A cross-sectional study on awareness and knowledge of menstrual hygiene practices among college going girls in Coimbatore district, Tamil Nadu

Palani Vel Rajan, Jeevithan Shanmugam, Navee Prabhu Jayaraj, Archana Arumugam


Background: Women in India are restricted in their daily activities and mobility due to taboos, cultural barriers associated with menstruation and menstrual practices. Poor menstrual hygiene can make them susceptible to various reproductive tract infections. In this study we assessed the awareness, knowledge of menstruation and practice of menstrual hygiene among adolescents.

Methods: A college based cross-sectional study was conducted in the field practice area of an urban health training centre (UHTC) of a tertiary care hospital in the district of Coimbatore. Universal sampling method was used for selection of participants. A structured proforma was used for data collection. Microsoft excel 2007 was used for data entry and data analysis was done using SPSS version 27.

Results: It was found that 80.4% had formal education on menstrual hygiene. 94.5% of them had the habit of changing pads/cloths before they go to bed. 94.1% had the habit of washing with water every time and 76.49% of those who had the habit of washing used soap/antiseptic while washing.

Conclusions: Knowledge about menstruation and menstrual hygiene should be provided in schools and colleges. Ensuring availability of sanitary products, water, privacy and appropriate waste disposal in all public services and institutions can address the challenges.


Menstruation, Menstrual hygiene, Sanitary material, Waste disposal

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World Health Organization. Orientation programme on Adolescent Health for health-care Providers. World Health Organization. Geneva: World Health Organization. 2006;403. Available from: Accessed on 1 Nov 2020.

Gaudineau A, Ehlinger V, Vayssiere C. Factors associated with early menarche: results from the French Health Behaviour in School-aged Children (HSBC) study BMC Public Health. 2010;10:175.

Da Silvas Bretas JR, Tadini AC, De Freitas MJD. Meaning of menarche according to adolescents Acta paul. Enferm. 2012;25(2):256-62.

Loughary CW, Sheffer DB, Sheffer DB, Einsporn RL, Einsporn RL, Morek WM et al. Breast volume measurement of 598 women using biostereometric analysis. Ann Plastic Surg. 1989;22(5):380-5.

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

El-Gilanya A, Badawi K, EL-Fedawyb S. Menstrual hygiene among adolescent school girls in Mansoura, Egypt. Reproduct health Matters. 2005;13:147-52.

Dasgupta A, Sarkar M. Menstrual Hygiene: How Hygienic is the Adolescent Girl? Indian J Community Med. 2008;33(2):77-80.

Anand E, Singh J, Unisa S. Menstrual hygiene practices and its association with reproductive tract infections and abnormal vaginal discharge among women in India. Sexual Reproduct health. 2015;6(4):249-54.

Garg S, Anand T. Menstruation related myths in India; strategies for combating it. J Family Med Primary care. 2015;4(2):184-6.

Lawan UM, Yusuf NW, Musa AB. Menstruation and Menstrual hygiene amongst Adolescent School Girls in Kano, North western Nigeria. African J Reproductive Health. 2010;14(3):201-7.

Mahon SE, Tripathy A, Singh N. Putting the men into menstruation: the role of men and boys in community menstrual hygiene management. Waterlines. 2015;34(1):7-14.

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

Thakre SB, Thakre SS, Reddy M. Menstrual hygiene-knowledge and practice among adolescent school girls of Saoner, Nagpur district. J Clin Diagn Res. 2011;5:102-3.

Khanna A, Goyal RS, Bhawsar R. Menstrual practices and reproductive problems-a study of adolescent girls in Rajasthan. J Health Manag. 2005;7:91-107.

Singh MM, Devi R, Gupta SS. Awareness and health seeking behaviour of rural adolescent school girls on menstrual and reproductive health problems. Indian J Med Sci. 1999:53:439-43.

Flug D, Largo RH, Prader A. Menstrual patterns in adolescent Swiss girls: a longitudinal study. Ann Hum Biol 1984;11:495-508.

Widholm O, Kantero RL. A statistical analysis of the menstrual patterns of 8,000 Finnish girls and their mothers. Acta -bstet Gynecol Scand. 1971;14:(14):1-36.

World Health Organization multicenter study on menstrual and ovulatory patterns in adolescent girls. II. Longitudinal study of menstrual patterns in the early post-menarcheal period, duration of bleeding episodes and menstrual cycles. World Health Organization Task Force on Adolescent Reproductive Health. J Adolesc Health Care. 1986;7:236-44.

Hickey M, Balen A. Menstrual disorders in adolescence: investigation and management. Hum Reprod Update. 2003;9:493-504.

Adhikari P, Kadel B, Dhungel SI. Knowledge and practice regarding menstrual hygiene in rural adolescent females’ girls of Nepal. Kathmandu Univ Med J. 2007;5(3):382-6.

Sharma N, Sharma P, Sharma N. A cross sectional study of knowledge, attitude and practices of menstrual hygiene among medical students in north India. J Phytopharmacol. 2013;2(5):28-37.

Sivakami M, Maria van Eijk A, Thakur H, Kakade N, Patil C, Shinde S et al. Effect of menstruation on girls and their schooling, and facilitators of menstrual hygiene management in schools: surveys in government schools in three states in India, 2015. J Glob Health. 2019;9(1):010408.