Academic Journal

Evaluation of a menstrual hygiene intervention in urban and rural schools in Bangladesh: a pilot study

التفاصيل البيبلوغرافية
العنوان: Evaluation of a menstrual hygiene intervention in urban and rural schools in Bangladesh: a pilot study
المؤلفون: Mahbub-Ul Alam, Farhana Sultana, Erin C. Hunter, Peter J. Winch, Leanne Unicomb, Supta Sarker, Mehjabin Tishan Mahfuz, Abdullah Al-Masud, Mahbubur Rahman, Stephen P. Luby
المصدر: BMC Public Health, Vol 22, Iss 1, Pp 1-16 (2022)
بيانات النشر: BMC, 2022.
سنة النشر: 2022
المجموعة: LCC:Public aspects of medicine
مصطلحات موضوعية: Menstrual hygiene management (MHM), Adolescence, Bangladesh, Menstrual hygiene intervention, School absenteeism, Menstrual health and hygiene, Public aspects of medicine, RA1-1270
الوصف: Abstract Girls’ menstrual experiences impact their social and educational participation, physical and psychological health. We conducted a pilot study to assess the acceptability and feasibility of a multi-component intervention intended to support menstruating girls; improve menstrual care knowledge, practices, and comfort; and increase school attendance. We conducted a pre/post evaluation of a 6-month pilot intervention in four schools (2 urban, 2 rural) in Dhaka, Bangladesh. We selected 527 schoolgirls (grades 5 to 10; aged 10 to 17 years) for a baseline survey and 528 girls at endline. The intervention included: 1) Menstrual Hygiene Management (MHM) packs– reusable cloth pads, underwear, carry bags and menstrual cycle tracking calendars, 2) education curriculum- pictorial flipcharts, puberty related-booklets, and teachers’ training to deliver puberty and MHM sessions, 3) maintenance- improvements to school sanitation, provision of disposable pads in the school office, provision of chute disposal systems for disposable pads, and gender committees to promote a gender-friendly school environment and maintenance of intervention facilities. We estimated intervention uptake and intervention effect by calculating prevalence differences and 95% confidence intervals using fixed-effects logistic regression. The intervention uptake was more than 85% for most indicators; 100% reported receiving puberty education, 85% received MHM packs, and 92% received booklets. Reusable cloth pads uptake was 34% by endline compared with 0% at baseline. Knowledge about menstrual physiology and knowledge of recommended menstrual management practices significantly improved from baseline to endline. Reported improvements included more frequent changing of menstrual materials (4.2 times/day at endline vs. 3.4 times/day at baseline), increased use of recommended disposal methods (prevalence difference (PD): 8%; 95% Confidence Interval: 1, 14), and fewer staining incidents (PD: − 12%; 95% CI: − 22, − 1). More girls reported being satisfied with their menstrual materials (59% at endline vs. 46% at baseline, p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2458
Relation: https://doaj.org/toc/1471-2458
DOI: 10.1186/s12889-022-13478-1
URL الوصول: https://doaj.org/article/d8292a32f64e4336896130830277c721
رقم الانضمام: edsdoj.8292a32f64e4336896130830277c721
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14712458
DOI:10.1186/s12889-022-13478-1