Rheinländer Thilde, Gyapong Margaret, Akpakli David Etsey, Konradsen Flemming
a Global Health Section, Department of Public Health , University of Copenhagen , Copenhagen , Denmark.
b Centre for Health Policy and Implementation Research , Institute for Health Research, University of Health and Allied Sciences , Ghana.
Health Care Women Int. 2019 Jan;40(1):13-32. doi: 10.1080/07399332.2018.1444041. Epub 2018 Mar 20.
Women and girls need proper sanitation and hygiene facilities to maintain health and dignity. In this study we show how schoolgirls from a peri-urban community of Ghana, experience severe multidimensional 'hygiene poverty' when attending schools. Hygiene poverty was characterized by poor water and sanitation infrastructures and serious social and emotional challenges, including shaming and disciplining of their sanitation and menstrual practices, which forces girls to apply secretive coping strategies. We discuss the importance of changing the negative MHM discourses at schools and fostering supportive teaching methods in adolescent female health.
妇女和女孩需要适当的卫生设施来维护健康和尊严。在本研究中，我们展示了来自加纳城郊社区的女学生在上学时如何经历严重的多维“卫生贫困”。卫生贫困的特征是水和卫生基础设施差，以及严重的社会和情感挑战，包括对她们的卫生和月经行为进行羞辱和管教，这迫使女孩采用隐秘的应对策略。我们讨论了改变学校中关于月经卫生管理的负面话语以及在青少年女性健康方面培养支持性教学方法的重要性。
