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      Impact of health education intervention on menstruation and its hygiene among urban school-going adolescent girls in Thiruvallur, Tamilnadu

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          Abstract

          Introduction:

          Adolescent girls require specific and special attention since they are the most vulnerable group not only in terms of their social status but also their health. Poor menstrual hygiene can lead to developing infections and other complications. Therefore, this study was conducted with the aim of assessing the impact of health education on menstrual hygiene among urban school-going adolescent girls.

          Methodology:

          A quasi-experimental, pre and post-test study was conducted among adolescent girls aged between 11 to 17 years from two public schools in the urban field practice area of tertiary care medical college in Thiruvallur district of Tamilnadu. A pre-interventional survey was done using a pretested validated questionnaire. Multipronged health education intervention was administered, and its effectiveness was measured after four months using the same tool. Frequencies, percentages, median, and range were used to describe variables. ‘Wilcoxon signed-rank test’ and the “Mann–Whitney U-” test were used for inferential statistics.

          Results:

          There was a statistically significant ( P = 0.0001) improvement in the knowledge of menstruation, perceived attitude, and practice of good menstrual hygiene from pre to post-test after the intervention. Demographic factors such as age, mother’s education, and socio-economic status, and Menstrual characteristics such as age at menarche, regular menstrual flow, absence of dysmenorrhea, and getting menstruation advice before menarche were found to be significantly associated with the post-test median scores.

          Conclusion:

          A planned and structured health education program should be addressed to adolescent girls both at schools and community settings for improving menstruation-related knowledge and practices.

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          Most cited references18

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          Menstrual Hygiene: How Hygienic is the Adolescent Girl?

          Background: Menstruation and menstrual practices are still clouded by taboos and socio-cultural restrictions resulting in adolescent girls remaining ignorant of the scientific facts and hygienic health practices, which sometimes result into adverse health outcomes. Objectives: (i) To elicit the beliefs, conception and source of information regarding menstruation among the study population and (ii) to find out the status of menstrual hygiene among adolescent girls. Materials and Methods: A descriptive, cross-sectional study was conducted among 160 adolescent girls of a secondary school situated in the field practice area of Rural Health Unit and Training Center, Singur, West Bengal, with the help of a pre-designed and pre-tested questionnaire. Data were analyzed statistically by simple proportions. Results: Out of 160 respondents, 108 (67.5%) girls were aware about menstruation prior to attainment of menarche. Mother was the first informant regarding menstruation in case of 60 (37.5%) girls. One hundred and thirty-eight (86.25%) girls believed it as a physiological process. Seventy-eight (48.75%) girls knew the use of sanitary pad during menstruation. Regarding practices, only 18 (11.25%) girls used sanitary pads during menstruation. For cleaning purpose, 156 (97.5%) girls used both soap and water. Regarding restrictions practiced, 136 (85%) girls practised different restrictions during menstruation. Conclusions: Menstrual hygiene, a very important risk factor for reproductive tract infections, is a vital aspect of health education for adolescent girls. Educational television programmes, trained school nurses/health personnel, motivated school teachers and knowledgeable parents can play a very important role in transmitting the vital message of correct menstrual hygiene to the adolescent girl of today.
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            The Effect of Community-Based Health Education Intervention on Management of Menstrual Hygiene among Rural Indian Adolescent Girls

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              Factors influencing hygienic practices during menses among girls from South India – a cross sectional study

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                Author and article information

                Journal
                J Family Med Prim Care
                J Family Med Prim Care
                JFMPC
                J Family Med Prim Care
                Journal of Family Medicine and Primary Care
                Wolters Kluwer - Medknow (India )
                2249-4863
                2278-7135
                September 2022
                14 October 2022
                : 11
                : 9
                : 5271-5276
                Affiliations
                [1 ] Department of Community Medicine, Saveetha Medical College, Tamil Nadu, India
                [2 ] Department of Community Medicine, Sri Balaji Medical College, Tamil Nadu, India
                Author notes
                Address for correspondence: Dr. Nisha B, Department of Community Medicine, Saveetha Medical College and Hospital, Thandalam - 602 105, Tamil Nadu, India. E-mail: drnishacm2014@ 123456gmail.com
                Article
                JFMPC-11-5271
                10.4103/jfmpc.jfmpc_46_22
                9731068
                36505589
                e40d5a7b-2411-4788-b3ab-db4ad9428210
                Copyright: © 2022 Journal of Family Medicine and Primary Care

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 07 January 2022
                : 05 March 2022
                : 10 March 2022
                Categories
                Original Article

                adolescent girls,health education intervention,menstrual hygiene,menstruation,school-based

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