EXPOSURE TO MENSTRUAL HYGIENE INFORMATION AMONG WOMEN IN SOUTH EAST, NIGERIA

Amaka Juliet Moneke, Uche Victor Ebeze (PhD), Ekene Godfrey Okafor (PhD)

Abstract


As menstrual hygiene issues have continued to gain prominence across the globe, this work examined the extent of exposure and medium of exposure to menstrual hygiene information among women in south East, Nigeria. This study adopted a mixed research of both quantitative and qualitative designs involving the ‘survey’, and ‘Focus Group Discussion’. Survey was used to determine the women’s exposure to menstrual hygiene information. Focus Group discussion on the other hand, helped gain insights into their shared understandings and interpretations regarding this exposure. For the survey, multi stage probability sampling technique was employed to sample a total of 663 respondents, with 5% error margin and 99% confidence level, derived from the sample size table worked out by Krejcie and Morgan (1970), while purposive sampling was employed for the FGD. The study was anchored on the health belief model to argue that women in South East, Nigeria who are exposed to menstrual hygiene information have perceived chances of developing favourable or positive behavioural conditions. The study found that menstrual hygiene information is popular among the women in south east Nigeria but these information are still insufficient as lack of Information on Menstrual hygiene could result in Poor Menstrual hygiene which may pose some threats or health risks such as reproductive and urinary tract infections, among others. Although many of them already have some foundational knowledge on how to effectively manage their menstrual hygiene, they hardly wish to openly debate or discuss their menstrual health which they occasionally obtain through interpersonal communication/word of mouth, Internet/New media, and stories on any form of print literature. This work concludes that exposure to menstrual hygiene information among women in south east is widespread but the attention they give to such information is relatively minimal. The study recommends among others, that relevant institutions in Nigeria should provide sufficient educational contents for women in their early years of menstruation. This will help them learn how to manage their menstruation effectively. The study further recommends that the government, relevant agencies and non government organizations as well as individuals can assist by proving the healthy sanitary materials for women especially the poor, and the media should assist in the campaign for menstrual hygiene.


Keywords


Exposure, menstrual hygiene, menstrual hygiene information, women, South-East

Full Text:

PDF

References


Acharya, A., Yadav K, & Baridalyne N. (2006) Reproductive tract infections/ sexually transmitted infections in rural Haryana: experiences from the family health awareness campaign. Indian J Community Med. 2006;31(4):274–6.

Adinma, E.D., & Adinma, J.I., (2008). Perceptions and practices on menstruation amongst Nigerian secondary school girls. African Journal of Reproductive Health, 12, 74-83.

Alam M, U, Luby S, P., Halder A, K., Islam K, Opel A, Shoab A, K., (2017). Menstrual hygiene management among Bangladeshi adolescent schoolgirls and risk factors affecting school absence: results from a crosssectional survey. BMJ Open.

Aluko; O., Oluya, O.M., Olaleye, O.A., Olajuyin, A.A., Olabintan, T.F., Oloruntoba-Oju, O.I. (2014). Knowledge and menstrual hygiene practices among adolescents in senior secondary schools in Ile Ife, south-western Nigeria. Journal of Water, Sanitation and Hygiene for Development, 4(2), 248–256. Retrieved from https://doi.org/10.2166/washdev.2014.084.

Amatya P, Ghimire S, Callahan KE, Baral BK, Poudel KC. (2018). Practice and lived experience of menstrual exiles (Chhaupadi) among adolescent girls in far western Nepal. PLoS One;13(12):e0208260.

Ameade, E. P. K. (2015), Majeed SF. Improving girl child education and menstrual hygiene through free sanitary pad provision to secondary school girls-opinion of female university students in Ghana. J Health Edu Res Dev. 2015; 3(3):1–7.

Atari, D. O., Tariquzzaman, S. K. & Nancy, A. (2021). Knowledge and Perceptions on Menstrual Hygiene Management Among School-Going Adolescent Girls in South Sudan. Journal of Adolescent Research DOI: 10.1177/07435584211043293. journals.sagepub.com/home/jar

Baisley, K., Changalucha, J., Weiss, H.A., Mugeye, K., Everett, D., & Hambleton, I. (2009). Bacterial vaginosis in female facility workers in north-western Tanzania: prevalence and risk factors. Sex Transmitted Infections; 85, 370–375.

