Tshivule Mosotho Zenia, Rasweswe Molatelo Melitah, Mothiba Tebogo Maria, Bopape Mamare Adelaide
Department of Nursing Science, University of Limpopo, Polokwane, South Africa.
Research Office, University of Limpopo, Polokwane, South Africa.
Front Reprod Health. 2025 Aug 12;7:1553101. doi: 10.3389/frph.2025.1553101. eCollection 2025.
Menstrual hygiene management (MHM) is a critical component of adolescent health and well-being, particularly in rural African schools where cultural, economic, and infrastructural challenges persist. This scoping review followed the steps proposed by Arksey and O'Malley to explore the factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in rural African settings. The review systematically analysed literature conducted in diverse African rural public schools. Findings reveal that many adolescent school girls lack comprehensive knowledge about menstruation, due to unreliable or insufficient sources of menstrual hygiene management information and unpreparedness for menarche. Furthermore, their menstrual hygiene practices are shaped by various sociocultural and religious influences. There is also resource limitation, related to availability and cost of menstrual hygiene management supplies, and water, sanitation, and hygiene (WASH) infrastructure in rural schools. These challenges have a significant impact on school attendance, academic performance, and the overall quality of life for adolescent girls. The review practice. It emphasizes the importance of multi-sectoral approaches in supporting adolescent girls in rural African schools and advocates for further research to address persistent knowledge and practice gaps. There is also a need for integrated interventions, including menstrual health education, improved WASH infrastructure, and the provision of affordable menstrual products. Addressing these factors holistically can enhance menstrual hygiene management, reduce stigma, and promote gender equality in education.
经期卫生管理（MHM）是青少年健康和福祉的关键组成部分，在非洲农村地区的学校尤为如此，这些地区文化、经济和基础设施方面的挑战依然存在。本范围综述遵循阿克西和奥马利提出的步骤，以探究影响非洲农村地区青少年女孩经期卫生知识、态度和行为的因素。该综述系统分析了在非洲不同农村公立学校开展的文献。研究结果显示，许多青春期女生缺乏关于月经的全面知识，原因是经期卫生管理信息来源不可靠或不足，以及对初潮毫无准备。此外，她们的经期卫生行为受到各种社会文化和宗教影响。农村学校在经期卫生管理用品的供应和成本以及水、环境卫生和个人卫生（WASH）基础设施方面也存在资源限制。这些挑战对青春期女生的入学率、学业成绩和整体生活质量产生重大影响。该综述强调了多部门方法在支持非洲农村地区学校青春期女生方面的重要性，并倡导开展进一步研究以解决持续存在的知识和行为差距。还需要综合干预措施，包括经期健康教育、改善WASH基础设施以及提供价格合理的经期用品。全面解决这些因素可以加强经期卫生管理、减少污名化并促进教育中的性别平等。
