Prevalence of Knowledge, Attitude & Practice Regarding Menstrual Hygiene in High School Girls: A Cross-sectional Study from Belagavi, Karnataka, India

  • Pooja Mahajan Assistant Professor, Department of Swasthavritta & Yoga, Shri Siddhivinayak Rural Ayurvedic Medical College, Harugeri, Karnataka, India.
  • Sandeep S Sagare Associate Professor, Department of Swasthavritta & Yoga, KAHER’s Shri BMK Ayurveda Mahavidyalaya Shahapur, Belagavi, Karnataka, India.
  • Girija Sanikop HoD & Professor, Department of Stri Roga & Prasuti Tantra, KAHER’s Shri BMK Ayurveda Mahavidyalaya Shahapur, Belagavi, Karnataka, India.
  • Arpit Sah Second-year PG Scholar, Department of Swasthavritta & Yoga, KAHER’s Shri BMK Ayurveda Mahavidyalaya Shahapur, Belagavi, Karnataka, India.
Keywords: Menstrual Hygiene, Knowledge, Attitude, Practice, Rajaswala

Abstract

Introduction: Menstruation is a biological process exclusive to females. It
is associated with many misconceptions and practices, which sometimes
cause adverse health outcomes. Hence, all aspects of menstruation
need to be understood by adolescent girls. In general, an insufficient
level of awareness, with widespread myths, misconceptions and taboos
about menstruation is harmful to human society.
Method: This cross-sectional study was conducted from June 2019
to November 2019. This study was done among 600 adolescent high
school girls from 12 different high schools (6 rural and 6 urban) in
Belagavi. A set of structured questionnaires was prepared to assess
their knowledge, attitude and practices regarding menstrual hygiene.
Result: The results showed there was no source of information
available for 43.33% (n = 260) of students regarding menstruation
before menarche. The overall percentages for knowledge, attitude, and
practice about menstrual hygiene were 55.69%, 49.66%, and 47.52%
respectively and out of the total, only 38.80% of respondents mentioned
that the urination site and menstruation site are different and 22.60%
did not know the cause of menstruation. During menstruation, 63.83%
of respondents used sanitary pads, whereas 18.50% of girls relied on
old clothes as sanitary aid.
Conclusion: Despite the government running various educational
programmes, high school girls still need health education regarding
menstruation, such as the absorbent material used, disposal of the
absorbent material, hygiene followed during the menstrual period etc.

How to cite this article:
Mahajan P, Sagare SS, Sanikop G, Sah A.
Prevalence of Knowledge, Attitude & Practice
regarding Menstrual Hygiene in High School
Girls: A Cross-sectional Study from Belagavi City,
Karnataka, India. Chettinad Health City Med J.
2023;12(4):87-95.

DOI: https://doi.org/10.24321/2278.2044.202377

References

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):1027-33. [Google Scholar]

Garg R, Goyal S, Gupta S. India moves towards menstrual hygiene: subsidized sanitary napkins for rural adolescent girls-issues and challenges. Matern Child Health J. 2012;16(4):767-74. [PubMed] [Google Scholar]

Jha S. Effectiveness of planned audio teaching program on menstrual hygiene in terms of knowledge among visually challenged adolescent girls, in selected blind school, West Bengal. Int J Sci Res Educ. 2019;6(10).

Sowmya BC, Manjunatha S, Kumar J. Menstrual hygiene practices among adolescent girls: a cross sectional study. J Evol Med Dent Sci. 2014;3(28):7955-61. [Google Scholar]

Biswas R. In search of adolescent health care. Indian J Public Health. 2004;48(4):155-6. [PubMed] [Google Scholar]

Chauhan P, Shaik RA, Anusha DV, Sotala M. A study to assess knowledge, attitude, and practices related to menstrual cycle and management of menstrual hygiene among school-going adolescent girls in a rural area of South India. Int J Med Sci Public Health. 2019;8(2):114-9. [Google Scholar]

Wang PY, Hung YN, Smith R, Lin CC. Changes in the use of intensive and supportive procedures for patients with stroke in Taiwan in the last month of life between 2000 and 2010. J Pain Symptom Manage. 2018;55(3):835-42. [PubMed] [Google Scholar]

Shaikh BT, Rahim ST. Assessing knowledge, exploring needs: a reproductive health survey of adolescents and young adults in Pakistan. Eur J Contracept Reprod Health Care. 2006;11(2):132-7. [PubMed] [Google Scholar]

Tasnim S, Rahman A, Ara I. Talking about sexuality at secondary schools of periurban area of Dhaka city. Int J Adolesc Med Health. 2009;21(4):601-8. [PubMed] [Google Scholar]