Balqis, M., Arya, I., & Ritonga, M. A. (2016). Knowledge, Attitude and Practice of Menstrual Hygiene among High Schools Students in Jatinangor. In Althea Medical Journal (Vol. 3, Issue 2).

Belayneh, Z, & Mekuriaw, B. (2019). Knowledge and menstrual hygiene practice among adolescent school girls in southern Ethiopia: a cross-sectional study. BMC Public Health. 2019 Nov 29;19(1):1595. doi: 10.1186/s12889-019-7973-9. PMID: 31783741; PMCID: PMC6884885.

Bhartiya A. (2013) Menstruation, religion and society. Int J Soc Sci Hum.;3(6):523–7.

Biran A, Curtis V, Gautam OP, Greenland K, Islam MS, Schmidt W-P, (2015). Menstrual Hygiene. In: Background paper on measuring WASH and food hygiene practices– definition of goals to be tackled post 2015 by the joint monitoring Programme. 1st ed. London: London School of Hygiene and Tropical Medicine.

Boakye, A., David, Y., Aladago, A., Beweleyir, J., Bawa, H., Marian, M., Salifu, F., & Asaarik, M. (2018). Assessing the knowledge, attitude and practice of menstrual hygiene management among junior high schools adolescent females in the Yendi Municipality in the Northern Region of Ghana. European Scientific Journal, 14(36), 1857–7881. Retrieved from https://doi.org/10.19044/esj.2018.v14n36p467

Boakye-Yiadom, A; Aladago, D. A.; Beweleyir, J.; Mohammed, H. B.; Salifu, M. F. & Asaarik, M. (2018). Assessing the Knowledge, Attitude and Practice of Menstrual Hygiene Management Among Junior High Schools Adolescent Females in the Yendi Municipality in the Northern Region of Ghana. European Scientific Journal December 2018 edition Vol.14, No.36 ISSN: 1857 – 7881 (Print) e - ISSN 1857- 7431 Doi: 10.19044/esj.2018.v14n36p467 URL:http://dx.doi.org/10.19044/esj.2018.v14n36p467

Budhathoki, S. S., Bhattachan M, Castro-Sánchez, E.,Sagtani, R. A.; Rayamajhi, R. B.; Rai, P & Sharma, G. (2018). Menstrual hygiene management among women and adolescent girls in the aftermath of the earthquake in Nepal. BMC Women's Health (2018) 18:33

Chandra-Mouli, V., & Patel, S.V., (2017). Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries. Reproductive Health, 14(1):30.

Chauhan S., Kumar, P., Marbaniang S.P., Id,S.S. (2021) Examining the predictors of use of sanitary napkins among adolescent girls: A multi-level approach. PLoS ONE. (2021) 30:e0250788. doi: 10.1371/journal.pone.0250788

Cheizom P, & Choden T. (2014) Role of Rural Women in Sanitation and Hygiene: A Gender Study From Bhutan. Bhutan. Bhutan: Ministry of Health and SNV (2014).

Choudhary N. & Gupta, M.K.(2019). A comparative study of perception and practices regarding menstrual hygiene among adolescent girls in urban and rural areas of Jodhpur district, Rajasthan. J Family Med Prim Care 2019;8:875-80.

Czerwinski BS (1996). Adult feminine hygiene practices. Appl Nurs Res. 1996;9(3):123–9.

Dahal K. (2008). Nepalese woman dies after banishment to shed during menstruation. BMJ. 337:a2520.

Das P., Baker K.K., Dutta A, Swain T, Sahoo S., Das B.S. (2015). Menstrual hygiene practices, WASH access and the risk of urogenital infection in women from Odisha, India. PLoS ONE. (2015) 10:1–16. doi: 10.1371/journal.pone.0130777

Dasgupta, A & Sarkar, M. (2008). Menstrual hygiene: how hygienic is the adolescent girl? Indian. Journal of Community Medicine, 2008; 33(2):77-80.

