Assessment of Menstrual Hygiene Practices Among Adolescent School Girls in Pakistan

  • Naveed Mansoori Hamdard College of Medicine & Dentistry, Hamdard University
  • Hiba Tanweer House Officer, Taj Medical Complex, Karachi
  • Imtiaz Ahmed House Officer, Sheikh Zayed Hospital, Rahim Yar Khan
  • Abdullah . House Officer, Hayatabad Medical Complex, Peshawar
  • Ihtesham Noor Noor House Officer, Bacha Khan Medical Complex, Swabi, KPK
  • Syed Muhammad Mubeen Professor,Community Medicine. Hamdard College of Medicine & Dentistry, Hamdard University
Keywords: Adolescent girls, Menstruation hygiene practices, Schools, Pakistan

Abstract

Background

Menstrual hygiene practices are one of the problems for young girls, particularly in schools in low and medium income countries.

 

Objectives

To evaluate menstrual hygiene practices among teenage girls and to compare menstrual hygiene practices among secondary and higher secondary school girls in Pakistan.

Methodology

A cross-sectional analysis of adolescent girls (grades 9 to 12) from different secondary and higher schools across Pakistan was conducted between November 2017 and September 2018.  A pre-tested and standardized questionnaire was administered using a non-probability sampling technique.  The menstrual hygiene habits were evaluated and comparisons were made with secondary and higher school girls about the practice of menstrual hygiene. Using SPSS version 22, the data was analysed. P-value < 0.05 was found statistically significant.

 

Results

Out of a total of 2,000 adolescent girls, an equal number of adolescent girls (n=1,000) were chosen from secondary and higher secondary schools.  The mean menarchal age was 12.5 ± 1.2 years.  The majority was from the womb. Girls (19.3%) missed 2 days/month from school due to pain (54.5%). Participants using sanitary pads were (68.6%), pads changed 3 times/day (35.2%), and (45.9%) girls were unable to carry out daily activities. Statistically significant (P < 0.05) association has been observed between knowledge of menstruation among secondary and high school girls.

Conclusion

The study showed that menstrual hygiene was understood well among young girls, However, a substantial association was noted between secondary and higher secondary girl hygiene practices.

 

Key words

Adolescent girls, Menstruation hygiene practices, Schools, Pakistan.

 

 

 

References

Sommer M, Sahin M. Overcoming the taboo: advancing the global agenda for menstrual hygiene management for schoolgirls. Am J Public Health 2013;103:1556–9.

Karout N. Prevalence and pattern of menstrual problems and relationship with some factors among Saudi nursing students. Journal of Nursing Education and practice. 2015 Aug 26;5(12):1.

Mason L, Nyothach E, Alexander K, et al. ‘We keep it secret so no one should know’—a qualitative study to explore young schoolgirls attitudes and experiences with menstruation in rural western Kenya. PLoS ONE 2013;8:e79132.

McMahon SA, Winch PJ, Caruso BA, Obure AF, Ogutu EA, Ochari IA, Rheingans RD. 'The girl with her period is the one to hang her head'Reflections on menstrual management among schoolgirls in rural Kenya. BMC international health and human rights. 2011 Dec;11(1):7.

Patil VV, Udgiri R. Menstrual hygienic practices among adolescent girls of rural North Karnataka region, India. International Journal Of Community Medicine And Public Health. 2016 Dec 28;3(7):1872-6.

van Eijk AM, Sivakami M, Thakkar MB, Bauman A, Laserson KF, Coates S, Phillips-Howard PA. Menstrual hygiene management among adolescent girls in India: a systematic review and meta-analysis. BMJ open. 2016 Mar 1;6(3):e010290.

Das P, Baker KK, Dutta A, et al. Menstrual hygiene practices, WASH access and the risk of urogenital infection in women from Odisha, India. PLoS ONE 2015;10:e0130777.

United Nations, educational, scientific and cultural organization (UNESCO) (2014) Puberty education and menstrual hygiene management. Available: http://unesdoc.unesco.org/images/0022/002267/226792e.pdf-puberty. Accessed April 25, 2018.