Mubashra A, Faridi TA, Rana MS, Parveen I, Zahid MT, John A, Khan S. Knowledge, attitude and practices towards menstrual hygiene among government and private school girls: KAP towards menstrual hygiene in school girls. Pak BioMed J. 2021;4(1):51-61. [Google Scholar]

Gaikwad RS, Kuwar VR, Pashte VS. Rajaswala Paricharya :an Ayurvedic management to prevent menstrual disorders. IOSR J Nurs Health Sci. 2017;6(1):61-3. [Google Scholar]

Gultie T, Hailu D, Workineh Y. Age of menarche and knowledge about menstrual hygiene management among adolescent school girls in Amhara province, Ethiopia: implication to health care workers & school teachers. PLoS One. 2014;9(9):e108644. [Google Scholar]

Upashe SP, Tekelab T, Mekonnen J. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC Womens Health. 2015;15(1):84. [PubMed] [Google Scholar]

Sommer M, Hirsch JS, Nathanson C, Parker RG. Comfortably, safely, and without shame: defining menstrual hygiene management as a public health issue. Am J Public Health. 2015;105(7):1302-11. [PubMed] [Google Scholar]

Reid G, Bruce AW. Urogenital infections in women: can probiotics help? Postgrad Med J. 2003;79(934):428-32. [PubMed] [Google Scholar]

Majeed J, Sharma P, Ajmera P, Dalal K. Menstrual hygiene practices and associated factors among Indian adolescent girls: a meta-analysis. ReprodHealth. 2022;19(1):148. [PubMed] [Google Scholar]

Sharma P, Kaur M, Kumar S, Khetarpal P. A crosssectional study on prevalence of menstrual problems, lifestyle, mental health, and PCOS awareness among rural and urban population of Punjab, India. J Psychosom Obstet Gynaecol. 2022 Sep;43(3):349-58. [PubMed] [Google Scholar]

Torondel B, Sinha S, Mohanty JR, Swain T, Sahoo P, Panda B, Nayak A, Bara M, Bilung B, Cumming O, Panigrahi P, Das P. Association between unhygienic menstrual management practices and prevalence of lower reproductive tract infections: a hospitalbased cross-sectional study in Odisha, India. BMC Infect Dis [Internet]. 2018 [cited 2023 Jul 28];18:473. Available from: https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-018-3384-2 [PubMed][Google Scholar]

Senapathi P, Kumar H. A comparative study of menstrual hygiene management among rural and urban adolescent girls in Mangaluru, Karnataka. Int J Community Med Public Health. 2018;5(6):2548-56. [Google Scholar]

Srinivasan D, Agrawal T, Attokaran T, Fathima FN, Johnson AR. Awareness, perceptions and practices regarding menstruation and menstrual hygiene among students of a college in Bengaluru Urban district, South India: a cross sectional study. Int J Community Med Public Health. 2019;6(3):1126-32.

Anuradha CR, Komathi J, Subashree A. A cross-sectional study on the knowledge, attitude, and practices of pharmacovigilance among health-care professionals at a tertiary care teaching hospital. Natl J Physiol Pharm Pharmacol. 2020;10(8):682-7. [Google Scholar]

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. [PubMed] [Google Scholar]

Yadav RN, Joshi S, Poudel R, Pandeya P. Knowledge, attitude, and practice on menstrual hygiene management among school adolescents. J Nepal Health Res Counc. 2017;15(3):212-16. [PubMed] [Google Scholar]

Dolan CS, Ryus CR, Dopson S, Montgomery P, Scott L. A blind spot in girls’ education: menarche and its webs of exclusion in Ghana. J Int Dev. 2014;26(5):643-57. [Google Scholar]

Hennegan J, Sol L. Confidence to manage menstruation at home and at school: findings from a cross-sectional survey of schoolgirls in rural Bangladesh. Cult Health Sex. 2020;22(2):146-65. [PubMed] [Google Scholar]

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 Collab Res Intern Med Public Health. 2012;4(7):1353-62. [Google Scholar]

Prajapati J, Patel R. Menstrual hygiene among adolescent girls: a cross sectional study in urban community of Gandhinagar. J Med Res. 2015;1(4):122-5. [Google Scholar]

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. [PubMed] [Google Scholar]

Lawan UM, Yusuf NW, Musa AB. Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. Afr J Reprod Health. 2010;14(3):201-7. [PubMed] [Google Scholar]

Mmari K, Moreau C, Gibbs SE, Meyer SD, Michielsen K, Kabiru CW, Bello B, Fatusi A, Lou C, Zuo X, Yu C, Al-Attar GS, El-Gibaly O. ‘Yeah, I’ve grown; I can’t go out anymore’: differences in perceived risks between girls and boys entering adolescence. Cult Health Sex. 2018 Jul;20(7):787-98. [PubMed] [Google Scholar]

Published
2023-12-30