Thakre SB, Thakre SS, Ughade S, Thakre AD. Urban-Rural Differences in Menstrual Problems and Practices of Girl Students in Nagpur, India. Indian Paediatr. 2012;49:733-6.

Yasmin S, Manna N, Mallik S, Ahmed A, Paria B. Menstrual hygiene among adolescent school students: An in depth cross-sectional study in an urban community of West Bengal, India. IOSR-JDMS. 2013;5(6):22-6.

Gultie TK. Practice of Menstrual Hygiene and Associated Factors among Female Mehalmeda High School Students in Amhara Regional State, Ethiopia. Sci J Pub Health. 2014;2(3):189-95.

Sultan S, Sahu DS. Knowledge, attitude and practices about menstruation and related problems in adolescent girls. Int J Reprod Contracept Obstet Gynecol. 2017;6:5235-40.

Chauhan P, Shaik RA, Anusha DVB, Sotala M. A study to assess knowledge, attitude and practices related to menstrual cycle and management of menstrual hygiene among school going adolescent girls in a rural area of South India. Int J Med Sci Public Health. 2019;8(2):114-9.

Hakim A, Shaheen R, Manisha Tak H. A cross sectional study on the knowledge, attitudes and practices towards menstrual cycle and its problems: a comparative study of government and non-government adolescent school girls. Int J Community Med Public Health. 2017;4:973-81.

Choudhary N, Gupta MK. A comparative study of perception and practices regarding menstrual hygiene among adolescent girls in urban and rural areas of Jodhpur district, Rajasthan. J Family Med Prim Care. 2019;8:875-80.

Omidvar S, Begum K. Factors influencing hygienic practices during menses among girls from South India: a cross sectional study. IJCRIMPH. 2010;2(12):411-423.

Anchebi HT, Shiferaw BZ, Fite RO, Abeya SG. Practice of Menstrual Hygiene and Associated Factors among Female High School Students in Adama Town. J Women's Health Care. 2017;6(3):2-8.

Fehintola FO, Fehintola AO, Idowu A, Aremu AO, Ogunlaja OA, Ogunlaja IP. Assessment of knowledge, attitude and practice about menstruation and menstrual hygiene among secondary high school girls in Ogbomoso, Oyo state, Nigeria. Int J Reprod Contracept Obstet Gynecol. 2017;6:1726-32.

Sarkar I, Dobe M, Dasgupta A, Basu R, Shahbabu B. Determinants of menstrual hygiene among school going adolescent girls in a rural area of West Bengal. J Family Med Prim Care. 2017;6:583-8.