Effectiveness of Information Education and Communication on Menstrual Hygiene among Adolescent School Girls of Jumla District

Dahal, Anika; Acharya, Kamal Prasad

doi:10.3126/jonmc.v8i2.26714

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…It corroborates the fact that education on menstruation hygiene to the secondary school adolescent girls is one of the effective strategies to enhance the level of knowledge on menstrual hygiene. These results are similar to the results of a study conducted in Southern Haryana, India [22], Riyan City Saudi [31], Damietta City, Egypt, [23] Jumla District, Nepal, [24] and in Pune city, India [25].…”

Section: Discussionsupporting

confidence: 90%

“…The health education was delivered by using PowerPoint presentations, pamphlets and a short video. The education package was formulated with adequate literature review [21][22][23][24][25] and also with the aid of the expert in the area of MHM. To ensure the reliability of the tool and the educational package, pretesting was done.…”

Section: Data Collection Tools and Techniquesmentioning

confidence: 99%

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Menstruation hygiene management among secondary school students of Chitwan, Nepal:a cross-sectional study

Khanal¹,

Shrestha²,

Adhikari³

et al. 2023

BMC Women's Health

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Background Despite significant progress in reproductive health, many societies still treat menstruation as disgraceful and shameful process and relate it with negative consequences. This belief and attitude may increase the incidence of reproductive tract infection, leading to significant negative impact on women’s health. To manage menstruation hygienically and with dignity, it is essential that women and adolescent girls have sufficient knowledge on menstruation hygiene management. Thus, this study aims to identify the knowledge, associated factors related to menstrual hygiene management (MHM) and effectiveness of health education on MHM. Methods A school-based study was conducted between August 2021 to April 2022 among 400 secondary school girls. The sampling unit was selected by using systematic random sampling method. Health education was given in the interval between the pretest and posttest of knowledge assessment on MHM. Logistic regression analysis and Wilcoxon rank test were applied to identify predictors and to evaluate the effectiveness of health education. Results Overall, 57.7% of the girls had unsatisfactory level of knowledge. Around two third (61.4%) missed school days during the menstrual period. Almost 99.5% had experienced some form of cultural restrictions during the menstrual period. After imparting health education, the level of knowledge on menstruation hygiene had significantly improved (z = 17.129, p = < 0.001) to satisfactory compared to the baseline knowledge level (42.3% vs. 92.5%). During multivariate analysis, factors such as having studied in public schools (AoR = 1.7, p = 0.026), having no or one close female friend (AoR = 2.2, p = 0.011), caste other than Brahmin/Chhetri (AoR = 1.4, p = 0.05) and factors such as living in joint family (AoR = 1.6, p = 0.048) were significantly associated with unsatisfactory level of knowledge on MHM. Conclusions A substantial number of respondents had unsatisfactory level of knowledge on MHM. Factors such as ethnicity status, types of family, number of close female friends, types of schools and mothers’ education were associated with unsatisfactory level of knowledge. School absenteeism and cultural restriction were found to be common/frequent. Imparting of health education was found to be an effective measure to enhance knowledge on MHM.

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Section: Discussionsupporting

confidence: 90%

Section: Data Collection Tools and Techniquesmentioning

confidence: 99%

Menstruation hygiene management among secondary school students of Chitwan, Nepal:a cross-sectional study

Khanal¹,

Shrestha²,

Adhikari³

et al. 2023

BMC Women's Health

View full text Add to dashboard Cite

show abstract

“…(z= 17.13 , p=<0.001) which explained that the education on menstruation hygiene to the secondary school girls is one of the good strategy to enhance level of knowledge on menstruation hygiene. This results are similar to the results of a study conducted in Southern Haryana, India, 32 Riyan City Saudi, 25 Damietta City, Egypt, 33 Jumla District , Nepal, 34 Pune city , India 35 This study identifies that large percentage of respondents experiencing restriction of cultural activities during menstruation .The most common limited activity was to attend and perform religious activities. Similar findings was observed in study conducted in West Bengal, India, 36 Chitwan Nepal, 30 Kathmandu Valley, Nepal.…”

Section: Discussionsupporting

confidence: 87%

Menstruation Hygiene Management among Secondary School Students of Chitwan, Nepal- Pre-Post Study Design

