Measuring the effectiveness of communication programming on menstrual health and hygiene management (MHM) social norms among adolescent girls in India

Sood, Suruchi; Kostizak, Kelli; Ramaiya, Astha; Cronin, Carmen

doi:10.1080/17441692.2020.1826048

Cited by 6 publications

(5 citation statements)

References 30 publications

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“…Other studies have also reported poor access to menstrual needs(16, 36). However, with the increased focus on younger women in schools has promoted proper interventions for MHM hence improving access to menstrual needs by younger women and adolescent girls (37)(38)(39)(40). The increased focus on younger women and girls may however mask the menstrual needs of older women.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with unmet need for menstrual hygiene management in six countries in Sub-Saharan Africa: a multilevel analysis

Akoth,

Wambiya,

Kibe

et al. 2023

Preprint

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Background: Menstruation is a normal biological process experienced by more than 300 million women globally daily. Women need clean menstrual absorbents that can be changed as often as needed in private and safe place with proper hygiene and disposal facilities. All these needs must be met throughout the duration of the menstrual cycle. Access to menstrual needs of women is important for their health, wellbeing, and human dignity. This study assessed the prevalence and factors associated with unmet need for menstrual hygiene management (MHM) in Ethiopia, Kenya, Uganda, Burkina Faso, Ghana, and Niger. Methods: We used data from the performance monitoring for action (PMA) surveys. We defined the unmet need for MHM as “lack of resources, facilities and supplies for MHM.” Sample characteristics were summarised using frequencies and percentages while prevalence was summarised using proportions and their respective confidence intervals (CI). Factors associated with unmet need for MHM were assessed using a multilevel logistic regression model. Results: In the six countries, majority of women were aged 20-34 years, were married, or cohabiting and had never given birth. The prevalence of unmet need for MHM was high among the uneducated and multiparous women, those who reused MHM materials, practiced open defaecation and lived in rural areas in all the six countries. The prevalence of unmet need for MHM was highest in Burkina Faso (74.8%) and lowest in Ghana (34.2). Age, education level, wealth status and marital status were significantly associated with unmet need for MHM. Reuse of MHM materials and open defaecation increased the odds of unmet need for MHM. Conclusion: More than half of women in five of the six countries have unmet need for MHM withodds of unmet need significantly higher among younger women, those with low wealth status, the unmarried, and those with poor access to sanitary facilities. This study highlights the state of period poverty in Sub-saharan Africa. Efforts to end period poverty should approach MHM needs as a unit as each need is insufficient on its own.

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Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with unmet need for menstrual hygiene management in six countries in Sub-Saharan Africa: a multilevel analysis

Akoth,

Wambiya,

Kibe

et al. 2023

Preprint

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“…The communication strategies used in the studies resulted in bringing behavioural changes associated with menstrual hygiene and health practices among girls and women of reproductive age. 4 studies that used SBCC as a tool for communication resulted in bringing changes to existing social norms and personal beliefs [34], increased knowledge about puberty [35], proper discarding of menstruation products like cloth or sanitary pads [36] and proper identification of reproductive disorders [37]. The studies which analysed the role of IEC and interpersonal communication were found to be effective in enhancing the knowledge of a typical menstrual cycle [39], increasing awareness regarding RH and RTIs [42], and addressing myths and prejudices surrounding menstruation during COVID 19 [48].…”

Section: Discussionmentioning

confidence: 99%

“…Results from the GARIMA evaluation revealed higher exposure levels were associated with favourable social norms, which raised the likelihood of effective MHHM use [34]. Another study conducted on GARIMA intervention identified teenage girls who had higher exposure to the communication programmes had considerably greater levels of some conversation and discourse, a greater degree of understanding of reproductive organs, greater degrees of understanding of puberty, and more positive attitudes about gender-related issues [35].…”

