DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20211994

Menstrual hygiene awareness, management and challenges among adolescent girls in rural areas in Ambala, India

Varidhi Thaman, Anjana Mittal, Ishika Chitkara, Prerna Chahal

Abstract


Background: The present study was undertaken to encourage articulation of needs and problems of adolescent school girls in rural areas in Ambala district, India, advancing good menstrual hygiene and generating evidence on menstrual hygiene awareness, management and challenges.

Methods: This study was an observational cross-sectional study, conducted from July to September 2018, in two rural schools (school 1 and school 2) in Ambala, Haryana, India. A structured pre validated questionnaire was administered to the group of participating girl subjects of 11- 17 years; the questionnaire was explained to them, followed by a short animated film ‘Mythri’ in Hindi of 20 minutes imparting knowledge on MHM. The data was analyzed and the report was presented to the schools with recommendations.

Results: We observed better MHM facilities in school 2 than school 1. Provision of good infrastructure and MHM facilities in schools, reduces the absenteeism of girls during menstruation. A statistically significant difference in girl students absenteeism for an average of 2.15 (66.66%) days/ month in school 1, and an average of 1.44 (21.05%) days/month in school 2 is reported. Sanitary pads usage of 50%-83% girls is reported; this may probably be because of percolation of information and knowledge about good hygienic ways. Disposal of absorbent material still poses a big issue. Social taboos were reported by 84.44% girls in school 1 and by only 32.89% girls in school 2.

Conclusions: The insights from our study suggests a better MHM education in schools to create more awareness, judicious allocation of resources in schools, providing better infrastructure and basic support to manage menses effectively and with dignity.


Keywords


Menstrual hygiene management, Adolescent girls, Social taboos, Sanitary pads

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References


Menstrual hygiene management: National guidelines, 2015, ministry of drinking water and sanitation, New Delhi, India. Available at: http://www.ccras.nic.in/ sites/default/files/Notices/16042018_Menstrual_Hygiene_Management.pdf. Accessed on 20 February 2021.

Howard PAP, Caruso B, Torondel B, Zulaika G, Sahin M, Sommer M. Menstrual Hygiene Management among adolescent schoolgirls in low and middle income countries: research priorities. Glob Health Action. 2016;9(1):55-9.

Boosey R, Prestwich G, Deave T. Menstrual hygiene management amongst schoolgirls in the Rukungiri district of Uganda and the impact on their education: a cross-sectional study. Pan Afr Med J. 2014;19:253.

Miro G, Rutakumwa R, Nakiyingi MJ, Nakuya K, Musoke S, Namakula J, et al. Menstrual health and school absenteeism among adolescent girls in Uganada: a feasibility study. BMC Women’s Health. 2018;18(1):4-9.

Sanitary protection: every woman's health right. Available at: https://timesofindia.indiatimes.com/ india/70-cant-afford-sanitary-napkins-reveals-study/articleshow/7344998.cms. Accessed on 20 February 2021.

Government approves scheme for menstrual hygiene of 1.5 crore girls to get low-cost sanitary napkins. Available at: http://pib.nic.in/newsite/erelease. aspx?relid=62586v. Accessed on 20 February 2021.

Van Ejik AM, Sivakami M, Thakkar MB, Bauman A, Laserson KF, Coates S, et al. Menstrual hygiene manage among adolescent girls in India: a systematic review and meta-analysis. BMJ Open. 2016;6(3):e010290.

Von Elm E, Altman DG, Egger M. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Gac Sanit 2008;22:144-50.

Sinden JS, Marni CE, Blake S, Sahin M, Burgers L. Definition of MHM, wash in schools empowers girl’s education: proceedings of menstrual hygiene management in schools virtual conference. Available at: https://www.susana.org/en/knowledge-hub/ resources-and-publications/library/details/1738#:~: text=WASH%20in%20Schools%20(WinS)%20fosters,encourages%20girls%20and%20female%20teachers. Accessed on 20 February 2021.

Pandey M, Pradhan A. Age of attainment of menarche and factors affecting it amongst school girls of Gangtok, Sikkim, India. Int J Contemp Pediatr. 2017;4(6):2187-92.

Pathak PK, Tripathi N, Subramanian SV. Secular trends in menarcheal age in india-evidence from the indian human development survey. PLoS ONE. 2014;9(11):e111027.

Abdelmoty HI, Yousef MA, Abdallah S, Malak KA, Hashish MN. Menstrual patterns and disorders among secondary school adolescents in Egypt. A cross-sectional survey. BMC Women’s Health. 2015;58:15-70.

Koeske RK, Koeske GF. An attributional approach to moods and the menstrual cycle. J Personal Social Psychol. 1975;31(3):473-8.

Aggarwal AK, Aggarwal A. A study of Dysmennorhea during menstruation in adolescent girls. Indian J Community Med. 2010;35(1):159-64.

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

Garikipati S, Boudat C. To Pad or not to pad: towards better sanitary care for women in Indian slums. J Int Dev. 2017;29:32-51.

Dongre AR, Deshmukh PR, Garg BS. The effect of community based health education intervention on management of menstrual hygiene among rural Indian adolescent girls. World Health Popul. 2007;9(3):48-54.

Anand E, Singh J, Unisa S. Menstrual hygiene practices and its association with reproductive tract and abnormal vaginal discharge among women in India. Sexual Reproduct Health. 2015;12:56-61.

Bharatlakshmi J, Govindarajan P, Ethirajan N, John William Felix A. Knowledge and Practice of Menstrual Hygiene among School Going Adolescent girls. Nat J Res Community Med. 2014;3(2):138-42.

Singh A. Place of menstruation in the reporoductive lives of women in rural North India. Indian J Community Med, 2006:31(1):10-4.

Goyal V. Scope and opportunities for menstrual health and hygiene products in India. Int Res J Social Sci. 2016;5(7):18-21.

Shah PS, Nair R, Shah P, Modi D, Desai S, Desai L. Reproductive health matters. Int J Sexual Reproduct Health Rights. 2013;21(41):205-13.

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.

Sommer M, Caruso BA, Sahin M, Calderon T, Cavill S, Mahon T, et al. A time for global action: addressing girls menstrual hygiene management needs in school. PLOS. 2016;52:45-9.