Edet, O. B, Bassey, P. E, Esienumoh, E. E. & Ndep, A. O. (2021). Attitudes, Beliefs and Perception of Menstruation Related Socio-Cultural Practices and Menstrual Hygiene Management among In-School Adolescent Girls inCross River State, Nigeriawww.ajbrui.org. Afr. J. Biomed. Res.Vol.24(September,2021);363-369

Ekoko, O. N. & Ikolo, V. E. (2021) "Menstrual Hygiene Literacy Campaign Among Secondary School Girls in Rural Areas of Delta State, Nigeria" (2021). Library Philosophy and Practice (e-journal). 5904. https://digitalcommons.unl.edu/libphilprac/5904

Fakhri M, Hamzehgardeshi Z, Hajikhani Golchin NA, Komili A. (2012) Promoting menstrual health among persian adolescent girls from low socioeconomic backgrounds: A quasi- experimental study. BMC Public Health. (2012) 12:2–6. doi: 10.1186/1471-2458-12-193

Gaelstel A. (2013). Women in Nepal suffer monthly ostracization. The New YorkTimes;14:2013 Accessed 5 Dec 2022.

Montgomery, P., Hennegan, J, Dolan, C., Wu, M., Steinfield, L., and Scott, L. (2016)Menstruation and the Cycle of Poverty: A Cluster Quasi-Randomised Control Trial of Sanitary Pad and Puberty Education Provision in Uganda. PLoS One. (12)11: e0166122.

Hennegan, J., Shannon, A.K., Rubli, J., Schwab, K.J., Melendez-Torres, G.J. (2019) Women's and girls' experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis. PLoS Med. 2019 May 16;16(5):e1002803. doi: 10.1371/journal.pmed.1002803. PMID: 31095568; PMCID: PMC6521998.

Jothy K., Kalaiselv I.S. (2012). Is menstrual hygiene and management an issue for the rural adolescent school girls? Elixir International Journal, 44, 7223-8.

Kabiru, K., Salami, J., Mettu, C., & Abolaji, A. (2019) Onset of menarche and adolescent menstrual hygiene practices in Semi-Urban Ibadan community, Nigeria. Women's Reproductive Health, 6(2), 102-117. DOI: 10.1080/23293691.2019.1601903.

Karout N. (2016) Knowledge and beliefs regarding menstruation among Saudi nursing students. J Nurs Educ Pract [Internet]. (2016) 6:23–30. doi: 10.5430/jnep.v6n1p23

Kuponiyi, S. (2020) End period poverty now: A well-informed adolescent initiative project. Voice of the Youth. Retrieved from https://www.voicesofyouth.org

Lawan, U.M.; Nafisa, W. Y. and Aisha, B. M. (2010). Menstruation and Menstrual Hygiene amongst Adolescent School Girls in Kano, Northwestern Nigeria. African Journal of Reproductive Health Sept. 2010 (Regular Issue); 14(3): 201-207).

MacGregor E, Chia H, Vohrah R, Wilkinson M. (1990). Migraine and menstruation: a pilot study. Cephalalgia. 10(6):305–10.

Mahon, T., & Fernandes, M., (2010) Menstrual hygiene in South Asia: a neglected issue for WASH (water, sanitation, and hygiene) programs, Journal of Gender & Development, 18 (1: Water), 99-113.

McMahon, S. A., Winch, P. J., Caruso, B. A., Ogutu, E. A., Ochari, I. A., & Rheingans, R. D. (2011). The girl with her period is the one to hang her head: Reflections on menstrual management among schoolgirls in rural Kenya. BMC International Health and Human Rights, 11(1), 7. Retrieved from https://doi.org/10.1186/1472-698X-11-7

Mukherjee, A.; Lama, M., Khakurel, U., Jha, A. N.; Ajose, F.; Acharya, S.; Tymes-Wilbekin, K.; Sommer, M.; Jolly, P. E. Lhaki, P. & Shrestha, S. (2020). Perception and practices of menstruation restrictions among urban adolescent girlsand women in Nepal: a cross- sectional survey., Reproductive Health (2020) 17:81. https://doi.org/10.1186/s12978-020- 00935-6

Nehulkar P, Holambe V, Thakur N. (2016). Knowledge, attitude and practices of adolescent girls regarding menstruation : A community based cross sectional study. Int J Recent Trends Sci Technol. (2016) 17:266–9. Available at: https://www.statperson.com/Journal /ScienceAndTechnology/Article/Volume17 Issue3/17_3_26.

