Menstrual hygiene management knowledge, attitude and practice among school adolescent girls of Pema Gatshel district, Bhutan
1
Issued Date
2022
Copyright Date
2022
Resource Type
Language
eng
File Type
application/pdf
No. of Pages/File Size
xiv, 128 leaves : ill.
Access Rights
open access
Rights
ผลงานนี้เป็นลิขสิทธิ์ของมหาวิทยาลัยมหิดล ขอสงวนไว้สำหรับเพื่อการศึกษาเท่านั้น ต้องอ้างอิงแหล่งที่มา ห้ามดัดแปลงเนื้อหา และห้ามนำไปใช้เพื่อการค้า
Rights Holder(s)
Mahidol University
Bibliographic Citation
Thematic Paper (M.Sc. (School Health))--Mahidol University, 2022)
Suggested Citation
Namgay, 1991- Menstrual hygiene management knowledge, attitude and practice among school adolescent girls of Pema Gatshel district, Bhutan. Thematic Paper (M.Sc. (School Health))--Mahidol University, 2022). Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/113814
Title
Menstrual hygiene management knowledge, attitude and practice among school adolescent girls of Pema Gatshel district, Bhutan
Author(s)
Abstract
The transitional stage from childhood to adolescence is a critical period for girls. Menstruation-related health and social challenges are common, and these are related to inadequate knowledge, WASH (Water, Sanitation and Hygiene) facilities, and social support. This cross-sectional study explored the knowledge, attitude, and school facility and their associations with menstrual hygiene practice among menstruating school adolescent girls (13-18 years) in 5 secondary schools in Pema Gatshel, Bhutan, based on the FOAM (Focus, Opportunity, Ability, and Motivation) framework in February-July 2022. The online survey was conducted with 280 school adolescent girls and all 5 school health teachers were also asked about school WASH facilities. The results showed that the mean age of the school adolescent girls was 16.3 ±1.41 years and the mean age of menarche was 12.31 ±2.17 years. The prevalence of good knowledge, positive attitude, good facility, and good practice were 87.9%, 49.6%, 42.5%, and 80% respectively. The most common source of information was mothers. Teachers and school teaching classes as a source of information constituted only 27.5% and 10.7%. The majority of these adolescent girls used sanitary pads as an absorbent material and most of them experienced back pain and abdomen pain. The age of menarche ≤12 than ≥13 (AOR=2.463, CI=1.214-4.992, p=0.012), knowledge on menstrual organ (AOR=4.535, CI=1.263-16.281, p=0.02), disagreeing on buying sanitary pads without being seen (AOR=2.522, CI=1.139-5.583, p=0.023), enough toilets (AOR=3.169, CI=1.292-7.775, p=0.012), sufficient hand-washing soaps (AOR=2.386, CI=1.135-5.016, p=0.022), toilets with proper lock system (AOR=2.891, CI=1.388-6.021, p=0.005), and separate menstrual bins in toilets (AOR=4.629, CI=1.355-15.814, p=0.014) significantly affected hygiene practice. The results revealed that there is a need for the right knowledge and evidence-based practices before menarche. It is the responsibility of every educator to address and discuss cultural and social issues regarding menstruation in schools. Timely monitoring and finding means of providing menstrual hygiene management facilities such as soaps, sanitary bins, and privacy in toilets are deemed necessary. IMPLICATION OF THEMATIC PAPER: The study on menstruation hygiene management knowledge, attitude, and practices incorporating the FOAM framework would be the first kind in Bhutan. This study would guide how to determine menstrual hygiene practices of school adolescent girls in providing effective hygiene strategies through the understanding of underlying factors toward achieving good hygiene practices. In addition, the report would inform policymakers on unmet menstrual needs to increase menstruation attention in policy and practice.
Degree Name
Master of Science
Degree Level
Master's degree
Degree Department
Faculty of Tropical Medicine
Degree Discipline
School Health
Degree Grantor(s)
Mahidol University