Abstract
Introduction: Menstruation is a milestone event in a girl's life and it is the beginning of her reproductive life. A girl menstruates on an average for three to five days a month, 12 months a year, and the cycle carries on till she reaches menopause in 40-45 years. Periods are normal and healthy, yet many females of rural and urban India struggle to manage this monthly occurrence. An unhygienic menstrual practice has been associated with adverse health among girls.
Aim: To explore the knowledge, attitude and practices about menstruation and reproductive morbidity among 12-18 years old menstruating girls in rural and urban schools in Mirzapur.
Material and Method: A descriptive cross-sectional study was conducted in rural and urban school, in Mirzapur to evaluate the knowledge, attitude and practice about menstrual hygiene and reproductive morbidity among 12-18 years old menstruating girls. A total of 800 girls were involved in the study, out of which 400 were from rural school and 400 were from urban school by using a simple random sampling technique. The data was collected by using a structured questionnaire. Descriptive statistic was used for analyzing the data.
Results: Only 16% of them were aware about menstruation prior to the attainment of menarche; 72% of respondents knew that the menstruation is a natural physiological process; 95% knew that ideal absorbent material is sanitary pads. But only 25% girls use sanitary pads only, 20% used old/new clothes only, while 55% used both sanitary pads and clothes. 75% girls found sanitary pads costly. 89% of respondent girls are having at least one reproductive tract problem. Statistically significant association was found between perceived reproductive morbidity and poor menstrual hygiene practices.
Conclusion: Girls will continue to struggle till they lack information, and deep set, harmful social norms remain unaddressed. They must taught about menstruation and its relationship with their reproductive health.
Keywords: Menstruation, Adolescent girls, Sanitary pads, Mirzapur, Reproductive morbidities.
References
- Wateraid.org. Module one: Menstrual Hygiene Basics. 2012.
- Garg S, Anand T. Menstruation related myths in India: strategies for combating it. J Family Med Prim Care. 2015;4(2):184–186. doi:10.4103/2249-4863.154627
- Chawla J, Matrika The Mythic Origins of the Menstrual Taboo in the Rig Veda. 1992. from: http://www.matrika-india.org/Research/MythicOrigins.html .
- Ten VT. Menstrual hygiene: A neglected condition for the achievement of several millennium development goals. Europe External Policy Advisors. 2007.
- Puri S, Kapoor S. Taboos and Myths associated with women health among rural and urban adolescent girls in Punjab. Indian J Community Med. 2006;31:168–70.
- Juyal R, Kandpal SD, Semwal J, Negi KS. Practices of menstrual hygiene among adolescent girls in a District of Uttarakhand. IJCH 2012;24 (2):124-8.
- Mathiyalagen P, Peramasamy B, Vasudevan K, Basu M, Cherian J, Sundar B. A descriptive cross-sectional study on menstrual hygiene and perceived reproductive morbidity among adolescent girls in a union territory, India. J Family Med Prim Care. 2017;6(2):360–365. doi:10.4103/2249-4863.220031
- Dasgupta A, Sarkar M. Menstrual hygiene: How hygienic is the adolescent girl? Indian J Community Med. 2008;33:77–80.
- Bathija GV , Bant DD, Itagimath SR. Study on usage of woman hygiene kit among menstruating age group in field practice area of KIMS, Hubli. Int J Biomed Res. 2013;4:95–8.
- Girls’ education: towards a better future for all. London; 2005.
- King EM, Hill MA. Women’s education in developing countries: barriers, benefits, and policies. World Bank Publications; 1997.
- The state of the World’s children 2004-girls, education and development. Unicef; 2003.
- Ross CE, Wu C. The links between education and health. Am Sociol Rev. 1995:719–45.
- Khan A, Mupuwaliywa M. Policy Brief: Zambia - providing out-of-school girls with skills: Situation Analysis 2015.
- Singh A, Niranjan AS, Singh A. Knowledge, Attitude and Practice of Family Planning and Contraception Among the Engineering college Students in District Mirzapur, Uttar Pradesh, India. Int J Recent Sci Res.2019; 10(03), pp. 31346-31351.
- Singh T, Sharma S , Nagesh S. Socio-economic status scales updated for 2017. Int J Res Med Sci. 2017 Jul;5(7):3264-3267.
- Khanna A, Goyal RS, Bhawsar R. Menstrual practices and reproductive problems: a study of adolescent girls in Rajasthan. J Health Manag. 2005;7:91–107.
- Balasubramanian P. Health needs of poor unmarried adolescent girls – A community based study in rural Tamil Nadu. Indian J Popul Educ 2005;2:18‑33.
- Verma P, Ahmad S, Srivastava RK. Knowledge and practices about menstrual hygiene among higher secondary school girls. Indian J Community Health 2013;25:265‑71.
- Pundkar RD, Zambare MB, Baride JP. The knowledge and practice of menstrual hygiene among adolescent girls in one of the municipal corporation school of Ahmednagar. VIMS Health Sci J 2014;1:118‑24.
- Ali S, Sultana H, Sayyada I, Parveen N. Primary dysmenorrhoea in adolescence. Med Forum Mon 2009;20:14‑7.
- Nair P, Grover VL, Kannan AT. Awareness and practices of menstruation and pubertal changes amongst unmarried female adolescents in a rural area of East Delhi. Indian J Community Med 2007;32:156‑7.
- George NS, Priyadarshini S, Shetty S. Dysmenorrhoea among adolescent girls characteristics and symptoms experienced during menstruation. Nitte Univ J Health Sci 2014;4:2249‑7110.
- Kural M, Noor NN, Pandit D, Joshi T, Patil A. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care 2015;4:426‑31
- Ram R, Bhattacharya SK, Bhattacharya K, Baur B, Sarkar T, Bhattacharya A, et al. Reproductive tract infection among female adolescents. Indian J Community Med 2006;31:32‑3.
- Kulkarni MV, Durge PM. Reproductive health morbidities among adolescent girls: Breaking the silence. Ethno Med 2011;5:165‑8.
- Press Information Bureau, GoI. Government Approves Scheme for Menstrual Hygiene 1.5 Crore Girls to Get Low-Cost Sanitary Napkins. 2010.
- Kaur K, Arora B, Singh GK, Neki NS. Social beliefs and practices associated with menstrual hygiene among adolescent girls of Amritsar, Punjab, India. J Int Med Sci Acd. 2012;25:69–70.
Corresponding Author
Dr Sadhana Meena
Department of Community Medicine, SMS Medical College and Hospital, Jaipur, Rajasthan, India