Garg Suneela, Bhatnagar Nidhi, Singh Mongjam Meghachandra, Basu Saurav, Borle Amod, Marimuthu Yamini, Azmi Falak, Dabi Yomri, Bala Indu
Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.
Indian Institute of Public Health-Delhi, Public Health Foundation of India, Gurugram, India.
Osong Public Health Res Perspect. 2022 Aug;13(4):273-281. doi: 10.24171/j.phrp.2022.0127. Epub 2022 Aug 31.
Menstrual hygiene management (MHM) in developing countries is linked to human rights, social justice, and the education and empowerment of young girls. The objective of this study was to assess menstrual hygiene practices and their determinants among adolescent girls, including school dropouts, and the effects of pad distribution programs in urban resettlement areas of Delhi, India.
A cross-sectional study was conducted from March 2019 to February 2020 in urban resettlement colonies and 2 villages of Delhi among 1,130 adolescent girls aged 10 to 19 years, who were interviewed face to face.
In total, 954 participants (84.4%) used only disposable sanitary pads, 150 (13.3%) used both sanitary pads and cloths, and 26 (2.3%) used only cloths (n=1,130). Most school-going girls utilized the scheme for pad distribution, but only two-thirds of the girls who were out of school utilized the scheme. In the adjusted analysis, girls with lower educational status, those who had dropped out of school, and those from the Muslim religious community were more likely to use cloths for MHM.
More than 4 out of 5 adolescent girls in Delhi in low-income neighborhoods preferred sanitary pads for MHM. The government free pad scheme reached near-universal utilization among school-going girls (97%), but the subsidized pad scheme for girls who did not attend school was insufficiently utilized (75%).
发展中国家的月经卫生管理（MHM）与人权、社会正义以及年轻女孩的教育和赋权相关。本研究的目的是评估包括辍学者在内的青春期女孩的月经卫生习惯及其决定因素，以及印度德里城市安置区卫生巾分发项目的效果。
2019年3月至2020年2月，在德里的城市安置区和2个村庄对1130名10至19岁的青春期女孩进行了横断面研究，采用面对面访谈。
总共954名参与者（84.4%）仅使用一次性卫生巾，150名（13.3%）同时使用卫生巾和布，26名（2.3%）仅使用布（n = 1130）。大多数上学的女孩利用了卫生巾分发计划，但只有三分之二辍学的女孩利用了该计划。在调整分析中，教育程度较低、辍学以及来自穆斯林宗教社区的女孩更有可能使用布进行月经卫生管理。
德里低收入社区超过五分之四的青春期女孩在月经卫生管理方面更喜欢使用卫生巾。政府的免费卫生巾计划在上学女孩中利用率接近普遍（97%），但针对未上学女孩的补贴卫生巾计划利用率不足（75%）。
