Safe menstrual hygiene management practice and associated factors among female adolescent students at high schools in central Ethiopia: A mixed–method study
BackgroundMenstrual Hygiene Management (MHM) is a much-neglected issue in developing countries, including Ethiopia. Menstruating women and girls are forced into isolation, prevented from movement, dietary restrictions, and can be prevented from participating in daily routine activities. Furthermore,...
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| Language: | English |
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.913262/full |
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| author | Berhanu Senbeta Deriba Girma Garedew Diriba Gemeda Tinsae Abeya Geleta Kemal Jemal Elias Teferi Bala Mulugeta Mekuria Tadesse Nigussie Dejene Edosa Dirirsa Elsabeth Legesse |
| author_facet | Berhanu Senbeta Deriba Girma Garedew Diriba Gemeda Tinsae Abeya Geleta Kemal Jemal Elias Teferi Bala Mulugeta Mekuria Tadesse Nigussie Dejene Edosa Dirirsa Elsabeth Legesse |
| author_sort | Berhanu Senbeta Deriba |
| collection | DOAJ |
| description | BackgroundMenstrual Hygiene Management (MHM) is a much-neglected issue in developing countries, including Ethiopia. Menstruating women and girls are forced into isolation, prevented from movement, dietary restrictions, and can be prevented from participating in daily routine activities. Furthermore, the way almost all previous studies conducted in Ethiopia measured the practice of MHM did not meet standard definition of safe MHM. This study aimed to assess safe management of menstrual hygiene practice and associated factors among female adolescent students in public high schools in central Ethiopia.MethodsA mixed-methods approach was employed in this study. Systematic random sampling technique was used to select 846 study participants. The collected data were entered through EPI INFO version 7 and exported to SPSS version 23 for cleaning and analysis. Bivariate and multivariate logistic regression analysis were performed to identify the association between MHM and independent variables. Finally, AOR, 95% CI, and p-value < 0.05 were considered statistically significant. The qualitative data was analyzed by ATLAS.ti in order to extract the main themes and categories. Direct quotations were presented with a thick description of the findings.ResultsThe safe management of menstrual hygiene was 28.20%. Living with parents (AOR = 2.51, 95% CI:1.11–5.68), living with relatives (AOR = 7.41, 95% CI:2.55–21.54), having a merchant mother (AOR = 1.81, 95% CI:1.14–2.9), having a mother who has private work (AOR = 4.56, 95% CI:1.31–5.90), having a farmer father (AOR = 1.53, 95% CI:1.1–2.31), rural resident (AOR = 1.61, 95% CI: 1.17–2.21) and realizing the absence of container for storing sanitary napkins in the toilet of the school latrine (AOR = 1.44, 95% CI: 1.1–0.94) were factors associated with MHM. Findings from a qualitative study were discussed under four themes to explore barriers to menstrual hygiene management, and three themes emerged as enablers to menstrual hygiene management.ConclusionsThe safe management of menstrual hygiene was low among adolescent girls. People with whom adolescent girls live, the occupational status of mother and father, residence, the availability of a container to dispose of sanitary napkins in school toilets were factors associated with menstrual hygiene management. Behavioral change communications must be provided to female students about menstrual hygiene. |
| first_indexed | 2024-04-14T03:43:17Z |
| format | Article |
| id | doaj.art-65f882234a894922836f07c7e404099c |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-14T03:43:17Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-65f882234a894922836f07c7e404099c2022-12-22T02:14:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-07-011010.3389/fpubh.2022.913262913262Safe menstrual hygiene management practice and associated factors among female adolescent students at high schools in central Ethiopia: A mixed–method studyBerhanu Senbeta Deriba0Girma Garedew1Diriba Gemeda2Tinsae Abeya Geleta3Kemal Jemal4Elias Teferi Bala5Mulugeta Mekuria6Tadesse Nigussie7Dejene Edosa Dirirsa8Elsabeth Legesse9Department of Public Health Fitche, College of Medicine and Health Sciences, Salale University, Fiche, EthiopiaDepartment of Public Health Fitche, College of Medicine and Health Sciences, Salale University, Fiche, EthiopiaDepartment of Public Health Fitche, College of Medicine and Health Sciences, Salale University, Fiche, EthiopiaDepartment of Public Health Fitche, College of Medicine and Health Sciences, Salale University, Fiche, EthiopiaDepartment of Nursing, College of Medicine and Health Sciences, Salale