KNOWLEDGE AND PRACTICES RELATED TO MENSTRUATION AMONG TRIBAL ADOLESCENT GIRLS: A CROSS-SECTIONAL STUDY IN ODISHA, INDIA

Main Article Content

Sunita Jena
Itismita Biswal
Sandeep Kumar Tripathy
Sasmita Mallick
Kallola Das
Surajit Garabadu
Binod Kumar Patro
Pavan Kumar Gollapalli
C Swetha
Pandit

Keywords

Adolescent, Menstrual hygiene, practices, knowledge, Tribal school girls, India

Abstract

Background: Menstruation is a natural happening that is physiologically and psychologically momentous in women’s reproductive lives. Knowledge gaps and misconceptions about menstruation may lead to unsafe hygienic practices that increase health risks, which affect their school life. It is more common, especially in rural and tribal areas. Despite such importance, tribal girls' knowledge and hygiene practices towards menstruation are not well addressed in India. Therefore, this study aimed to explore the menstrual hygiene knowledge and practice among tribal students in Koraput, Odisha, India.


Method: A cross-sectional descriptive study was conducted among tribal school students. The sample for the study consisted of 198 girls belonging to tribal in the age group of 13–18 years, recruited by purposive sampling from various schools of Koraput district of Odisha state. Inclusion criteria were those who have menarche and volunteer to participate.  A semi-structured questionnaire was used to assess the knowledge and practices related to menstruation among adolescent girls. Simple descriptive analysis was done by using SPSS Ver 20.


Results: The mean age of menarche was 13 ±1.23 years respectively. Among the study participants, 62% of girls have normal menstrual cycles. Majority (49.4%) of respondents had received information from friends, followed by from mothers (39.8%). 52% use both Cloth & and disposable sanitary pads during menstruation. 35% uses only water for cleaning the genital area during menstruation.


Conclusion:


Knowledge about menstruation is poor among tribal adolescent girls and practices are not satisfactory. In this underprivileged, vulnerable tribal group, there is a need to raise awareness about menstrual hygiene, the negative effects of menstrual issues, and the availability of inexpensive sanitary napkins

