Menstrual hygiene management practice among adolescent girls: a cross sectional study in Nepal

Koshish Raj Gautam, Harsha Raj Dahal, Kshitij Karki, Shradha Acharya, Suraksha Subedi, Abinash Upadhyay, Sanjeev Kumar Shah


Background: Good menstrual hygiene is fundamental to health, hygiene and well-being of women and girls. As menstruation itself considered as taboo in Nepalese society, it has direct impacts on the health of the women and adolescent. The objective of the study is to assess the knowledge and practices regarding menstrual hygiene management among adolescent girls.

Methods: A cross- sectional study design was conducted among 398 samples. Simple random sampling was done to select the resource center schools and probability proportionate sampling (PPS) technique used to get sample size. Structured interview schedule is used to collect data and analysed from SPSS software after validation.

Results: Knowledge on menstrual hygiene management was good in urban adolescent girls (93.69%) as compared to rural (6.31%). Similarly, level of practice was good regarding menstrual hygiene management was good in urban adolescent girls (91.29%) as compared to rural (8.71%). Place of the residence and knowledge level of the adolescent girls was highly significant (p<0.001).

Conclusions: The findings showed that rural adolescent girls had poor knowledge, various misconceptions and inadequate practices regarding menstrual hygiene management.


Menstrual hygiene management, Adolescent girls, Residence, Practice

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Sunuwar L, Saha CG, KC A, Upadhyay, Dhungel K. Age at menarche of subpopulation of Nepalese girls. Nepal Med Coll J. 2012;12(3):183-6.

Special Rapporteur on the human rights to safe drinking water and sanitation [Internet]. CH-1201 Geneva, Switzerland: Office of the United Nations High Commissioner for Human Rights (OHCHR). Available at: WaterAndSanitation/SRWater/Pages/SRWaterIndex.asp. Accessed on 16th August 2018.

Subhash TB, Sushama TS, Monica R, Nidhi R, Ketaki P, Suresh U. Menstrual Hygiene: Knowledge and Practice among Adolescent School Girls of Saoner, Nagpur District. J Clin Diagn Res. 2011;5(5):1027-33.

Burkina F, Niger. Menstrual Hygiene in Schools in 2 countries of Francophone West Africa. Dakar, Senegal: WASH and Education sections of UNICEF West and Central Africa Regional Office; 2013.

Upashe SP, Tekelab T, Mekonnen J. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC Womens Health. 2015;15(1):84.

Adhikari P, Kadel B, Dhungel S, Mandal A. Knowledge and practice regarding menstrual hygiene in rural adolescent girls of Nepal. Kathmandu Univ Med J. 2007;5(19):382-6.

Sapkota D, Sharma D, Budhathoki SS, Khanal VK, Pokharel HP. Knowledge and practices regarding menstruation among school going adolescents of rural Nepal. J Kathmandu Med Coll. 2013;2(5).

Population Reference Bureau. The World’s Women and Girls 2011 Data Sheet. Washington, D.C., USA.

Population M of H and. Nepal Adolescents and Youth Survey 2010/11. 2012 Available at: Accessed on 14th August 2018.

Central Bu reau of Statistics (CBS). National Population and Housing Census 2011 (National Report). National Planning Commission Secretariat, Government of Nepal; 2012 Kathmandu, Nepal.

Tegegne TK, Sisay MM. Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia. BMC Public Health. 2014;14:1118.

Paria B, Bhattacharyya A, Das S. A Comparative Study on Menstrual Hygiene Among Urban and Rural Adolescent Girls of West Bengal. J Fam Med Prim Care. 2014;3(4):413-7.

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.

Vijayasree L, Kusneniwar GN, Vaz LS, Rao SBR. A study on menstrual practices and hygiene among adolescent girls in a government high school. Indian J Med Res Pharm Sci. 2016;3(6):55-60.

Sreedhar M, Ameena S. Practices of Menstrual hygiene among urban adolescent girls of Hyderabad. Indian J Basic Appl Med Res. 2014;4(1):478-86.

Lawan UM, Yusuf NW, Musa AB. Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. Afr J Reprod Health. 2010;14(3):201-8.

Anuradha, Huchchannavar R, Chayal V, Chahal S. A Study on Menstrual Hygiene among Rural Adolescent Girls. Indian J Health Wellbeing. 2013;4(9).