Section: Outcomes Of Communication Interventions On Mhhmmentioning

confidence: 99%

“…Out of all 16 studies, 5 studies reported the usage of Social and Behaviour Change Communication (SBCC) as a communication strategy to encourage healthy behaviours and end the taboo surrounding menstruation in India. The GARIMA initiative which was launched by UNICEF and local NGOs in Uttar Pradesh, India, focussed on addressing information, attitudes, and practices through multi-media channels with the individual as the primary audience and to transform power within social and political institutions, using the community as the unit of change [34]. A similar study on GARIMA was conducted by Ramaiya et al [35] with the objective to predict whether exposure to SBCC intervention can lead to MHHM.…”

Section: Social and Behaviour Change Communication (Sbcc)mentioning

confidence: 99%

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Health Communication Interventions for Promoting Menstrual Health and Hygiene Management in India: A review

Chacko,

Jose

2023

E3S Web Conf.

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Health communication interventions for promoting menstrual health in India is an unexplored area. It is commonly known that using strategic communication to plan and carry out projects that affect health behavior and societal change is an effective strategy. There are numerous interventions carried out in India, focussed on health related to menstruation and its hygiene management at different levels starting from the grassroots. This review aims to assess a wide range of published research that has utilized various approaches to investigate the effectiveness and variables of communication interventions influencing practices of menstruation and its hygiene management of women and teenage girls in India. The studies from India examining the different communication interventions were identified through online databases such as PubMed, Medline, Ovid, Sage Journals, Science Direct, Springer, Taylor, Francis, DOAJ, and Google Scholar. Findings highlighted different communication interventions like SBCC, BCC, IEC, and interpersonal communication were efficiently utilized to promote menstrual health information among adolescents and women of reproductive age.

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“…These beliefs many times act as barriers in accessing health and nutrition services, resulting in poor health outcomes [41]. Many such examples include beliefs and norms related to menstrual hygiene, antenatal care, breastfeeding, immunization, and postnatal care of mothers [42,43]. The government of India attempts to address these myths, misconceptions, beliefs, and norms through awareness programs, counselling by frontline workers, or other means of social and behavioral change communication techniques [44,45].…”

Section: Discussionmentioning

confidence: 99%

Health Workers’ Perceptions about Maternal and Adolescent Health among Marginalized Populations in India: A Multi-Centric Qualitative Study

Sharma

Bhardwaj

Arora

et al. 2021

Women

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Frontline workers are instrumental in bridging the gap in the utilization of maternal health services. We performed a qualitative cross-sectional study with medical officers, accredited social health activists (ASHA), and auxiliary nurse midwifes (ANM), across 13 districts of India, in order to understand the barriers and enablers, at the system and population levels, for improving access of adolescents and mothers to services. The data were collected by means of in-depth interviews (IDI) with medical officers and focus group discussions (FGD) with ASHA and ANM in 2016. The interview guide was based on the conceptual framework of WHO health interventions to decrease maternal morbidity. Content analysis was performed. In total, 532 frontline workers participated in 52 FGD and 52 medical officers in IDI. Adolescent clinics seemed nonexistent in most places; however, services were provided, such as counselling, iron tablets, or sanitary pads. Frontline workers perceived limited awareness and access to facilities among women for antenatal care. There were challenges in receiving the cash under maternity benefit schemes. Mothers-in-law and husbands were major influencers in women’s access to health services. Adolescent clinics and antenatal or postnatal care visits should be seen as windows of opportunities for approaching adolescents and women with good quality services.

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Measuring the effectiveness of communication programming on menstrual health and hygiene management (MHM) social norms among adolescent girls in India

Cited by 6 publications

References 30 publications

Prevalence and factors associated with unmet need for menstrual hygiene management in six countries in Sub-Saharan Africa: a multilevel analysis

Prevalence and factors associated with unmet need for menstrual hygiene management in six countries in Sub-Saharan Africa: a multilevel analysis

Health Communication Interventions for Promoting Menstrual Health and Hygiene Management in India: A review

Health Workers’ Perceptions about Maternal and Adolescent Health among Marginalized Populations in India: A Multi-Centric Qualitative Study

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