Khanal

Shrestha

Adhikari

et al. 2022

Preprint

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Introduction: Despite of significant progress towards reproductive health, still in many societies menstruation is treating as negative, shameful or dirty consequences which may increases the incidence of reproductive tract infection leading to significant negative impact to a women’s health. To manage menstruation hygienically and with dignity, it is essential that women and girls have sufficient knowledge on menstruation hygiene management to manage it. Thus, this study aim to identify the knowledge and practice of menstruation hygiene and effectiveness of a health educational intervention on MHM. Methods: A school-based cross-sectional study was conducted between August 2021 to April 2022 among 400 secondary school girls studying in grades 9 and 10 in Chitwan District, Nepal. A total of 20 schools out of 250 schools were selected through lottery method. A further 400 girls were selected from selected schools by using systematic random method. Logistic regression analysis and Wilcoxon rank test were employed to identify predictors and evaluate effectiveness of health educational intervention on Menstrual Hygiene Management Results: Overall, 57.7% of the girls had unsatisfactory level of knowledge. Around two third (61.4%) missed schools days. Almost 99.5% had experienced any form of cultural restrictions. After health education intervention, level of knowledge about menstruation hygiene had significantly improved (z= 17.129, p=<0.001) in satisfactory level of knowledge compared to baseline (42.3% vs 92.5%). During multivariate analysis, studied in public schools (AoR= 1.7, p= 0.026), No or one close female friend (AoR= 2.2, p= 0.011), other than Brahmin/Chhetri caste (AoR= 1.4, p= 0.05), lived in joint family (AoR= 1.6, p= 0.048) were significantly associated with unsatisfactory level of knowledge on Menstruation hygiene management. Conclusion: Girls had unsatisfactory level of knowledge. School absenteeism and cultural restriction is very high. Ethnicity status, Types of family, Number of close female friends, types of schools and mothers’ education were associated with MHM. . Educational program conducted brings significant change in level of knowledge. Hence the education intervention demonstrate the suitability and feasibility of implementing a health educational intervention on MHM.

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“…The study by Dahal and Acharya revealed that 8.9% of the respondents had high knowledge during pretest which was significantly increased to 60.7% during posttest and 27.7% of the respondents had good practice during pretest which was significantly increased to 51.8% during posttest. [ 13 ]…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study to investigate the impact of focused group discussion on menstrual hygiene among rural school girls of Southern Haryana, India

Singh

Gupta

Agrawal

et al. 2020

J Edu Health Promot

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INTRODUCTION: Menstruation is a natural phenomenon among women who experience shedding of blood for 1–7 days every month which usually starts between age 11 and 14 years and continues until menopause at about 51 years of age. It is important to maintain menstrual hygiene, as poor practices increase vulnerability to reproductive and urinary tract infections. The present study was conducted with an aim to investigate the impact of focused group discussion (FGD) compared to didactic lectures (DLs) on the menstrual hygiene knowledge and practices. METHODS: The present cross-sectional study was conducted among 649 school girls during January to August 2019 using a convenience sampling technique. After collecting baseline information using a pretested, predesigned, standardized questionnaire, the participants in the control and intervention groups were exposed for the DLs and FGD, respectively, and 1 month after such intervention, the same questionnaire was again self-administered by participants. All tests were performed at a 5% level of significance using SPSS (version 22.0). RESULTS: The baseline characteristics of both the groups such as participants' mean age, mean age of menarche, mother's literacy status, religion, type of family, and socioeconomic status were comparable. There was a difference in the knowledge and practice mean score of participants in the control group for pre- and postintervention, which was highly statistically significant ( P < 0.001). CONCLUSIONS: This study reveals that menstrual hygiene is far from satisfactory among most of the school girls. The DLs and FGD have improved the menstrual hygiene knowledge and practices among school girls.

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Effectiveness of Information Education and Communication on Menstrual Hygiene among Adolescent School Girls of Jumla District

Cited by 5 publications

References 11 publications

Menstruation hygiene management among secondary school students of Chitwan, Nepal:a cross-sectional study

Menstruation hygiene management among secondary school students of Chitwan, Nepal:a cross-sectional study

Menstruation Hygiene Management among Secondary School Students of Chitwan, Nepal- Pre-Post Study Design

A cross-sectional study to investigate the impact of focused group discussion on menstrual hygiene among rural school girls of Southern Haryana, India

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