INTRODUCTION:
Up
until now, poor menstrual hygiene in developing countries has been an
insufficiently acknowledged problem. The lack of attention to this issue is
striking as we cannot achieve several Millennium Development Goals (MDGs), that
is, 2, 3 4,5, and 5B. This study aimed to assess the level of awareness about
menarche and hygienic practices during menstruation in context of schooling.
MATERIALS AND METHODS:
Community-based
cross-sectional study using a mix method approach (qualitative and
quantitative). It was conducted among 650 adolescent girls in the field
practice area of Rural Health and Training Centre, Chiraigaon block of district
Varanasi between January and June2011. Pretested, semistructured interview
schedule was used. Data were analyzed statistically by using Statistical
Package for Social Sciences (SPSS) software.
RESULTS:
Out of
the total 650 respondents, 590 (90.78%) had attained menarche at the time of
interview and only one-third of the respondents (29.4%) were aware of
menstruation before menarche and sisters (55%) played the key role in providing
information to them. Only 31% respondents were using sanitary pads during
menstruation. Self-reported reproductive tract infection (RTI) was observed
more in respondents not maintaining hygienic practices (6.6%) as compared to
those maintaining hygiene (2.6%).
CONCLUSION AND RECOMMENDATIONS:
From
the Focus Group Discussions (FGDs) as well as quantitative survey it was
observed that the awareness about menarche before its onset was still poor in
rural areas. Significant association (P < 0.05) was observed between
respondent education and their awareness about menarche before its onset.
Therefore, it is recommended that teachers can play an influential role in informing
them about changes during adolescence, especially about menarche and other
issues related to menstruation. As per the present study, sisters and mothers
were the major source of information. Therefore, there is a need for the
provision of comprehensive family life education for the parents also.
Below: Association of hygienic practices during menstruation and respondent's socioeconomic and demographic characteristics
- 1Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
- Indian J Community Med. 2016 Jan-Mar;41(1):39-44. doi: 10.4103/0970-0218.170964.
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