Abstract 121 | pdf Downloads 33

References

1. Dasgupta A, Sarkar M. Menstrual hygiene: How hygienic is the adolescent girl? Indian J Community Med. 2008;33(2):77.
2. Sinha RN, Pau B. Menstrual Hygiene Management in India: The Concerns. Indian J Public Health. 2018;62(3):2018–20.
3. Lee S. Health and sickness: the meaning of menstruation and premenstrual syndrome in women's lives. Sex Roles. 2002;46(1):25–35.
4. Sharma S, Mehra D, Brusselaers N, Mehra S. Menstrual hygiene preparedness among schools in India: A systematic review and meta-analysis of system-and policy-level actions. Int J Environ Res Public Health. 2020;17:E647.
5. Mahon T, Fernandes M. Menstrual hygiene in South Asia: A neglected issue for WASH (water, sanitation and hygiene) programmes. Gend Dev. 2010;18:99–113.
6. UNESCO. Puberty education & menstrual hygiene management good policy and practice in health education booklet. Paris: United Nations Educational, Scientific and Cultural Organization [Internet]; 2014. Available from: http://www.unesco.org/open-access/terms-useccbysa-en. Accessed February 24, 2021.
7. Belayneh Z, Mekuriaw B. Knowledge and menstrual hygiene practice among adolescent school girls in southern Ethiopia: a cross-sectional study. BMC Public Health. 2019;19(1):1595. doi:10.1186/s12889- 019-7973-9
8. Kaur R, Kaur K, Kaur R. Menstrual hygiene, management, and waste disposal: practices and challenges faced by girls/women of developing countries. J Environ Public Health. 2018;2018:9. doi:10.1155/ 2018/1730964
9. Omu FE, Al-Marzouk R, Delles H, Oranye NO, Omu AE. Premenstrual dysphoric disorder: prevalence and effects on nursing students’ academic performance and clinical training in Kuwait. J Clin Nurs. 2011;20(19–20):2915–23.
10. Reid G, Bruce AW. Urogenital infections in women: can probiotics help? Postgrad Med J. 2003 Aug;79(934):428–32.
11. Ram U, Pradhan MR, Patel S, Ram F. Factors Associated with Disposable Menstrual Absorbent Use Among Young Women in India. Int Perspect Sex Reprod Health. 2020;46:223–34.
12. Murye, A.F. and Mamba, S.R. (2017) Practices of Managing Menstrual Hygiene by Girls in Public Boarding Schools—The Case of Hhohho Region of Swaziland. Health Science Journals, 11, 534.
13. Mason L, Nyothach E, Alexander K, Odhiambo FO, Eleveld A, Vulule J, Rheingans R, Laserson KF, Mohammed A, Phillips-Howard PA. “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(11):e79132.
14. Miiro G, Rutakumwa R, Nakiyingi-Miiro J, Nakuya K, Musoke S, Namakula J, Francis S, Torondel B, Gibson LJ, Ross DA, Weiss HA. Menstrual health and school absenteeism among adolescent girls in Uganda (MENISCUS): a feasibility study. BMC women's health. 2018;18(1):4.
15. Houston AM, Abraham A, Huang Z, D’Angelo LJ. Knowledge, attitudes, and consequences of menstrual health in urban Adolescent females. J Pediatr Adolesc Gynecol. 2006;19(4):271–275. doi: 10.1016/j.jpag.2006.05.002
16. Alharbi K, Alkharan A, Abukhamseen D, Altassan M, Alzahrani W, Fayed A. Knowledge, readiness, and myths about menstruation among students at the Princess Noura University. J Family Med Prim Care. 2018;7(6):1197–1202. doi: 10.4103/jfmpc.jfmpc_279_18
17. Dhingra R, Kumar A, Kour M. Knowledge and practices related to menstruation among tribal (Gujjar) adolescent girls'. Stud Ethno Med. 2009;3:43–8
18. Vaidya RA, Shringi MS, Bhatt MA, Gujjar M, Joshi JV, Priti G, et al. Menstrual pattern and growth of school girls in Mumbai. J Fam Welfare. 1998;44:66–72
19. Paria B, Bhattacharyya A, Das S. A comparative study on menstrual hygiene among urban and rural adolescent girls of West Bengal. J Fam Med Primary Care. 2014;3(4):413–417. doi: 10.4103/2249-4863.148131.
20. Siabani S, Charehjow H, Babakhani M. Knowledge, Attitudes and Practices (KAP) regarding menstruation among school girls in West Iran: a population based cross-sectional study. Int J Pediatr. 2018;2018;6.
21. Ghattargi CH, Deo DS. Perceptions and practices regarding menstruation: A comparative study in urban and rural adolescent girls. Indian J Community Med. 2005;30:10–4
22. Kothari B. Perception about menstruation: A study of rural Jaipur, Rajasthan. Indian Anthropol. 2010;40:43–54.
23. Thakre SB, 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 Diagn Res. 2011;5(5):1027–1033
24. Khanna A, Goyal RS, Bhawsar R. Menstrual practices and reproductive problems: a study of adolescent girls in Rajasthan. J Health Manag. 2005;7(1):91–107. doi: 10.1177/097206340400700103.
25. Crofts T, Fisher J. Menstrual hygiene in Ugandan schools: an investigation of low-cost sanitary pads. J Water, Sanit Hyg Dev [Internet]. 2012;2(1):50.
26. Management MH. Celebrating Womanhood : Highlights Report. 2013;(March).
27. Maree JE, Wright SC. Sexual and menstrual practices: Risks for cervix cancer. Health SA Gesondheid. 2007;12:55–65.