DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20211247

Socio-cultural barriers for menstrual hygiene management among adolescent school girls of southern India

Logeswari K., Jeram Parmar, Deodatt M. Suryawanshi

Abstract


Background: India is home to 20% of the world’s adolescent population, with 1 in 10 children currently experiencing puberty. Menstruation, a physiological process in females is influenced not only by race, nutrition and heredity but also by the socio-cultural milieu. In Indian society, the social and cultural restrictions influence the knowledge, attitudes and the practices of adolescent girls towards menstrual hygiene. The present study was carried out to find out the level of knowledge, attitude and practice and the restrictions they face during the process of menstruation.

Methods: The study was a descriptive cross-sectional study where 489 adolescent school going females of the age group of 13-15 were recruited using simple random sampling from a cluster of schools and interviewed using a semi structured questionnaire for their knowledge, attitudes, practices and the restrictions they face during menstruation. A scoring system was adopted and categorised as poor, average and good.

Results: 423 (88.6%) participants demonstrated average to poor knowledge scores, while 279 (57.1%) participants demonstrated average to poor practice scores. There was a significant difference observed between the educational status of mother (p=0.041) and the knowledge scores of study participants. There was no correlation observed between the monthly per capita income of households and the knowledge (r=0.097) and practice scores (r=0.0034). 375 (76%) study participants faced multiple restrictions during menstruation like not allowed to pray or visit temples (93.6%), total seclusion (74.6%), wash clothes separately (74.6%), sleep on floor (74.6%), restriction on leisure (70.4%), eat out of separate utensils (70.4%), and restriction on consumption of food items (49.8%).

Conclusions: Knowledge and practices regarding menstrual hygiene was low among study participants and was influenced by various prevalent socio-cultural restrictions.

 


Keywords


Adolescence health, Barriers, Menstrual hygiene, Menstrual hygiene management, Restrictions, Socio-Cultural

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References


McIntyre P. Adolescent Friendly Health Services. Geneva: World Health Organization. 2002.

Ghongdemath J, Sidhmalswamy A, Mallapur A, Shindholimath V. Impact of adolescent health education on adolescent girls in rural schools and colleges. Int J Reprod Contracep Obst Gynecol. 2016;5:53-7.

Haque SE, Rahman M, Itsuko K, Mutahara M, Sakisaka K. The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh. BMJ Open. 2014;4(7):e004607.

Das A. Sexuality education in India: examining the rhetoric, rethinking the future. Sex Education. 2014;14(2):210-24.

Balamurugan S, Shilpa S, Shaji S. A community based study on menstrual hygiene among reproductive age group women in a rural area, Tamil Nadu. J Basic Clin Reproductive Sci. 2014;3(2):83-7.

Adolescents Statistics. UNICEF data. Available at https:// data. unicef. org/ topic/ adolescents/ overview/. Published October 18, 2019. Accessed on 3 October 2020.

Tegegne TK, Sisay MM. Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia. BMC Public Health. 2014;14(1):1118.

El-Mowafy RI, Moussa MMM, El-Ezaby HH. Effect of health education program on knowledge and practices about menstrual hygiene among adolescents girls at orphanage home. J Nursing Health Sci. 2014;3(6):48-55.

Dambhare DG, Wagh SV, Dudhe JY. Age at menarche and menstrual cycle pattern among school adolescent girls in central India. Global J Health Sci. 2011;4(1):105-11.

Bayray A. Menstrual perceptions and preparation of rural adolescent females in Tigray, North Ethiopia. Universal J Education General Studies. 2012;1(1):9-16.

Zaidi SHN, Sivakami A, Ramasamy D. Menstrual hygiene and sanitation practices among adolescent school going girls: a study from a South Indian town. Int J Community Med Public Health. 2015;2:189-94.

Government of India. Menstrual Hygiene Management Guidelines. Available at http:// www. mdws.gov.in/sites/default/files/Menstrual-Hygiene-Management-Guidelines. Accessed on 8 July 2017.

Dasgupta A, Sarkar M. Menstrual hygiene: how hygienic is the adolescent girl? Indian J Comm Med. 2008;33:77-80.

Ramachandra K, Gilyaru S, Eregowda A, Yathiraja S. A study on knowledge and practices regarding menstrual hygiene among urban adolescent girls. Int J Contemp Pediatr. 2016;3:142-5.

Khubchandani J, Clark J, Kumar R. Beyond controversies: sexuality education for adolescents in India. J Fam Med Primary Care. 2014;3:175-9.