University, Fitche, EthiopiaDepartment of Public Health, Ambo University College of Medicine and Health Sciences, Ambo, EthiopiaDepartment of Public Health, Ambo University College of Medicine and Health Sciences, Ambo, EthiopiaDepartment of Public Health Fitche, College of Medicine and Health Sciences, Salale University, Fiche, EthiopiaDepartment of Midwifery, College of Medicine and Health Sciences, Salale University, Fitche, EthiopiaDepartment of Public Health Fitche, College of Medicine and Health Sciences, Salale University, Fiche, EthiopiaBackgroundMenstrual Hygiene Management (MHM) is a much-neglected issue in developing countries, including Ethiopia. Menstruating women and girls are forced into isolation, prevented from movement, dietary restrictions, and can be prevented from participating in daily routine activities. Furthermore, the way almost all previous studies conducted in Ethiopia measured the practice of MHM did not meet standard definition of safe MHM. This study aimed to assess safe management of menstrual hygiene practice and associated factors among female adolescent students in public high schools in central Ethiopia.MethodsA mixed-methods approach was employed in this study. Systematic random sampling technique was used to select 846 study participants. The collected data were entered through EPI INFO version 7 and exported to SPSS version 23 for cleaning and analysis. Bivariate and multivariate logistic regression analysis were performed to identify the association between MHM and independent variables. Finally, AOR, 95% CI, and p-value < 0.05 were considered statistically significant. The qualitative data was analyzed by ATLAS.ti in order to extract the main themes and categories. Direct quotations were presented with a thick description of the findings.ResultsThe safe management of menstrual hygiene was 28.20%. Living with parents (AOR = 2.51, 95% CI:1.11–5.68), living with relatives (AOR = 7.41, 95% CI:2.55–21.54), having a merchant mother (AOR = 1.81, 95% CI:1.14–2.9), having a mother who has private work (AOR = 4.56, 95% CI:1.31–5.90), having a farmer father (AOR = 1.53, 95% CI:1.1–2.31), rural resident (AOR = 1.61, 95% CI: 1.17–2.21) and realizing the absence of container for storing sanitary napkins in the toilet of the school latrine (AOR = 1.44, 95% CI: 1.1–0.94) were factors associated with MHM. Findings from a qualitative study were discussed under four themes to explore barriers to menstrual hygiene management, and three themes emerged as enablers to menstrual hygiene management.ConclusionsThe safe management of menstrual hygiene was low among adolescent girls. People with whom adolescent girls live, the occupational status of mother and father, residence, the availability of a container to dispose of sanitary napkins in school toilets were factors associated with menstrual hygiene management. Behavioral change communications must be provided to female students about menstrual hygiene.https://www.frontiersin.org/articles/10.3389/fpubh.2022.913262/fulladolescent girlscentral Ethiopiahygienemenstruationschool |
| spellingShingle | Berhanu Senbeta Deriba Girma Garedew Diriba Gemeda Tinsae Abeya Geleta Kemal Jemal Elias Teferi Bala Mulugeta Mekuria Tadesse Nigussie Dejene Edosa Dirirsa Elsabeth Legesse Safe menstrual hygiene management practice and associated factors among female adolescent students at high schools in central Ethiopia: A mixed–method study Frontiers in Public Health adolescent girls central Ethiopia hygiene menstruation school |
| title | Safe menstrual hygiene management practice and associated factors among female adolescent students at high schools in central Ethiopia: A mixed–method study |
| title_full | Safe menstrual hygiene management practice and associated factors among female adolescent students at high schools in central Ethiopia: A mixed–method study |
| title_fullStr | Safe menstrual hygiene management practice and associated factors among female adolescent students at high schools in central Ethiopia: A mixed–method study |
| title_full_unstemmed | Safe menstrual hygiene management practice and associated factors among female adolescent students at high schools in central Ethiopia: A mixed–method study |
| title_short | Safe menstrual hygiene management practice and associated factors among female adolescent students at high schools in central Ethiopia: A mixed–method study |
| title_sort | safe menstrual hygiene management practice and associated factors among female adolescent students at high schools in central ethiopia a mixed method study |
| topic | adolescent girls central Ethiopia hygiene menstruation school |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.913262/full |
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