A study of menstrual hygiene among rural adolescent school girls in rural field practice area of a medical college, Davangere- a cross sectional study

Vidya Basavaraju, Chetan Lakshmikantha Bukanakere, Madonna J. Dsouza, Ashok Kumar Shivakumar Mallenahalli


Background: Adolescence in girls signifies the transition from girlhood to womanhood; one fifth of world population is between 10 and 19 years old. Menstruation is a phenomenon unique to the females. Menstruation is a monthly occurrence that requires access to appropriate materials and facilities, without which, females suffer from poor menstrual hygiene which restricts their movement and self-confidence. Increased knowledge about menstruation right from childhood may escalate safe practices and may help in mitigating the suffering of millions of women.

Methods: A cross sectional study was conducted among 200 adolescent girls in a rural field practice area of S. S. Institute of Medical Sciences. Data on socio-economic variables and menstrual characteristics were collected using pre-tested questionnaires for a period of two months from September to October 2018.

Results: Total of 200 girls was interviewed. 87.6% of the girls were aware about menstruation prior to the attainment of menarche. Mothers were the first informants in about 56.5% girls. Overall 51.5% adolescent girls were using sanitary napkins as menstrual absorbent, while 45.6% were using used cloths. 97.6% girls practiced different restrictions during menstruation. Some of the sociodemographic factors like religion, type of family and mother’s education, SES were significantly associated with menstrual hygienic practices.

Conclusions: There is a need to educate the girls about menstruation, its importance and hygiene maintenance; to enable them to lead a healthy reproductive life in future. 


Adolescent girl, Menstrual hygiene, Sanitary pad

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Devi DK, Ramaiah VP. A study on menstrual hygiene among rural adolescent girls. Indian J Med Sci. 1994;48:139-43.

Kamath R, Ghosh D, Lena A, Chandrashekaran V. A study on knowledge and practices regarding menstrual hygiene among rural and urban adolescent girls in Udupi Taluk, Manipal, India. 2003;2(4):1-9.

Deo DS, Ghattargi CH. Perceptions and practices regarding menstruation: a comparative study in urban and rural adolescent girls. Indian J Community Med. 2005;30:33-4.

Mudey AB, Keshawani N, Mudey GA, Goyal RC. A cross-sectional study on awareness regarding safe and hygienic practices amongst school going adolescent girls in rural area of Wardha District, India. Glob J Health Sci. 2010;2: 225-30.

Department of Ministry of Health and Family Welfare, IEC Division. NRHM. Orientation Programme: For medical officers to provide adolescent friendly reproductive and sexual health services- facilitator’s guide; 2006.

Sowmya BC, Manjunatha S, Kumar J. Menstrual hygiene practices among adolescent girls: a cross sectional study. J Evol Med Dent Sci. 2014;3(28):7955-61.

Ramachandra K, Gilyaru S, Eregowda A, Yathiraja S. A study on knowledge and practices regarding menstrual hygiene among urban adolescent girls. Int J Contemp Pediatr. 2016;3:142-5.

Bhattacharyya M, Sen P, Hazra S, Sinha RN, Sahoo S. A study of menstrual hygiene among adoles-cent school girls in a slum area of Kolkata. Nat J Community Med. 2015;6(3):345-8.

Nagaraj C, Konapur KS. Effect of Health Education on Awareness and practices related to menstruation among rural adolescent school girls in Bengaluru, Karnataka. Int J Prevent Public Health Sci. 2016;2(1):18-21.

Thakre SB, Thakre SS, Reddy M, Rathi N, Phathak K, Ughade S. Menstrual hygiene: Knowledge, and practices among adolescent school girls of Saoner, Nagpur district. J Clin Diagn Res. 2011;5:1027-33.

Arora A, Mittal A, Pathania D, Singh J, Mehta C, Bunger R. Impact of health education on knowledge and practices about menstruation among adolescent school girls of rural part of district Ambala, Haryana. Indian J Community Health. 2012;25:492-7.

Dugani VS, Angolkar M, Baliga SS, Mallapur MD, Katti SM. Awareness of menstrual abnormalities amongst pre University College girls (15–18 yrs) in Belgaum, Karnataka State: a cross-sectional study. Indian J Prev Med. 2015; 3:5-9.

Juyal R, Kandpal SD, Semwal J, Negi KS. Practices of menstrual hygiene among adolescent girls in a district of Uttarakhand. Indian J Community Health. 2012; 24(2):124-8.

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

Verma PB, Pandya, Ramanju VA, Singh MP. Menstrual pattern of adolescent school girls of Bhavnagar (Gujarat). NJIRM. 2011;2(1): 38-40.

Ministry of Health and Family Welfare Government of India Nirman Bhavan, New Delhi. Operational Guidelines- promotion of menstrual hygiene among adolescent girls (10-19 years) in rural areas.