Department of Community Medicine, All India Institute of Medical Sciences, Jammu, India.
Community Medicine, Kalpana Chawla Government Medical College, Haryana, India.
J Trop Pediatr. 2022 Oct 6;68(6). doi: 10.1093/tropej/fmac083.
Adolescent girls face challenges in menstrual hygiene in routine patterns which impacts their education and health. A qualitative study was undertaken to assess the knowledge and practices regarding menstruation in a rural community of Haryana and to identify the barriers to menstrual hygiene.
The study was conducted in the month of September 2019 among various stakeholders i.e. adolescent females, adolescent males, Accredited Social Health Activist (ASHA) workers, Anganwadi workers, school teachers and Medical Officers. The stakeholders were mapped with the help of a Multi-Purpose Health Worker and ASHA of the village. Interview guides for focus group discussion (FGD) and in-depth interview (IDI) were prepared from previous literature to understand menstrual health management among the stakeholders.
After IDI and FGD, we found that there is a barrier to accessibility of regular sanitary pads, a lack of education on menstrual hygiene among adolescent girls. School absenteeism was a concern due to the unavailability of mechanisms for the disposal of sanitary pads in school and poor maintenance of toilets.
Proper implementation of the Adolescent Reproductive Sexual Health program and Menstrual health education can improve the use and reduce stigma and ignorance. Free uninterrupted supply of sanitary pads through school and Anganwadi will help improving accessibility and separate toilets for girls would lead to a reduction in absenteeism.
青春期少女在日常月经卫生方面面临挑战,这影响了她们的教育和健康。本研究旨在评估哈里亚纳邦一个农村社区中青少年对月经的知识和实践,并确定月经卫生的障碍。
本研究于 2019 年 9 月在各种利益相关者中进行,即青春期女性、青春期男性、认证社会卫生活动家 (ASHA) 工作者、安格安瓦迪工作者、学校教师和医务人员。借助村庄的多用途卫生工作者和 ASHA 对利益相关者进行了映射。为了了解利益相关者的月经健康管理,从之前的文献中编写了焦点小组讨论 (FGD) 和深入访谈 (IDI) 的访谈指南。
在进行 IDI 和 FGD 后,我们发现存在定期使用卫生巾的障碍,以及青春期少女缺乏月经卫生教育。由于学校缺乏处理卫生巾的机制以及厕所维护不善,导致学校出勤率下降,这令人担忧。
适当实施青少年生殖性健康计划和月经健康教育可以提高使用率,减少污名化和无知。通过学校和安格安瓦迪免费不间断地供应卫生巾将有助于提高可及性,为女孩提供单独的厕所将有助于减少旷课。