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Puberty health intervention to improve menstrual health and school attendance among adolescent girls in The Gambia: study methodology of a cluster-randomised controlled trial in rural Gambia (MEGAMBO TRIAL)

BACKGROUND: Menstrual health (MH) is a recognised global public health challenge. Poor MH may lead to absence from school and work, and adverse health outcomes. However, reviews suggest a lack of rigorous evidence for the effectiveness of MH interventions on health and education outcomes. The object...

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Autores principales: Shah, Vishna, Phillips-Howard, Penelope, Hennegan, Julie, Cavill, Sue, Sonko, Bakary, Sinjanka, Edrisa, Camara Trawally, Nyima, Kanteh, Abdou, Mendy, Francois, Bah, Amadou B., Saar, Momodou, Ross, Ian, Schmidt, Wolf, Torondel, Belen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287699/
https://www.ncbi.nlm.nih.gov/pubmed/35842700
http://dx.doi.org/10.1186/s12982-022-00114-x
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author Shah, Vishna
Phillips-Howard, Penelope
Hennegan, Julie
Cavill, Sue
Sonko, Bakary
Sinjanka, Edrisa
Camara Trawally, Nyima
Kanteh, Abdou
Mendy, Francois
Bah, Amadou B.
Saar, Momodou
Ross, Ian
Schmidt, Wolf
Torondel, Belen
author_facet Shah, Vishna
Phillips-Howard, Penelope
Hennegan, Julie
Cavill, Sue
Sonko, Bakary
Sinjanka, Edrisa
Camara Trawally, Nyima
Kanteh, Abdou
Mendy, Francois
Bah, Amadou B.
Saar, Momodou
Ross, Ian
Schmidt, Wolf
Torondel, Belen
author_sort Shah, Vishna
collection PubMed
description BACKGROUND: Menstrual health (MH) is a recognised global public health challenge. Poor MH may lead to absence from school and work, and adverse health outcomes. However, reviews suggest a lack of rigorous evidence for the effectiveness of MH interventions on health and education outcomes. The objective of this paper is to describe the methods used in a cluster-randomised controlled trial to estimate the effect of a multi-component intervention to improve MH and school attendance in The Gambia. METHODS: The design ensured half the schools (25) were randomised to receive the intervention which comprised of the following components: (i) Peer education camps and menstrual hygiene laboratories in schools, (ii) Mother’s outreach sessions, (iii) Community meetings, and (iv) minor improvements of school Water Sanitation and Hygiene (WASH) facilities and maintenance. The intervention was run over a three-month period, and the evaluation was conducted at least three months after the last intervention activity was completed in the school or community. The other 25 schools acted as controls. Of these 25 control schools one Arabic school dropped out due to COVID-19. The primary outcome was the prevalence of girls missing at least one day of school during their last period. Secondary outcomes included: Urinary Tract Infection (UTI) symptoms, biochemical markers of UTI in urine, Reproductive Tract Infection symptoms, self-reported menstruation related wellbeing, social support and knowledge, perceptions and practices towards menstruation and MH in target school girls. In addition, a process evaluation using observations, routine monitoring data, survey data and interviews was undertaken to assess dose and reach (quantitative data) and assess acceptability, fidelity, context and possible mechanisms of impact (qualitative data). Cost and cost-effectiveness of the intervention package will also be assessed. CONCLUSION: Results will add to scarce resources available on effectiveness of MH interventions on school attendance. A positive result may encourage policy makers to increase their commitment to improve operation and maintenance of school WASH facilities and include more information on menstruation into the curriculum and help in the reporting and management of infections related to adolescent menstruation. Trial Registration PACTR, PACTR201809769868245, Registered 14th August 2018, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=3539 SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12982-022-00114-x.
