Ishimwe Bazakare Marie Laetitia, Ngabo Rwabufigiri Bernard, Munyanshongore Cyprien
Single Project Implementation Unit, University of Rwanda, P.O. Box 3, Kigali, Rwanda.
School of Public Health, University of Rwanda, Kigali, Rwanda.
Ther Adv Reprod Health. 2024 Dec 6;18:26334941241303518. doi: 10.1177/26334941241303518. eCollection 2024 Jan-Dec.
Menstruation is a universal and normal phenomenon during the reproductive age of females; adolescence is an essential period where females are preparing and adjusting themselves to manage their menstrual bleeding safely and cleanly. Menstrual hygiene management (MHM) is an issue that is insufficiently acknowledged and has not received adequate attention among visually impaired adolescent girls (VIAGs).
The purpose of this study was to determine the knowledge and practice of MHM and associated factors among VIAGs of selected institutions in Rwanda.
This study consisted of a cross-sectional study design using a quantitative approach.
A cross-sectional study was conducted in April and May 2021 on 92 VIAGs. They were recruited from educational institutions in two Provinces in Rwanda. Voluntary participation and confidentiality were assured. Socioeconomic and demographic data, menstruation, and menstrual hygiene questionnaires were used to obtain the required information. Statistical Packages for the Social Sciences (SPSS) for Windows version 25 was used. Descriptive statistics, Chi-square test, and logistic regressions were used for data analysis.
The study reached 92 respondents. The majority of the respondents, 67.4% had a poor level of menstruation and menstrual hygiene knowledge while only 32.6% had a good level of menstruation and menstrual hygiene knowledge. Also, it is confirmed that the majority of respondents, 52.1% had a good level of practice, while 47.8% had a poor level of menstrual hygiene practice. The multivariable analysis revealed that factors associated with the menstrual hygiene practice were as follows: the mother's education (odds ratio (OR): 5.979; 95% CI: [1.700-21.032]; value: 0.005) and level of knowledge of menstruation and menstrual hygiene (OR: 0.132; 95% CI: [0.028-0.622]; value: 0.010).
The knowledge and practice of MHM among VIAGs were poor. Recommendations included the need for mothers to assist their daughters in improving learning and practice of menstrual hygiene, as well as the integration of MHM into school curricula. Further research is suggested to better understand MHM among Rwandan adolescent girls, both visually impaired and non-blind.
月经是女性生殖年龄阶段普遍且正常的生理现象；青春期是女性为安全、卫生地处理月经流血做准备并进行自我调整的关键时期。月经卫生管理（MHM）是一个在视力障碍少女（VIAGs）中未得到充分认识且未受到足够关注的问题。
本研究旨在确定卢旺达部分机构中视力障碍少女对月经卫生管理的知识、实践情况及相关因素。
本研究采用定量方法进行横断面研究设计。
2021年4月和5月对92名视力障碍少女进行了横断面研究。她们来自卢旺达两个省的教育机构。确保了自愿参与和保密性。使用社会经济和人口数据、月经及月经卫生问卷来获取所需信息。使用Windows版社会科学统计软件包（SPSS）25进行数据分析。描述性统计、卡方检验和逻辑回归用于数据分析。
该研究共纳入92名受访者。大多数受访者（67.4%）的月经及月经卫生知识水平较差，只有32.6%的受访者月经及月经卫生知识水平良好。此外，证实大多数受访者（52.1%）的实践水平良好，而47.8%的受访者月经卫生实践水平较差。多变量分析显示，与月经卫生实践相关的因素如下：母亲的教育程度（比值比（OR）：5.979；95%置信区间：[1.700 - 21.032]；P值：0.005）以及月经及月经卫生知识水平（OR：0.132；95%置信区间：[0.028 - 0.622]；P值：0.010）。
视力障碍少女对月经卫生管理的知识和实践情况较差。建议包括母亲需要协助女儿提高月经卫生的学习和实践，以及将月经卫生管理纳入学校课程。建议进一步开展研究，以更好地了解卢旺达视力障碍和非视力障碍少女的月经卫生管理情况。
