Awareness of Menstrual Hygiene Management Rights and Perception of Risks, Self-Efficacy, and Behavior.
Autor: | Yadav RN; Public Health Department, Good Neighbors International Nepal, Lalitpur-13, Nepal., Joshi S; Public Health Department, Good Neighbors International Nepal, Lalitpur-13, Nepal., Park JS; Public Health Department, Good Neighbors International Nepal, Lalitpur-13, Nepal. |
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Jazyk: | angličtina |
Zdroj: | Journal of Nepal Health Research Council [J Nepal Health Res Counc] 2024 Jun 21; Vol. 22 (1), pp. 66-72. Date of Electronic Publication: 2024 Jun 21. |
DOI: | 10.33314/jnhrc.v22i01.5095 |
Abstrakt: | Background: Menstrual Hygiene Management stands as a critical health concern for girls entering reproductive age on a global scale. This transition often induces fear and anxiety due to inadequate knowledge about menstruation and a lack of resources to comprehend bodily changes. Notably, school-aged girls in marginalized communities face formidable barriers to MHM, given the insufficient facilities, supplies, and awareness in educational institutions. Methods: A Mixed method study was conducted adopting a mixed-methods approach. It engaged 562 respondents across five local levels of Bajura district, including three municipalities (Badimalika, Budhiganga, and Tribeni) and two rural municipalities (Gaumul and Khaptad Chhedaha). Results: The study unveiled over 90% awareness on on five out of seven MHM rights related statements and over 85% self-efficacy on 5 out of 8 statements regarding MHM among female adolescent respondents. However, their actual practices fell short of expectations, marked by the prevalence of restrictive norms and perceived risks pertinent to MHM. Notably, 27% (N=154) expressed fear of divine consequences for not adhering to menstrual customs. Malpractices were observed, including 66% using cloth during menstruation, inadequate pad changing frequencies, and some girls staying in Chhaugoth during menstruation. Despite a high awareness (97%) of menstrual rights, behavioral practices did not consistently align with this awareness. Conclusions: The study highlights high awareness and self-efficacy in menstrual hygiene management among female adolescents, yet challenges persist due to cultural norms, perceived risks, and insufficient infrastructure, necessitating multifaceted solutions for behavioral change and access to resources. |
Databáze: | MEDLINE |
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