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spelling pubmed-92876992022-07-17 Puberty health intervention to improve menstrual health and school attendance among adolescent girls in The Gambia: study methodology of a cluster-randomised controlled trial in rural Gambia (MEGAMBO TRIAL) Shah, Vishna Phillips-Howard, Penelope Hennegan, Julie Cavill, Sue Sonko, Bakary Sinjanka, Edrisa Camara Trawally, Nyima Kanteh, Abdou Mendy, Francois Bah, Amadou B. Saar, Momodou Ross, Ian Schmidt, Wolf Torondel, Belen Emerg Themes Epidemiol Methodology BACKGROUND: Menstrual health (MH) is a recognised global public health challenge. Poor MH may lead to absence from school and work, and adverse health outcomes. However, reviews suggest a lack of rigorous evidence for the effectiveness of MH interventions on health and education outcomes. The objective of this paper is to describe the methods used in a cluster-randomised controlled trial to estimate the effect of a multi-component intervention to improve MH and school attendance in The Gambia. METHODS: The design ensured half the schools (25) were randomised to receive the intervention which comprised of the following components: (i) Peer education camps and menstrual hygiene laboratories in schools, (ii) Mother’s outreach sessions, (iii) Community meetings, and (iv) minor improvements of school Water Sanitation and Hygiene (WASH) facilities and maintenance. The intervention was run over a three-month period, and the evaluation was conducted at least three months after the last intervention activity was completed in the school or community. The other 25 schools acted as controls. Of these 25 control schools one Arabic school dropped out due to COVID-19. The primary outcome was the prevalence of girls missing at least one day of school during their last period. Secondary outcomes included: Urinary Tract Infection (UTI) symptoms, biochemical markers of UTI in urine, Reproductive Tract Infection symptoms, self-reported menstruation related wellbeing, social support and knowledge, perceptions and practices towards menstruation and MH in target school girls. In addition, a process evaluation using observations, routine monitoring data, survey data and interviews was undertaken to assess dose and reach (quantitative data) and assess acceptability, fidelity, context and possible mechanisms of impact (qualitative data). Cost and cost-effectiveness of the intervention package will also be assessed. CONCLUSION: Results will add to scarce resources available on effectiveness of MH interventions on school attendance. A positive result may encourage policy makers to increase their commitment to improve operation and maintenance of school WASH facilities and include more information on menstruation into the curriculum and help in the reporting and management of infections related to adolescent menstruation. Trial Registration PACTR, PACTR201809769868245, Registered 14th August 2018, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=3539 SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12982-022-00114-x. BioMed Central 2022-07-16 /pmc/articles/PMC9287699/ /pubmed/35842700 http://dx.doi.org/10.1186/s12982-022-00114-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Methodology
Shah, Vishna
Phillips-Howard, Penelope
Hennegan, Julie
Cavill, Sue
Sonko, Bakary
Sinjanka, Edrisa
Camara Trawally, Nyima
Kanteh, Abdou
Mendy, Francois
Bah, Amadou B.
Saar, Momodou
Ross, Ian
Schmidt, Wolf
Torondel, Belen
Puberty health intervention to improve menstrual health and school attendance among adolescent girls in The Gambia: study methodology of a cluster-randomised controlled trial in rural Gambia (MEGAMBO TRIAL)
title Puberty health intervention to improve menstrual health and school attendance among adolescent girls in The Gambia: study methodology of a cluster-randomised controlled trial in rural Gambia (MEGAMBO TRIAL)
title_full Puberty health intervention to improve menstrual health and school attendance among adolescent girls in The Gambia: study methodology of a cluster-randomised controlled trial in rural Gambia (MEGAMBO TRIAL)
title_fullStr Puberty health intervention to improve menstrual health and school attendance among adolescent girls in The Gambia: study methodology of a cluster-randomised controlled trial in rural Gambia (MEGAMBO TRIAL)
title_full_unstemmed Puberty health intervention to improve menstrual health and school attendance among adolescent girls in The Gambia: study methodology of a cluster-randomised controlled trial in rural Gambia (MEGAMBO TRIAL)
title_short Puberty health intervention to improve menstrual health and school attendance among adolescent girls in The Gambia: study methodology of a cluster-randomised controlled trial in rural Gambia (MEGAMBO TRIAL)
title_sort puberty health intervention to improve menstrual health and school attendance among adolescent girls in the gambia: study methodology of a cluster-randomised controlled trial in rural gambia (megambo trial)
topic Methodology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287699/
https://www.ncbi.nlm.nih.gov/pubmed/35842700
http://dx.doi.org/10.1186/s12982-022-00114-x
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