Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research.

<h4>Background</h4>Poor menstrual hygiene practices influence school girls' dignity, well-being and health, school-absenteeism, academic performance, and school dropout in developing countries. Despite this, menstrual hygienic practices are not well understood and have not received...

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Autores principales:	Yohannes Habtegiorgis, Tadesse Sisay, Helmut Kloos, Asmamaw Malede, Melaku Yalew, Mastewal Arefaynie, Yitayish Damtie, Bereket Kefale, Tesfaye Birhane Tegegne, Elsabeth Addisu, Mistir Lingerew, Leykun Berhanu, Gete Berihun, Tarikuwa Natnael, Masresha Abebe, Alelgne Feleke, Adinew Gizeyatu, Ayechew Ademas, Zinabu Fentaw, Tilaye Matebe Yayeh, Fitsum Dangura, Metadel Adane
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/9c8ae093e8984ad1b3faa1213c921876
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id	oai:doaj.org-article:9c8ae093e8984ad1b3faa1213c921876
record_format	dspace
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yohannes Habtegiorgis Tadesse Sisay Helmut Kloos Asmamaw Malede Melaku Yalew Mastewal Arefaynie Yitayish Damtie Bereket Kefale Tesfaye Birhane Tegegne Elsabeth Addisu Mistir Lingerew Leykun Berhanu Gete Berihun Tarikuwa Natnael Masresha Abebe Alelgne Feleke Adinew Gizeyatu Ayechew Ademas Zinabu Fentaw Tilaye Matebe Yayeh Fitsum Dangura Metadel Adane Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research.
description	<h4>Background</h4>Poor menstrual hygiene practices influence school girls' dignity, well-being and health, school-absenteeism, academic performance, and school dropout in developing countries. Despite this, menstrual hygienic practices are not well understood and have not received proper attention by school WASH programs. Therefore, this study examined the extent of good menstrual hygiene practices and associated factors among high school girls in Dessie City, Amhara Region, northeastern Ethiopia.<h4>Methods</h4>A school-based cross-sectional study was employed to examine 546 randomly selected high school students in Dessie City, northeastern Ethiopia. Pretested interviewer-administered questionnaires and a school observational checklist were used for data collection. EpiData Version 4.6 and the Statistical Package for the Social Sciences Version 25.0 were used for data entry and analysis, respectively. Bivariate and multivariable logistics regression analyses were employed to identify factors associated with good menstrual hygiene practices. During bivariable analysis, variables with P-values less than 0.25 were retained for multivariable analysis. In the multivariable analysis, variables with a P-value less than 0.05 were declared to be significantly associated with good menstrual hygiene practices.<h4>Results</h4>Of the respondents, 53.9% (95% CI [49.6, 58.2]) reported good menstrual hygiene practices. The following factors were found to be significantly associated with good menstrual hygiene practices: age range 16-19 years (AOR = 1.93, 95% CI: [1.22-3.06]); school grade level 10 (AOR = 1.90, 95% CI: [1.18-3.07]); maternal education (primary) (AOR = 3.72, 95% CI: [1.81-7.63]), maternal education (secondary) (AOR = 8.54, 95% CI: [4.18-17.44]), maternal education (college) (AOR = 6.78, 95% CI: [3.28-14.02]) respectively]; having regular menses [AOR = 1.85, 95% CI: (1.03-3.32); good knowledge regarding menstruation (AOR = 2.02, 95% CI: [1.32-3.09]); discussing menstrual hygiene with friends (AOR = 1.79, 95% CI: [1.12-2.86]), and obtaining money for pads from the family (AOR = 2.08, 95% CI: [1.15-3.78]).<h4>Conclusion</h4>We found that more than half of high school girls had good menstrual hygiene practices. Factors significantly associated with good menstrual hygiene practices include high school girls age 16-18 years, girls grade level 10, maternal education being completed primary, secondary and college level, having regular menses, good knowledge regarding menstruation, discussing menstrual hygiene with friends and obtaining money for pads from the family. Therefore, educating of high school student mothers about MHP should be a priority intervention area to eliminate the problem of menstrual hygiene among daughters. Furthermore, in order to improve the MHP among high school girls, further attention is needed to improving knowledge regarding menstruation among high school girls, encouraging high school girls' families to support their daughters by buying sanitary pads and promoting discussions among friends about menstrual hygiene. Schools need to focus on making the school environment conducive to managing menstrual hygiene by increasing awareness of safe MHP and providing adequate water/sanitation facilities.
format	article
author	Yohannes Habtegiorgis Tadesse Sisay Helmut Kloos Asmamaw Malede Melaku Yalew Mastewal Arefaynie Yitayish Damtie Bereket Kefale Tesfaye Birhane Tegegne Elsabeth Addisu Mistir Lingerew Leykun Berhanu Gete Berihun Tarikuwa Natnael Masresha Abebe Alelgne Feleke Adinew Gizeyatu Ayechew Ademas Zinabu Fentaw Tilaye Matebe Yayeh Fitsum Dangura Metadel Adane
