Practice of Menstrual Hygiene and Associated Factors among Female Mehalmeda High School Students in Amhara Regional State, Ethiopia
Science Journal of Public Health
Volume 2, Issue 3, May 2014, Pages: 189-195
Received: Apr. 9, 2014;
Accepted: Apr. 24, 2014;
Published: Apr. 30, 2014
Views 5488 Downloads 676
Teklemariam Ketema Gultie, Department of Midwifery, College of Medicine & Health Science, Arba Minch University, Arba Minch, Ethiopia
Introduction: Menstrual hygiene management has not received adequate attention in the reproductive health sectors in developing countries. In Africa the practice of menstrual hygiene management is still poor and the issue is under estimated. Due to poor menstrual hygiene management the adolescent girls are exposed for reproductive tract infection, school absenteeism and increase school dropout rate. Objectives: To assess the practice of menstrual hygiene and associated factors among female Mehalmeda high school students in Amhara regional state, Ethiopia. Methods: Institution based cross sectional study design conducted from April 01 to 30/2013 using multistage sampling technique. Four hundred ninety two study participants were selected and structured pretested questionnaire was used to collect information from the participants. The data was analyzed using SPSS version 16 Crude odds ratio (COR) and Adjusted odds ratio (AOR) was used to identify the association with p value <0.05 as significant. Result: Majority of the participants (90.9%) practiced good menstrual hygiene and had high level of menstrual hygiene knowledge. After bivariate analysis, the significant factors of menstrual hygiene were entered in to the multivariate model. It revealed that good menstrual hygiene was practiced among those participants who had high level of knowledge about menstrual hygiene (OR 5.78: 95% CI, 2.15-15.51), teachers as source of information (OR 7.64: 95% CI, 2.16-27.03) and access for water (OR 6.5: 95% CI, 2.08-20.32) and urban place of residence (OR 2.38: 95% CI, 1.137, 3.05). Conclusion: Majority of the participants had high level of menstrual hygiene knowledge practiced good menstrual hygiene. Different factors affect the practice of menstrual hygiene such as source of information, access of water and knowledge about menstrual hygiene.
Teklemariam Ketema Gultie,
Practice of Menstrual Hygiene and Associated Factors among Female Mehalmeda High School Students in Amhara Regional State, Ethiopia, Science Journal of Public Health.
Vol. 2, No. 3,
2014, pp. 189-195.
Water Aid. Menstrual hygiene and management an issue for adolescent school girls. 2009 [cited 2012 15/12]; Available from: www.wateraid.org/nepal.
Population Reference Bureau. The world’s women and girls’ data sheet. 2011 [cited 2012 15/12]; Available from: www.prb.org/ pdf11/world-women-girls-2011-data-sheet.pdf.
Adhikari P. Knowledge and practice regarding menstrual hygiene in rural adolescent girls of Nepal. Kathmandu University Medical Journal .2007; 5(19): 382-386.
Menstrual cycle. 2006 [cited 2012 15/11]; Available from http://en.wikipedia.org/wiki/Menstrualcycle
Mahon T, Fernandes M. Menstrual hygiene in South Asia: a neglected issue for WASH (water, sanitation and hygiene) programs. Gend Dev. 2010; 18(1):99-113.
Abera Y. ‘‘Menarche, menstruation related problems and practices among adolescent high school girls in Addis Ababa’’ unpublished.
Ahmed R, Yesmin K. menstrual hygiene: breaking the silence. 2011 [cited 2012 13/12]. Available from http://www.wsscc.org/sites/default/files/publications/ahmed-hygiene_promotion_breakingthesilence_bangaldesh-2008.pdf
Renjit M. Menstrual disorders and menstrual hygiene practices in higher Secondary School girls. Indian J Pediatr. 2012; 79(1):S74–S78
UNICEF. Sanitation, the challenge. 2005 [cited 2012 Nov 20]; available at: http://www.childinfo.org/areas/sanitation/
El-Gilany A, Badawi K, El-Fedawy S. Menstrual hygiene among adolescent schoolgirls in Mansoura, Egypt. Reproductive Health Matters. 2005; 13: 147–152.
Tjon V. Menstrual hygiene a neglected Condition for the achievement of several millennium development Goals. 2007 [cited 2012 15/11]; Available at: http://www.eepa.be/wcm/ dmdocuments/Bgpaper_Menstrual Hygiene.pdf.
House S, Mahon T, Cavill S. Menstrual hygiene the basics. 2012 [cited 2012 15/11]; Available from: www.wateraid.org/mhm
Subhash B, Sushama S, Monica R, Nidhi R, Ketaki P, Suresh U. Menstrual hygiene knowledge and practice among adolescent school girls of Saoner, Nagpur district. Journal of Clinical and Diagnostic Research. 2011; 5(5): 1027-1033.
Ray Sudeshna DA. Determinants of Menstrual Hygiene among Adolescent Girls. National journal of community medicine. 2012; 3(2):294-301.
Omidvar S, Begum K. Factor’s influencing hygienic practice during menses among girls from south India. International Journal of Collaborative Research on Internal Medicine & Public Health. 2010; 2(12):411-423.
Sabina F. Providing sex education to adolescents in rural Bangladesh: Experiences from BRAC. Gender & Development. 2000; 8(2): 28-37
Tsegaye Z, Tamiru S, Kitaba A, Getachew F. Towards a local solution for menstrual hygiene management in school. 2011 [cited 2012 15/11]; Available from: www.snvworld.org/sites/www.snvworld.org/files/publications/towards_a_local_solution_to_menstrual_hygiene_in_schools.pdf
Montgomery P, Ryus C, Dolan C, Dopson S, Scott L. Sanitary pad interventions for girls’ education in Ghana: A Pilot Study. PloS ONE. 2012; 7(10):1-7.
Lawan U, Yusuf N, Musa A. Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. African Journal of Reproductive Health. 2010; 14(3):201-7.
Dhingra R, Kumar A. “Knowledge and practices related to menstruation among tribal (Gujjar) adolescent girls”. Etho-Med. 2009; 3 (1):43-48.
Prateek S, Saurabh R. A cross sectional study of knowledge and practices about reproductive health among female adolescents in an Urban Slum of Mumbai. Journal of Family and Reproductive Health. 2011; 5(4):117-124.
Shanbhag D, Shilpa R, D’Souza N, Josephine P, Singh J, Goud B. 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; 4(7):1353-1362.
Salve B, Dase K, Mahajan M, Adchitre A. Assessment of knowledge and practice about menstrual hygiene amongst rural and urban Adolescent girls. International Journal of Recent Trends in Science and Technology. 2012; 3(3):65-70.