Perceptions, attitudes and practices of menstrual hygiene among rural and urban high school girls in a northern district of Kerala

Authors

  • Aswathy Raj S. V. Department of Community Medicine, Government Medical College Manjeri, Kerala, India
  • Prabhakumari C. Department of Community Medicine, Travancore Medical College Kollam, Kerala, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20203007

Keywords:

Attitudes, Menstrual hygiene, Perceptions, Practices, Rural urban high school girls

Abstract

Background: Menstrual hygiene practices are poor in developing countries and exist as an insufficiently acknowledged problem. The objective of this study was to assess and compare perceptions, attitudes, and practices among rural and urban high school girls.

Methods: Cross sectional study was conducted in randomly selected 4 rural and 4 urban schools in Kozhikode district by cluster sampling method. 8th and 9th standard school girls who attained menarche were included in study. Data were collected by questionnaire.

Results: Most of the girls gained information prior to menarche. Girls who wrongly perceived cause of menstruation was more in rural subjects compared to urban. Almost half of girls were either unaware or wrongly perceived source of bleeding. 50.9% urban girls were not mentally prepared for menarche as compared to 44.4% of rural girls. Majority of rural girls shared information with mothers compared to urban. 83.9% in rural and 78.2% urban had an attitude of menstruation as an unclean phenomenon. Majority had some form of restrictions during menstruation. Higher proportion of urban girls used sanitary pad compared to rural. 50.3% of urban and 42.8% of rural girls were disposing absorbent in to closet when at school. Among pad users, similar findings were noted at home also. A higher proportion of urban girls (55.9%) practiced good menstrual hygiene as compared to average hygiene practiced by rural girls (48.9%).

Conclusions: The study shows significant rural-urban differences in perceptions, attitudes, and practices on menstrual hygiene in both areas.

Author Biographies

Aswathy Raj S. V., Department of Community Medicine, Government Medical College Manjeri, Kerala, India

ASSISTANT PROFESSOR, DEPARTMENT OF COMMUNITY MEDICINE

Prabhakumari C., Department of Community Medicine, Travancore Medical College Kollam, Kerala, India

Professor and Head, Department of Community Medicine

References

Malleshappa K, Krishna S, Nandini C. Knowledge and attitude about reproductive health among rural adolescent girls in Kuppam mandal: An intervention study. Biomed Res. 2011;22(3).

Adinma ED, Adinma JI. Perceptions and practices on menstruation amongst Nigerian secondary school girls. Afr J Reprod Health. 2008;12(1):74-83.

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

Santina T, Wehbe N, Ziade FM, Nehme M. Assessment of Beliefs and Practices Relating to Menstrual Hygiene of Adolescent Girls in Lebanon. Int J Heal Sci Res. 2013;3(12):75-88.

Adika VO, Ayinde MO, Jack-Ide IO. Self care practices of menstrual hygiene among adolescents school going girls in Amassoma Community, Bayelsa State. Int J Nurs Midwifery. 2013;5(5):99-105.

Ten VT. Menstrual hygiene: a neglected condition for the achievement of several millennium development goals. Eur Ext Policy Advis. 2007;1:1-22.

Mahon T, Fernandes M. Menstrual hygiene in South Asia: A neglected issue for WASH (water, sanitation and hygiene) programmes. Gend Dev. 2010;18(1):99-113.

Kamaljit K, Balwinder A, Gurmeet KS, Neki NS. Social beliefs and practices associated with menstrual hygiene among adolescent girls of Amritsar, Punjab, India. J Int Med Sci Acad. 2012;25(2):69-70.

Crofts T. Fact Sheet 7. Menstruation hygiene management for schoolgirls in low-income countries. Loughbrgh Univ. 2012;

Guya E, Mayo AW, Kimwag R. Menstrual hygiene management in secondary schools in Tanzania. Int J Sci Technol. 2014;3.

Anuradha R. Menstrual Hygiene Practices and Reproductive Morbidity: A Community based survey in Rural Thiruvananthapuram. Doctorate dissertation. 2000;

Nair MK, Chacko DS, Darwin MR, Padma K, George B, Russell PS. Menstrual disorders and menstrual hygiene practices in higher secondary school girls. Indian J Pediatr. 2012;79(1):74-8.

Unni JC. Adolescent attitudes and relevance to family life education programs. Indian Pediatr. 2010;47(2):176-9.

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

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

Patle R, Kubde S. Comparative study on menstrual hygiene in rural and urban adolescent girls. Int J Med Sci Public Heal. 2014;3(2):129-33.

Venkatachalam J. Knowledge and practices regarding menstruation among adolescent school girls in a rural population of Kancheepuram District, South India. Int J Multidiscip Manag Stud. 2013;3(6):162-70.

Singh SP, Singh M, Arora M, Sen P. Knowledge assessment regarding puberty and menstruation among school adolescent girls of district Varanasi, U.P. Indian J Prev Soc Med. 2006;37(1&2):10-4.

Bhattacherjee S, Ray K, Biswas R, Chakraborty M. Menstruation: Experiences of adolescent slum dwelling girls of Siliguri City, West Bengal, India. J Basic Clin Reprod Sci. 2013;2(2):85-91.

Tiwari H, Oza UN, Tiwari R. Knowledge, attitudes and beliefs about menarche of adolescent girls in Anand district, Gujarat. East Mediterr Health J. 2006;12(3-4):428-33.

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(2):225.

Deo DS, Ghattargi CH. Perceptions and Practices Regarding Menstruation: A comparative study in urban and rural adolescent girls. Indian J Community Med. 2005;30(1):33.

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. Global J Med Public Helath. 2013;2(4):1-9.

Nagar S, Aimol KR. Knowledge of adolescent girls regarding menstruation in tribal areas of Meghalaya. Stud Tribes Tribals. 2010;8(1):27-30.

Dutta S, Ray S. Menstrual health problems and hygienic practices among adolescent girls of rural and periurban areas of West Bengal. J Fam Welfare. 2006;52(2):73.

Shanbhag D, Shilpa R, D’Souza N, Josephine P, Singh J, Goud BR. Perceptions regarding menstruation and practices during menstrual cycles among high school going adolescent girls in resource limited settings around Bangalore city, Karnataka, India. Int J Collab Res Intern Med Public Health. 2012;4(7):1353.

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 J Dent Med Sci. 2013;5(6):22-6.

Thakre SB, Thakre SS, Ughade S, Thakre AD. Urban-rural differences in menstrual problems and practices of girl students in Nagpur, India. Indian Pediatr. 2012;49(9):733-6.

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.

Omidvar S, Begum K. Factors influencing hygienic practices during menses among girls from south India- A cross sectional study. Int J Collab Res Intern Med Public Heal. 2010;2(12):411-23.

Bency J. Hygiene related adverse reproductive health outcomes amongst adolescent school girls of Thiruvananthapuram district (doctoral dissertation, SCTIMST).

Downloads

Published

2020-06-26

How to Cite

S. V., A. R., & C., P. (2020). Perceptions, attitudes and practices of menstrual hygiene among rural and urban high school girls in a northern district of Kerala. International Journal Of Community Medicine And Public Health, 7(7), 2734–2742. https://doi.org/10.18203/2394-6040.ijcmph20203007

Issue

Section

Original Research Articles