Published: 2019-11-27

Assessment of knowledge, attitude and practice about menstruation and menstrual hygiene among adolescent girls in rural area of district Kathua, Jammu and Kashmir

Sonika Sangra, Neha Choudhary, Wahida Kouser, Ishrat Fazal


Background: Good hygiene practices are very much needed during menstrual period. Adolescent girls especially in rural areas often lack information about good menstrual hygienic practices. Cultural beliefs about menstruation like food taboos, not going to the religious places also have a negative impact on the adolescent girls in the rural areas. This study was undertaken with an aim to evaluate the knowledge, attitude and practices of adolescent girls regarding menstruation and menstrual hygiene.

Methods: This cross- sectional study was conducted among adolescent girls from 8th to 12th class, from 5 schools of zone Budhi; which is a field practice area of department of community medicine, GMC Kathua; by simple random sampling technique. Out of total 323 girls, 300 girls willing to participate in the study (convenience sampling) were included. A semi- structured self- administered questionnaire was used.

Results: A total of 300 adolescent girls were enrolled in the study. Majority of adolescent girls had fair to good knowledge and practice scores regarding menstruation, menstrual hygiene and its management but poor attitude scores due to some cultural taboos like restrictions in kitchen, religious places etc.

Conclusions: Proper IEC activities need to be performed at school level and Anganwadi level to create awareness among adolescent girls regarding menstrual hygiene management so that they are able to make appropriate choices so that it enable them to lead a healthy life and prevent the girls from reproductive tract infections.



Adolescents, Knowledge, Attitude and practices survey, Menstrual hygiene

Full Text:



Archibald AB, Graber JA, Brooks Gunn J. Pubertal processes and physiological growth in adolescence. Blackwell Handbook of Adolescence. 2003: 24-47.

UNICEF I. Adolescence: an age of opportunity. New York; 2011:138.

Water Aid: Is Menstrual Hygiene and Management an issue for Adolescent Girls? Water Aid in South Asia Publication; 2009:1(6).

Prajapati D, Shah JP, Kedia G. Menstrual hygiene: Knowledge and practice among adolescent girls of rural Kheda district. Nat J Commu Med. 2015;13(10):50.

Sara J, Fritz W. Meeting Women’s needs and priorities for water and sanitation in cities. Envir Urbaniz. 1993;5(2):135-45.

Issa M, McHenry M, Issa AA, Blackwood RA. Access to safe water and personal hygiene practices in the Kulandia Refugee Camp. Infect Dis Rep. 2015;7(4):22.

Ninama R, Dund JV. Knowledge and Practice regarding menstrual hygiene among adolescent girls. SJAMS. 2015;3:2704-9.

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

Ndlovu E, Bhala E. Menstrual hygiene –a salient hazard in rural schools: a case of Masvingo district of Zimbabwe. J Disaster Risk Stud. 2016;8(2):18.

Rizvi N, Ali TS. Misconceptions and mismanagement of menstruation among adolescents girls who do not attend school in Pakistan. J Asian Midw. 2016;3(1):46-62.

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

Khanna A, Goyal RS, Bhawsar R. Menstrual practices and reproductive problems: A study of adolescent girls in Rajasthan. J Health Manag. 2005;7(1):91-7.

Sapkota D, Sharma D, Pokharel HP, Budhathoki SS, Khanal VK. Knowledge and practices regarding menstruation among school going adolescents of rural Nepal. J Kathmandu Med Coll. 2014;2(3):122-8.

Crofts T, Fisher J. Menstrual hygiene in Ugandan schools: an investigation of low cost sanitary pads. J Water Sanit Hyg Develop. 2012;2(1):50-8.

Thakre SB, Thakre SS, Reddy M, Rathi N, Pathak K, Ughade S. Menstruation hygiene: knowledge and practice among adolescent school girls of Saoner, Nagpur. District J Clini Diag Res. 2011;5(5):1027-33.

Dube S, Sharma K. Knowledge, attitude and practice regarding reproductive health among urban and rural girls: a comparative study. Ethno Med. 2012;6(2):85-94.

Vijayakeerthi R, Kalyani P, Felix AJW, Govindaranjan PK. A study on knowledge and practice of menstrual hygiene among menstruating women of age group 15-44 years in a rural area, Tamil Nadu. JMSCR. 2016;4(10):13264-70.

Geeta P, Chenchuprasad C, Sathyavathi RB, Bharathi T, Reddy SK. Effect of Socioeconomic conditions and lifestyles on menstrual characteristics among rural women. J Women’s Health Care. 2016;5:298.

Mudey AB, Kesharwani 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. Global J Health Sci. 2010;2:225-31.

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