An Assessment of Menstrual Hygiene Management among Adolescent School Girls in Mazabuka District and the Impact on their Education

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Date
2023
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Adolescence is a time of transition from childhood to maturity, and during this time, various changes such as menstruation take place. Menstruation is the regular flow of blood through the vaginal cavity that coincides with the shedding of the uterine mucosa. (Oyebola, 2002). Menstruation is a normal and healthy physical process for girls and women in their reproductive years however managing it presents a number of difficulties that are primarily brought on by negative cultural perception. Menstrual cycle is stigmatized in most societies and possesses hindrance to women and girls especially where participation in community activities is concerned. Menstruation tends to demoralize young girls and burden them with emotions of guilt, humiliation, and worthlessness, especially for those who may not know how to maintain the best hygiene which affects their school performance. The objective of the study was to assess the menstrual hygiene management among adolescent school girls in the district and its impact on their education. A quantitative cross-sectional study was used to conduct this research; data was collected through self-administered questionnaire which was then analyzed using SPSS version 16, the sample size (91) was obtained using Yamane formula. The study made use of multi-stage and random sampling methods in the selection of study participants. It was found that the largest number of respondents (57.3%) had family members more than five while the least number of respondents (42.7%) had family members less than 5, additionally 66.3 % were able to purchase sanitary pads while 33.7 could not manage. In relation to their knowledge on menstruation 100 % of the respondents had knowledge on the importance of bathing during menstruation however, 85.4% of the girls said menstrual blood was unclean, and 2.2% were not sure. 96.7% of those surveyed said agreed that hormonal changes in the body were to blame for menstruation. One-fourth of the respondents were not sure of the origin of menstrual blood, while 55.5% named the womb, 15.6% the abdomen, and 13.3% the bladder. The findings also indicate that 57.3% of the respondents were not frowned upon discussion of periods, 25.3 % gave correct answer about presence of harmful substances in their menses. Due to cultural differences 17.8% of the respondents did not bath regularly while on periods consequently, 37.1% demonstrated that they were missing from school because of feminine cycle and 43.8% detailed that they missed school because of period for 1-4 days in a month. More than half (51.6 %) of the respondents missed game or play because of period, while 27.3 % of the girls concurred that feminine cycle impeded them from walking far. Majority (57.6%) also indicated lack of menstrual resources such as water, 51.7 had no access to soap and 67.3 of the respondents were not able to purchase disposable sanitary pads. It was concluded that social factors affect knowledge, attitudes, and practices related to menstrual hygiene management among adolescents in peri-urban schools, Culture, lack of knowledge and economic reasons have greater impact on menstrual hygiene among school going children, hence government and key stakeholders need to put up measures into ensuring that schools have a girl-friendly environment, where resources like running water, soap, and sanitary facilities are available.
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