Menstrual Hygiene Management Practice and its Determinants Among Adolescent girls in Second Cycle Students of Sebeta Town, Oromia, Ethiopia.

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Addis Abeba Universty


Background: Menstruation and menstrual practices are still clouded by socio-cultural restrictions resulting in adolescent girls remaining ignorant of the scientific facts and hygienic health practices. Objective: The objective of this study was to assess menstrual hygiene management practice among adolescent girls and its determinants in second cycle schools of Sebeta Town, Oromia Regional State. Materials and Methods: A school based cross-sectional study design was conducted among 466 in-school adolescent girls of grade 7 & 8 in Sebeta Town in December 2016. A single-stage cluster sampling was used to select the students for the present study. The outcome variable for the present study was menstrual hygiene management practice among in-school adolescents. Data management task was undertaken on EpiData 3.1 and analysis was done using SPSS for windows version 21. Bivariate and multivariable logistic regressions analysis were conducted to identify the determinant factors of menstrual hygiene practice of adolescent female in-school students. A p-value of 5% was used as a cut off value to declare statistical significance in this study. Results: The proposed sample size for the present study was 485; however, a total of 466 adolescent female students participated in the study making the response rate 95.9%. The prevalence of proper practice of menstrual hygiene management among in-school adolescent girls was one in five (21.0%). Mothers were the major source of information about menstruation before menarche and menstrual hygiene management as well. Young adolescent girls who had a partial awareness about menstrual hygiene management practice [AOR=0.60 (0.36, 0.98)] and unfavorable attitude towards it [AOR=0.37, 95% CI : 0.22, 0.61] were less likely to practice menstrual hygiene management. Conclusion: The level of proper menstrual hygiene management practice among young adolescent in-school girls is very low and large proportions do not properly wash and change menstrual pad. Many adolescent girls miss school because they lack appropriate facilities within school that allow for private management of their menstrual hygiene. Working on awareness creation on menstrual hygiene management and making school environment conducive to girls does greatly improve the menstrual hygiene management experience of young adolescent girls.



Menstrual Hygiene Management Practice