Breaking Silence on Menstrual Hygiene Management
DOI:
https://doi.org/10.52206/jsmc.2025.15.3.975Abstract
Background: Awareness regarding menstrual hygiene is a significant public health and societal issue among young girls in developing countries. In South Asian countries, including Pakistan, adolescent girls are often unprepared mentally, emotionally, and physically for the onset of menstruation, largely due to a lack of awareness and prevailing social taboos.
Objective: To assess the awareness and practices regarding menstrual hygiene among adolescent girls in public sector schools of District Peshawar.
Methodology: This descriptive cross-sectional study was conducted in June 2022 among girls from classes 7, 8, and 9 who had attained menarche, studying in selected public sector schools in Peshawar. A total sample of 500 participants was recruited using a convenience sampling technique. Data were collected using a previously validated, self-administered questionnaire. Descriptive statistics were analyzed using SPSS version 21.
Results: Out of 500 participants, 247 (49.4%) were aware of menstrual hygiene management (MHM). Mothers were reported as the sole source of menstrual information by 230 (46%) participants. The use of traditional cloth as an absorbent during menstruation was common among 45% of respondents, and 59.2% avoided bathing during menstruation. Additionally, 236 (47.25%) participants reported avoiding routine activities during their menstrual cycles. The study also revealed that many school-going girls faced various social and cultural restrictions during menstruation.
Conclusion: The findings highlight a critical gap in access to accurate and reliable information regarding menstrual hygiene management among school-going girls. Misbeliefs and misconceptions continue to prevail due to cultural taboos and inadequate education. There is an urgent need to develop school-based awareness programs and policy-level interventions that promote safe and informed sanitary practices among adolescents.
Keywords: Adolescent girls, Awareness, Menstrual hygiene.
References
Shah SF, Punjani NS, Rizvi SN, Sheikh SS, Jan R. Knowledge, attitudes, and practices regarding menstrual hygiene among girls in Ghizer, Gilgit, Pakistan. Int J Environ Res Public Health. 2023;20(14):6424. https://doi.org/10.3390/ijerph20146424
Atari DO, Tariquzzaman SK, Nancy A. Knowledge and perceptions on menstrual hygiene management among school-going adolescent girls in South Sudan. J Adolesc Res. 2021;39(2):361–386. https://doi.org/10.1177/07435584211043293
Tufail Z, Ahmer W, Gulzar S, Hasanain M, Shah HH. Menstrual hygiene management in flood-affected Pakistan: Addressing challenges and ensuring women’s health and dignity. Front Glob Women’s Heal. 2023;4:1–4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10433887/
Wasan Y, Baxter JB, Rizvi A, Shaheen F, Junejo Q, Abro MA, et al. Practices and predictors of menstrual hygiene management material use among adolescent and young women in rural Pakistan: A cross-sectional assessment. J Glob Health. 2022 10;12:04059. https://pubmed.ncbi.nlm.nih.gov/35908217/
Betsu BD, Medhanyie AA, Gebrehiwet TG, Wall LL. Menstrual hygiene management interventions and their effects on schoolgirls’ menstrual hygiene experiences in low and middle countries: A systematic review. PLoS One. 2024;19(8):e0302523. https://doi.org/10.1371/journal. pone.0302523.6
Akoth C, Wambiya EO, Kibe PM, Mbuthia GW, Ng’ang’a L. Prevalence and factors associated with unmet need for menstrual hygiene management in six countries in Sub-Saharan Africa: A multilevel analysis. BMC Womens Health. 2024;24:473. https://doi.org/10.1186/s12905-024-03211-y
Khanal G, Shrestha N, Adhikari K, Ghimire U. Menstruation hygiene management among secondary school students of Chitwan, Nepal: a cross-sectional study. BMC Women’s Health. 2023;23(1):395. https://doi.org/10.1186/s12905-023-02494-x
Khan R, Saeed F, Qureshi H. Dispelling myths around menstruation: Evidence from wareness campaigns in rural Pakistan. J Pak Med Assoc. 2020;70(6):1012–8. https://doi.org/10.54112/bcsrj.v2024i1.1352
Shah SF, Punjani NS, Rizvi SN, Sheikh SS, Jan R. Knowledge, attitudes, and practices regarding menstrual hygiene among girls in Ghizer, Gilgit, Pakistan. Int J Environ Res Public Health. 2023;20(14):6424. https://doi.org/10.3390/ijerph20146424
Afzaal SS, Shahzeb L, Tahir S, Javed H, Saeed A, Pal MHA, et al. Awareness and practices of menstrual hygiene among rural adolescent schoolgirls in Lahore, Pakistan: a cross-sectional study. Cureus. 2024 Nov 18;16(11):e73899. https://doi.org/10.7759/cureus.73899
Head A, Huggett C, Chea P, Yamakoshi B, Suttor H, Hennegan J. Systematic review of the effectiveness of menstrual health interventions in low- and middle-income countries in the East Asia and Pacific region. The Lancet Regional Health – Southeast Asia. 2024;20:100295. https://doi.org/10.1016/j.lansea.2023.100295
Naeem K, Klawitter S, Aziz A. Learning, acting, and learning (LAL) research on schools’ menstrual hygiene management (MHM): Pakistan. Waterlines. 2015;34(1):103. https://www.researchgate.net/publication/348679622
Human Right Watch. Understanding Menstrual Hygiene Management. Wash United. 2017;1–28. https://www.unicef.org/media/91341/file/UNICEF-Guidance-menstrual-health-hygiene-2019.pdf
Marques P, Madeira T, Gama A. Menstrual cycle among adolescents: girls’ awareness and influence of age at menarche and overweight. Revista Paulista de Pediatria. 2022;40. https://pubmed.ncbi.nlm.nih.gov/35019010/
Pakistan Bureau of Statistics. 01808-2017. https://www.pbs.gov.pk/census-2017-district-wise/results/018
Belayneh Z, Mekuriaw B. Knowledge and menstrual hygiene practice among adolescent school girls in southern Ethiopia: A cross-sectional study. BMC Public Health. 2019 Nov 29;19(1). https://pubmed.ncbi.nlm.nih.gov/31783741/
Khanal P. Knowledge and Practice of Menstrual Hygiene among Adolescent School Girls in Tanahun District. Patan Pragya. 2019;5(1):103–12. https://doi.org/10.3126/pragya.v5i1.30442
R Panda N, Desaraju S, Panigrahy RP, Ghosh U, Saxena S, Singh P, et al. Menstrual health and hygiene amongst adolescent girls and women of reproductive age: a study of practices and predictors, Odisha, India. BMC Womens Health. 2024;24(1):144. https://doi.org/10.1186/s12905-024-02894-7
Akbar S, Khalil A, Hameed R, Khaleel F, Tasleem F, Zafar M, et al. Menstrual hygiene knowledge and practices among school adolescent girls in rural community, Lahore, Pakistan. Biol Clin Sci Res J. 2024; 2024(1):1352. https://doi.org/10.54112/bcsrj.v2024i1.1352
Ahmad A, Khan A, Batool Z, Khan M, Niazi S, Rauf A, et al. Becoming women: period. Perceptions of barriers and facilitators to menstrual hygiene management programs for Pakistani girls. Front Public Health. 2023;11: 1083688. https://doi.org/10.3389/fpubh.2023.1083688
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