Dwivedi Rakhi, Sharma Charu, Bhardwaj Pankaj, Singh Kuldeep, Joshi Nitin, Sharma Prem Prakash
School of Public Health, AIIMS, Jodhpur, Rajasthan, India.
Department of Obstetrics and Gynecology, AIIMS, Jodhpur, Rajasthan, India.
J Family Med Prim Care. 2020 Jul 30;9(7):3593-3599. doi: 10.4103/jfmpc.jfmpc_309_20. eCollection 2020 Jul.
Majority of the adolescent girls all over the world, suffer from anxiety, shame, discomfort, and isolation during menstruation. Awareness about menstrual hygiene and health can help them to overcome this situation.
The study aims to elicit the existing knowledge, attitude, and practices regarding menstruation and to assess the effectiveness of a structured training program through peer educators-PRAGATI (PeeR Action for Group Awareness through Intervention) on menstrual hygiene among adolescent school girls.
This was a prospective interventional study. A structured training program through peer educators (PRAGATI) was used on adolescent females for evaluating menstrual hygiene awareness and practices through pre- and posttest. McNemar's test was used for paired nominal data and the difference between pretest and posttest was assessed by the paired -test.
In the pretest, only 20.5% had adequate knowledge, 32.5% had poor knowledge, while 48.7% of girls had moderate knowledge about menstruation and menstrual hygiene. Post-intervention, 56.41% girls gained adequate knowledge (an increase of ~36%), 30.76% had moderate knowledge, and only 12.8% of them (a reduction of ~20%) still had poor knowledge. The mean increase of knowledge on menstrual hygiene in pretest and posttest analysis was statistically significant with < 0.01.
The training by the peer educators (PRAGATI) in creating awareness about menstrual hygiene and bringing about a significant change in attitude and practice is an effective method of spreading awareness among adolescents on menstrual hygiene related sensitive issues. However, repeated sessions are required to create momentum and enthusiasm for learning new things.
全世界大多数青春期女孩在月经期间都会感到焦虑、羞耻、不适和孤立。了解月经卫生和健康知识有助于她们克服这种情况。
本研究旨在了解青少年对月经的现有知识、态度和做法，并评估通过同伴教育者开展的结构化培训项目——PRAGATI（通过干预提高群体意识的同伴行动）对青春期女学生月经卫生的效果。
这是一项前瞻性干预研究。通过同伴教育者（PRAGATI）对青春期女性开展结构化培训项目，通过前后测试评估月经卫生意识和做法。配对名义数据采用McNemar检验，前后测试的差异采用配对检验进行评估。
在预测试中，只有20.5%的人有足够的知识，32.5%的人知识匮乏，而48.7%的女孩对月经和月经卫生有中等程度的了解。干预后，56.41%的女孩获得了足够的知识（增加了约36%），30.76%的人有中等程度的知识，只有12.8%的人（减少了约20%）仍然知识匮乏。前后测试分析中月经卫生知识的平均增加具有统计学意义，P<0.01。
同伴教育者（PRAGATI）开展的培训在提高月经卫生意识以及在态度和做法上带来显著变化方面，是在青少年中传播月经卫生相关敏感问题意识的有效方法。然而，需要反复开展培训课程，以营造学习新事物的动力和热情。
