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月经卫生管理障碍评估:来自学校社区定性研究的证据——埃塞俄比亚西北部巴赫达尔市的经验教训

Assessment of the barriers towards menstrual hygiene management: evidence from a qualitative study among school communities: lessons from Bahir Dar city in northwest Ethiopia.

作者信息

Adane Yimenu, Ambelu Argaw, Azage Muluken, Mekonnen Yalemtsehay

机构信息

Water and Health Division, Ethiopian Institute of Water Resources, Addis Ababa University, Addis Ababa, Ethiopia.

School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

Front Reprod Health. 2024 Nov 20;6:1445862. doi: 10.3389/frph.2024.1445862. eCollection 2024.

DOI:10.3389/frph.2024.1445862
PMID:39660336
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11629399/
Abstract

BACKGROUND

The challenges of safe menstrual hygiene management practices in low-income settings, including the study areas are pressing. However, Studies specifically focusing on barriers that schoolgirls face in managing monthly menstruation in schools of Bahir Dar are inadequate and scarce.

METHOD

To ensure the robustness of the findings, a comprehensive study was conducted among schoolgirls and boy students aged 12-20 in three schools. This study employed focus group discussions and in-depth interviews with students and leaders of the school gender club. A word cloud generator was used to visually represent frequently mentioned keywords, and the data generated from interviews were analyzed using the Open Code 4.03 tool.

RESULTS

The findings, derived from focus group discussions and in-depth interviews, revealed several significant barriers that schoolgirls face in practicing safe menstrual hygiene management. These barriers, including sociocultural factors (133), inadequate use of menstrual hygiene management facilities (73), inadequate knowledge before menarche (59), and a general lack of support (35), underscore the multifaceted nature of the issues. Importantly, these findings emphasize the urgent need for targeted interventions to address these barriers and improve menstrual hygiene management among schoolgirls.

CONCLUSION

Schoolgirls in Bahir Dar encounter numerous challenges in maintaining safe menstrual hygiene practices. Addressing the identified modifiable barriers represents crucial areas for intervention, requiring collaborative efforts from school communities and other relevant stakeholders to create an environment conducive to promoting and enhancing safe menstrual hygiene practices.

摘要

背景

在包括研究区域在内的低收入环境中,安全的经期卫生管理面临着紧迫的挑战。然而,专门针对巴希尔达尔地区学校女生在管理每月经期时所面临障碍的研究并不充分且稀少。

方法

为确保研究结果的稳健性,在三所学校对12至20岁的女学生和男学生开展了一项全面研究。本研究采用了焦点小组讨论以及对学校性别俱乐部的学生和负责人进行深入访谈的方法。使用词云生成器直观呈现频繁提及的关键词,并运用Open Code 4.03工具对访谈所得数据进行分析。

结果

从焦点小组讨论和深入访谈中得出的结果显示,女学生在实践安全的经期卫生管理时面临若干重大障碍。这些障碍包括社会文化因素(133)、经期卫生管理设施使用不足(73)、初潮前知识不足(59)以及普遍缺乏支持(35),凸显了这些问题的多面性。重要的是,这些结果强调迫切需要有针对性的干预措施来克服这些障碍并改善女学生的经期卫生管理。

结论

巴希尔达尔地区的女学生在维持安全的经期卫生习惯方面面临诸多挑战。解决已确定的可改变障碍是关键的干预领域,需要学校社区和其他相关利益攸关方共同努力,营造有利于促进和加强安全经期卫生习惯的环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d09/11629399/fdfbff4d4931/frph-06-1445862-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d09/11629399/85ad7d7d1bdf/frph-06-1445862-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d09/11629399/7c7fa6fbea73/frph-06-1445862-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d09/11629399/fdfbff4d4931/frph-06-1445862-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d09/11629399/85ad7d7d1bdf/frph-06-1445862-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d09/11629399/7c7fa6fbea73/frph-06-1445862-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d09/11629399/fdfbff4d4931/frph-06-1445862-g003.jpg

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本文引用的文献

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PLoS One. 2024 Aug 22;19(8):e0302523. doi: 10.1371/journal.pone.0302523. eCollection 2024.
2
Water, sanitation and hygiene at sex work venues to support menstrual needs.性工作场所的水、环境卫生和个人卫生措施以满足经期需求。
Front Public Health. 2024 Feb 28;12:1305601. doi: 10.3389/fpubh.2024.1305601. eCollection 2024.
3
Menstrual health and hygiene amongst adolescent girls and women of reproductive age: a study of practices and predictors, Odisha, India.
青春期女孩和育龄妇女的月经健康与卫生:印度奥里萨邦的实践与预测因素研究。
BMC Womens Health. 2024 Feb 26;24(1):144. doi: 10.1186/s12905-024-02894-7.
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Understanding the social and physical menstrual health environment of secondary schools in Uganda: A qualitative methods study.了解乌干达中学的社会和生理月经健康环境:一项定性研究
PLOS Glob Public Health. 2023 Nov 29;3(11):e0002665. doi: 10.1371/journal.pgph.0002665. eCollection 2023.
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Knowledge, Attitudes, and Practices Regarding Menstrual Hygiene among Girls in Ghizer, Gilgit, Pakistan.关于巴基斯坦吉尔吉特的 Ghizer 地区少女的经期卫生知识、态度和实践。
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