Mahon T, Fernandes M. Menstrual hygiene in South Asia: a neglected issue for WASH (water, sanitation and hygiene) programmes. Gender & Development. 2010 Mar 1;18(1):99-113.

Muralidharan A, Patil H, Patnaik S. Unpacking the policy landscape for menstrual hygiene management: implications for school Wash programmes in India. Waterlines 2015;34:79–91. doi:10.3362/1756-3488.2015.008.

Baisley K, Changalucha J, Weiss H, Mugeye K, Everett D, Hambleton I, Hay P, Ross D, Tanton C, Chirwa T, Hayes R. Bacterial vaginosis in female facility workers in north-western Tanzania: prevalence and risk factors. Sexually transmitted infections. 2009 May 26.

Aniebue UU, Aniebue PN, Nwankwo TO. The impact of pre-monarchial training on menstrual practices and hygiene of Nigerian school girls. Pan African Medical Journal. 2009;2(1).

Zegeye DT, Megabiaw B, Mulu A. Age at menarche and the menstrual pattern of secondary school adolescents in northwest Ethiopia. BMC women's health. 2009 Dec;9(1):29.

Sarah H, Sue TM. A resource for improving menstrual hygiene around the world. WaterAid. 2012; 22-43.

Ali TS, Rizvi SN. Menstrual knowledge and practices of female adolescents in urban Karachi, Pakistan. Journal of adolescence. 2010 Aug 1;33(4):531-41.

Kumar NP, Waghmare R. Menstrual hygiene practices among high school girls in field practice area of rural health and training centre, INDIAN JOURNAL OF RESEARCH. 2018 Jul 12;7(4).

Guerry E. An assessment of menstrual hygiene practices and absenteeism in Western Uganda. Sheffield: University of Sheffield. 2013 Sep.

Upashe SP, Tekelab T, Mekonnen J. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC women's health. 2015 Dec;15(1):84.

Kansal S, Singh S, Kumar A. Menstrual hygiene practices in context of schooling: A community study among rural adolescent girls in Varanasi. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2016 Jan;41(1):39.

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 Journal of Health Science. 2010 Sep 17;2(2):225.

Dambhare DG, Wagh SV, Dudhe JY. Age at menarche and menstrual cycle pattern among school adolescent girls in Central India. Global journal of health science. 2012 Jan;4(1):105.

Sarkar I, Dobe M, Dasgupta A, Basu R, Shahbabu B. Determinants of menstrual hygiene among school going adolescent girls in a rural area of West Bengal. Journal of family medicine and primary care. 2017 Jul;6(3):583.

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. International Journal of Collaborative Research on Internal Medicine & Public Health. 2012 Jul 1;4(7):1353.

Paria B, Bhattacharyya A, Das S. A comparative study on menstrual hygiene among urban and rural adolescent girls of west Bengal. Journal of family medicine and primary care. 2014 Oct;3(4):413.

Santina T, Wehbe N, Ziade FM, Nehme M. Assessment of beliefs and practices relating to menstrual hygiene of adolescent girls in Lebanon. Int J Health Sci Res. 2013 Dec;3(12):75-88.

Sharma P, Malhotra C, Taneja DK, Saha R. Problems related to menstruation amongst adolescent girls. The Indian Journal of Pediatrics. 2008 Feb 1;75(2):125-9.

Sharma A, Taneja DK, Sharma P, Saha R. Problems related to menstruation and their effect on daily routine of students of a medical college in Delhi, India. Asia Pacific Journal of Public Health. 2008 Jul;20(3):234-41.

Published
2020-12-31
How to Cite
Mansoori, N., Tanweer, H., Ahmed, I., ., A., Noor, I. N., & Mubeen, S. (2020). Assessment of Menstrual Hygiene Practices Among Adolescent School Girls in Pakistan. Annals of Jinnah Sindh Medical University, 6(2), 44-49. https://doi.org/10.46663/ajsmu.v6i2.44-49