Researcher, Department of Clinical Sciences, Lund University, 22100 Lund, Sweden.
MAMTA Health Institute for Mother and Child, Delhi 110048, India.
Int J Environ Res Public Health. 2020 Jan 19;17(2):647. doi: 10.3390/ijerph17020647.
With increasing girl's enrolment in schools, school preparedness to ensure a menstrual friendly environment is crucial. The study aimed to conduct a systematic review regarding the existing evidence on menstrual hygiene management (MHM) across schools in India. It further aimed to highlight the actions that have been taken by the government to improve the MHM situation in India. We conducted the systematic literature search using PubMed, EMBASE, and Web of Science for searching the peer-reviewed articles and Google Scholar for anecdotal reports published from inception until 30 October 2019. Of 1125 publications retrieved through the search, 183 papers were included in this review, using created data-extraction form. Meta-analysis was used to estimate the pooled prevalence (PP) of MHM practices in schools. Less than half of the girls were aware of menstruation before menarche (PP 0.45, 0.39 to 0.51, 100.0%, n = 122). Teachers were a less common source of information about menstruation to girls (PP 0.07, 0.05 to 0.08, = 100.0%, n = 86). Separate toilets for girls were present in around half of the schools (PP 0.56, 0.42 to 0.75, 100.0%, n = 11). MHM in schools should be strengthened with convergence between various departments for explicit implementation of guidelines.
随着女孩入学率的提高，学校做好准备以确保一个月经友好的环境至关重要。本研究旨在对印度学校中现有的月经卫生管理（MHM）证据进行系统综述。它进一步旨在强调印度政府为改善 MHM 状况而采取的行动。我们使用 PubMed、EMBASE 和 Web of Science 进行了系统的文献搜索，以搜索同行评议的文章，并使用 Google Scholar 搜索了从开始到 2019 年 10 月 30 日发布的轶事报告。在通过搜索检索到的 1125 篇出版物中，有 183 篇论文被纳入本综述，使用 创建的数据提取表。荟萃分析用于估计学校 MHM 实践的汇总流行率（PP）。在月经初潮之前，不到一半的女孩了解月经（PP 0.45，0.39 至 0.51，100.0%，n = 122）。教师是女孩了解月经的较少常见信息来源（PP 0.07，0.05 至 0.08，= 100.0%，n = 86）。大约一半的学校设有女用单独厕所（PP 0.56，0.42 至 0.75，100.0%，n = 11）。应该加强学校的 MHM，各部门之间应协调一致，明确执行准则。