Okafor-Terver I, S., Chuemchit M., (2017). Knowledge, belief and practice of menstrual hygiene management among in-school adolescents in Katsina state, Nigeria. J Health Res.31 (Suppl. 2): S179-87

Onyeji, E. (2019) Period Poverty: How menstruation makes Nigerian girls miss school. Premium Times. Retrieved from https://www.premiumtimesng.com/health/health-news/

Oppenheim, M. (2018). Kenyan girls forced into sex in exchange for sanitary products. The

Independent Newspaper.

Oyebola D. O. (2002) Female Reproduction. Essential Phy-siology for Students of Medicine, Pharmacy and Related Disciplines. Nihort Press, Ibadan. 2002: 232-244.

Pandey A. (2014). challenges experienced by adolescent girls while menstruation in kathmandu, valley: A qualitative study. J Community Med Health Educ [Internet]. (2014) 04:41–5. doi: 10.4172/2161-0711.1000285

Poureslami M, Osati-Ashtiani F. (2002). Assessing knowledge, attitudes, and behavior of adolescent girls in suburban districts of Tehran about dysmenorrhea and menstrual hygiene. J Int Women's Stud. 2002;3(2):51–61.

Rajanbir, K. Kanwaljit K. and Rajinder K. (2018). Menstrual Hygiene, Management, and Waste Disposal: Practices and Challenges Faced by Girls/Women of Developing Countries. Hindawi. Journal of Environmental and Public Health Volume 2018. https://doi.org/10.1155/2018/1730964

Ranabhat C, Kim CB, Choi EH, Aryal A, Park MB, Doh YA. (2015). Chhaupadi cultureand reproductive health of women in Nepal. Asia Pac J Public Health. 2015;27(7):785–95.

Rossouw, L. & Ross, H. (2021). Understanding Period Poverty: Socio-Economic Inequalities in Menstrual Hygiene Management in Eight Low- and Middle-Income Countries. Int. J. Environ. Res. Public Health 2021, 18, 2571. https:// doi.org/10.3390/ijerph18052571

Santra S. (2017). Assessment of knowledge regarding menstruation and practices related to maintenance of menstrual hygiene among the women of reproductive age group in a slum of Kolkata, West Bengal, India. International Journal of Community Medicine and Public Health, 4(3), 708-712.

Shanbhag D, Shilpa R, D’Souza N, Josephine P, Singh J, &Goud BR (2012). Perceptions regarding menstruation and Practices during menstrual cycles among high school going adolescent girls in resource limited settings around Bangalore city, Karnataka, India. International Journal of Collaborative Research on Internal Medicine & Public Health. Vol. 4 No. 7 (2012)

Tegegne TK, & Sisay MM. (2014). Menstrual hygiene management and schoolabsenteeism among female adolescent students in Northeast Ethiopia. BMCPublic Health. 14(1):1118.

Thakre SB, Thakre SS, Reddy M, Rathi N, Pathak K,& Ughade S (2011). Menstrual hygiene: Knowledge and practice among adolescent school girls of Saoner, Nagpur District. Journal of Clin. Diagnostic Res. (2011) 5:1027–33. Available online at: https://www.ircwash.org/sites/default/files/Thakre-2011-Menstrual.pdf

United Nations Education Social and Culture (UNESCO) Institute for Statistics (UIS) (2021):

Education Statistics Data at a Glance. Available at: http://www. uis.unesco.org/pages/default. ASPX.

Upashe S, P., Tekelab T, Mekonnen J., (2015) Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC women's health. (2015); 15 (1): 84.

Wangmo D, Pelzom S, Dem T. (2014). National Formative Study on Sanitation and Hygiene Behaviours. Bhutan. Bhutan: Ministry of Health (2014).

William, F & Ganong, M.D. (2003). The Female Reproductive System. Review of Medical Physiology. Lange 21st Ed. 2003: 437-451.

Yadav, R.N., Joshi, S., Poudel, R., & Pandeya, P. (2017). Knowledge, attitude, and practice on menstrual hygiene management among school adolescents. Journal of Nepal Health Research Council, 15 (37), 212-216


Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Amaka Juliet Moneke, Uche Victor Ebeze (PhD), Ekene Godfrey Okafor (PhD)

 

 

ISSN: 3027-0510 (Online)

 

   

 

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.