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The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh
OBJECTIVES: To assess the impact of a school-based menstrual education programme on: (1) menstrual knowledge, beliefs and practices, (2) menstrual disorders experienced, and (3) restrictions on menstruating adolescents. DESIGN: Intervention study. SETTING: Araihazar area, Bangladesh. PARTICIPANTS: 4...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4091465/ https://www.ncbi.nlm.nih.gov/pubmed/24993753 http://dx.doi.org/10.1136/bmjopen-2013-004607 |
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author | Haque, Syed Emdadul Rahman, Mosiur Itsuko, Kawashima Mutahara, Mahmuda Sakisaka, Kayako |
author_facet | Haque, Syed Emdadul Rahman, Mosiur Itsuko, Kawashima Mutahara, Mahmuda Sakisaka, Kayako |
author_sort | Haque, Syed Emdadul |
collection | PubMed |
description | OBJECTIVES: To assess the impact of a school-based menstrual education programme on: (1) menstrual knowledge, beliefs and practices, (2) menstrual disorders experienced, and (3) restrictions on menstruating adolescents. DESIGN: Intervention study. SETTING: Araihazar area, Bangladesh. PARTICIPANTS: 416 adolescent female students aged 11–16 years, in grade 6–8, and living with their parents. INTERVENTIONS: A school-based health education study conducted from April 2012 to April 2013. PRIMARY AND SECONDARY OUTCOME MEASURES: We randomly selected 3 of 26 high schools in the study area. We delivered 6 months of educational intervention by trained (by an obstetrician and gynaecologist) research assistants (RAs) on menstrual hygiene among school girls. RAs read the questionnaire and participants answered. The changes in knowledge, beliefs and practices regarding menstruation, menstrual disorders experienced, and the restrictions and behaviours practiced by menstruating adolescents were compared between the baseline and the follow-up assessments. RESULTS: After health education, participants reported a significant improvement (p<0.001) in ‘high knowledge and beliefs’ scores compared to baseline (51% vs 82.4%). Significant improvement was also observed in overall good menstrual practices (28.8% vs 88.9%), including improvements in using sanitary pads (22.4% change after the intervention), frequency of changing pads/cloths per day (68.8%), drying the used absorbent (77.6%), methods of disposing of the used absorbent (25.5%), and cleaning of genitalia (19.2%). During the follow-up, the participants reported significant improvements in the regularity of their menstrual cycle (94.5% vs 99.5%) and fewer complications during menstruation (78.6% vs 59.6%). CONCLUSIONS: The programme produced significant changes in the knowledge, beliefs and practices of menstrual hygiene, complications from lack of hygiene, and the behaviour and restrictions of the menstruating adolescents. These results demonstrate the feasibility of implementing a health education programme for adolescents on menstrual hygiene in secondary schools serving rural Bangladesh. |
format | Online Article Text |
id | pubmed-4091465 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-40914652014-07-11 The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh Haque, Syed Emdadul Rahman, Mosiur Itsuko, Kawashima Mutahara, Mahmuda Sakisaka, Kayako BMJ Open Public Health OBJECTIVES: To assess the impact of a school-based menstrual education programme on: (1) menstrual knowledge, beliefs and practices, (2) menstrual disorders experienced, and (3) restrictions on menstruating adolescents. DESIGN: Intervention study. SETTING: Araihazar area, Bangladesh. PARTICIPANTS: 416 adolescent female students aged 11–16 years, in grade 6–8, and living with their parents. INTERVENTIONS: A school-based health education study conducted from April 2012 to April 2013. PRIMARY AND SECONDARY OUTCOME MEASURES: We randomly selected 3 of 26 high schools in the study area. We delivered 6 months of educational intervention by trained (by an obstetrician and gynaecologist) research assistants (RAs) on menstrual hygiene among school girls. RAs read the questionnaire and participants answered. The changes in knowledge, beliefs and practices regarding menstruation, menstrual disorders experienced, and the restrictions and behaviours practiced by menstruating adolescents were compared between the baseline and the follow-up assessments. RESULTS: After health education, participants reported a significant improvement (p<0.001) in ‘high knowledge and beliefs’ scores compared to baseline (51% vs 82.4%). Significant improvement was also observed in overall good menstrual practices (28.8% vs 88.9%), including improvements in using sanitary pads (22.4% change after the intervention), frequency of changing pads/cloths per day (68.8%), drying the used absorbent (77.6%), methods of disposing of the used absorbent (25.5%), and cleaning of genitalia (19.2%). During the follow-up, the participants reported significant improvements in the regularity of their menstrual cycle (94.5% vs 99.5%) and fewer complications during menstruation (78.6% vs 59.6%). CONCLUSIONS: The programme produced significant changes in the knowledge, beliefs and practices of menstrual hygiene, complications from lack of hygiene, and the behaviour and restrictions of the menstruating adolescents. These results demonstrate the feasibility of implementing a health education programme for adolescents on menstrual hygiene in secondary schools serving rural Bangladesh. BMJ Publishing Group 2014-07-03 /pmc/articles/PMC4091465/ /pubmed/24993753 http://dx.doi.org/10.1136/bmjopen-2013-004607 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/ |
spellingShingle | Public Health Haque, Syed Emdadul Rahman, Mosiur Itsuko, Kawashima Mutahara, Mahmuda Sakisaka, Kayako The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh |
title | The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh |
title_full | The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh |
title_fullStr | The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh |
title_full_unstemmed | The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh |
title_short | The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh |
title_sort | effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in bangladesh |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4091465/ https://www.ncbi.nlm.nih.gov/pubmed/24993753 http://dx.doi.org/10.1136/bmjopen-2013-004607 |
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