Puri S, Kapoor S. Taboos and myths associated with women’s health among rural and urban adolescent girls in Punjab. Indian J Community Med. 2006;31:4.

Luz AM, Berni NI, Selli L. Myths and taboos of motherhood: Focusing on the health-disease process. Rev Bras Enferm. 2007;60:42-8.

Tamil SK, Ramachandran S. Socio-cultural taboos concerning menstruation: a micro level study in the cuddalore district of Tamil Nadu, India. Int J Scientific Res. 2012;2(8):1-7.

Vandana, K Simarjeet E, Amandeep K. Assessment of knowledge of adolescent school going girls regarding menstruation and menstrual hygiene. Int J Applied Res. 2016;2(9):240-6.

Hamal M, Susma K. Hygiene, health problems and socio-cultural practices: what school girls do during menstruation? Int J Health Sci Res. 2014;4(4):28-33.

Rana B, Prajapati A, Sonaliya KN, Shah V, Patel M, Solanki A. An assessment of menstrual hygiene practices amongst adolescent females at Kheda district of Gujarat State, India. Hea J. 2015;6(1):23-9.

Mahantashetti P, Devkota AN. Impact of health education on knowledge, attitude and practice regarding menstrual hygiene among pre university female students of a college located in Urban Area of Belgaum. J Nursing Health Sci. 2014;3(4):2320-39.

Verma P, Ahmad S, Srivastava RK. Knowledge and practices about menstrual hygiene among higher secondary school girls. Indian J Community Health. 2013;25(3):95-105.

Allah ASE, Elsabagh MEE. Impact of health education intervention on knowledge and practice about menstruation among female secondary school students in Zagazig City. J Am Sci. 2011;7(9):737-47.

Kamath R, Ghosh D, Lena A, Chandrasekaran V. A study on knowledge and practices regarding menstrual hygiene among rural and urban adolescent girls in Udupi Taluk, Manipal, India. GJMEDPH. 2013;2(4):1-9.

Sapkota D, Sharma D. Knowledge and practices regarding menstruation among school going adolescents of rural Nepal. J Kathmandu Med College. 2013;2(5):88-93.

Shivaleela P, Tekelab T, Mekonnen. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC Women's Health. 2015;15:84.

Ameade E, Garti H. Relationship between female university students’ knowledge on menstruation and their menstrual hygiene practices: a study in Tamale, Ghana. Advances Preventive Med. 2016;10562(35-45):44-9.

Anitha S, Karuppiah J. Effectiveness of planned teaching programme of menstrual hygiene on knowledge, attitude and practice among the adolescent girls in government school in Chennai, Tamilnadu. J Sci. 2015;5(1):39-43.

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. Int J Collaborative Res Internal Med Public Health. 2012;4(7):1353-62.

Oche M, Umar A, Gana G, Ango J. Menstrual health: the unmet needs of adolescent girls’ in Sokoto, Nigeria. Sci Res Essays. 2012;7(3):410-8.

Napkin revolution, Tamilnadu: Free sanitary napkins for rural girls. Available at http://www.tngov.in/report-jayalalithaa-launches-free-sanitary-napkin-scheme-in-tamil-nadu. Accessed on 12 November 2020.

Barathalakshmi J, Govindarajan PK, Ethirajan N. Knowledge and practice of menstrual hygiene among school going adolescent girls. National J Res Community Med. 2014;3(2);138-42.

Ei-Gilanya A, Badawi K, El- Fedawy S. Menstrual hygiene among adolescent school girls in Mansoura, Egypt. Reprod Health Matters. 2005;13(26):147-52.

Thakre BS, Thakre SS, Reddy M, Rathi N, Pathak K, Ughade S. Menstrual hygiene: knowledge and practice among adolescent school girls of Saoner, Nagpur District. J Clin Diagnostic Res. 2011;5(5):1027-33.

Patavegar BN, Kapilashrami MC, Rasheed N. Menstrual hygiene among adolescent school girls: an in-depth cross-sectional study in an urban community. Int J Health Sci Res. 2014;4(11):15-21.

Bhudhagaonkar J, Shinde M. Impact of structured education regarding menstrual hygiene practices among adolescent girls. Int J Sci Res. 2014;3(5):244-52.

Srivastava S, Chandra M. Study on the knowledge of school girls regarding menstrual and reproductive health and their perceptions about family life education program. Int J Reprod Contracept Obstet Gynecol. 2017;6:688-93.