author_facet	Yohannes Habtegiorgis Tadesse Sisay Helmut Kloos Asmamaw Malede Melaku Yalew Mastewal Arefaynie Yitayish Damtie Bereket Kefale Tesfaye Birhane Tegegne Elsabeth Addisu Mistir Lingerew Leykun Berhanu Gete Berihun Tarikuwa Natnael Masresha Abebe Alelgne Feleke Adinew Gizeyatu Ayechew Ademas Zinabu Fentaw Tilaye Matebe Yayeh Fitsum Dangura Metadel Adane
author_sort	Yohannes Habtegiorgis
title	Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research.
title_short	Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research.
title_full	Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research.
title_fullStr	Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research.
title_full_unstemmed	Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research.
title_sort	menstrual hygiene practices among high school girls in urban areas in northeastern ethiopia: a neglected issue in water, sanitation, and hygiene research.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/9c8ae093e8984ad1b3faa1213c921876
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spelling	oai:doaj.org-article:9c8ae093e8984ad1b3faa1213c9218762021-12-02T20:10:55ZMenstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research.1932-620310.1371/journal.pone.0248825https://doaj.org/article/9c8ae093e8984ad1b3faa1213c9218762021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0248825https://doaj.org/toc/1932-6203<h4>Background</h4>Poor menstrual hygiene practices influence school girls' dignity, well-being and health, school-absenteeism, academic performance, and school dropout in developing countries. Despite this, menstrual hygienic practices are not well understood and have not received proper attention by school WASH programs. Therefore, this study examined the extent of good menstrual hygiene practices and associated factors among high school girls in Dessie City, Amhara Region, northeastern Ethiopia.<h4>Methods</h4>A school-based cross-sectional study was employed to examine 546 randomly selected high school students in Dessie City, northeastern Ethiopia. Pretested interviewer-administered questionnaires and a school observational checklist were used for data collection. EpiData Version 4.6 and the Statistical Package for the Social Sciences Version 25.0 were used for data entry and analysis, respectively. Bivariate and multivariable logistics regression analyses were employed to identify factors associated with good menstrual hygiene practices. During bivariable analysis, variables with P-values less than 0.25 were retained for multivariable analysis. In the multivariable analysis, variables with a P-value less than 0.05 were declared to be significantly associated with good menstrual hygiene practices.<h4>Results</h4>Of the respondents, 53.9% (95% CI [49.6, 58.2]) reported good menstrual hygiene practices. The following factors were found to be significantly associated with good menstrual hygiene practices: age range 16-19 years (AOR = 1.93, 95% CI: [1.22-3.06]); school grade level 10 (AOR = 1.90, 95% CI: [1.18-3.07]); maternal education (primary) (AOR = 3.72, 95% CI: [1.81-7.63]), maternal education (secondary) (AOR = 8.54, 95% CI: [4.18-17.44]), maternal education (college) (AOR = 6.78, 95% CI: [3.28-14.02]) respectively]; having regular menses [AOR = 1.85, 95% CI: (1.03-3.32); good knowledge regarding menstruation (AOR = 2.02, 95% CI: [1.32-3.09]); discussing menstrual hygiene with friends (AOR = 1.79, 95% CI: [1.12-2.86]), and obtaining money for pads from the family (AOR = 2.08, 95% CI: [1.15-3.78]).<h4>Conclusion</h4>We found that more than half of high school girls had good menstrual hygiene practices. Factors significantly associated with good menstrual hygiene practices include high school girls age 16-18 years, girls grade level 10, maternal education being completed primary, secondary and college level, having regular menses, good knowledge regarding menstruation, discussing menstrual hygiene with friends and obtaining money for pads from the family. Therefore, educating of high school student mothers about MHP should be a priority intervention area to eliminate the problem of menstrual hygiene among daughters. Furthermore, in order to improve the MHP among high school girls, further attention is needed to improving knowledge regarding menstruation among high school girls, encouraging high school girls' families to support their daughters by buying sanitary pads and promoting discussions among friends about menstrual hygiene. Schools need to focus on making the school environment conducive to managing menstrual hygiene by increasing awareness of safe MHP and providing adequate water/sanitation facilities.Yohannes HabtegiorgisTadesse SisayHelmut KloosAsmamaw MaledeMelaku YalewMastewal ArefaynieYitayish DamtieBereket KefaleTesfaye Birhane TegegneElsabeth AddisuMistir LingerewLeykun BerhanuGete BerihunTarikuwa NatnaelMasresha AbebeAlelgne FelekeAdinew GizeyatuAyechew AdemasZinabu FentawTilaye Matebe YayehFitsum DanguraMetadel AdanePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0248825 (2021)

Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research.

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