An intervention to empower and engage the self-help groups for menstrual hygiene in Karnataka, India

Authors

  • Reshmi RS Assistant Professor, Institute of Health Management Research (IIHMR), Bangalore, Karnataka, India
  • Manoj Kumar Gupta Assistant Professor and Dean Research Coordinator, Institute of Health Management Research (IIHMR), Bangalore, Karnataka, India
  • Dhirendra Kumar Professor, Institute of Health Management Research (IIHMR), Jaipur, Rajasthan, India
  • Fehmida Visengrawala Visiting Professor, Institute of Health Management Research (IIHMR), Bangalore, Karnataka, India

Keywords:

Health education, IEC, Intervention, Menstrual hygiene, Self-help groups (SHGs)

Abstract

Background: This paper was a part of ‘Multi-centric action research demonstration study’ with the aim to sensitize, mobilize and engage women regarding reproductive health through empowerment and engagement of the Self Help Groups (SHGs) women. The paper focuses on the effect of intervention on menstrual hygiene and health of women in Kolar district of Karnataka.

Methods: As an intervention, a total of fifteen workshops, targeting 75 SHGs in each, were conducted using pre-developed IEC material in intervention taluk. A total of 400 households (200 from each intervention and control sites) of SHG women were interviewed for baseline and endline each

Results: The intervention was found effective in the form of a significant improvement in the level of awareness regarding use of Napkins/sanitary pads and its disposal. Apart from this, the level of awareness regarding menstrual discharge abnormalities was also significantly improved. However, the intervention was insignificant in molding area specific misconceptions and practices during menstruation such as access to worship, entry into kitchen, mingle with people etc.

Conclusions: The results of the present study clearly indicate the feasibility, efficacy and significant impact of health education interventions in improving the level of knowledge, attitude and practices of women regarding menstrual hygiene and point out that cost-effective strategy through information, education, and behavior change are needed in this regard. 

References

Dasgupta A, Sarkar M. Menstrual hygiene: how hygienic is adolescent girl? Indian J Community Med. 2008;33(2):77-80.

Jackson TE. Women wearing white: discourses of menstruation and the experience of menarche. Feminism Psychol. 2013;23(3):379-98.

Verma P, Ahmad S, Srivastava RK. Knowledge and Practices about menstrual hygiene among higher secondary school girls. Indian J Community Health. 2013;25(3):265-71.

Williams LR. Beliefs and attitudes of young girls regarding menstruation. In: Sharon Golub, eds. Menarche. 1st ed. Lexington, MA: Lexington; 1983.

Juyal R, Kandpal SD, Semwal J. Social aspects of menstruation related practices in adolescent girls of district Dehradun. Indian J Community Health. 2013;25(3):213-6.

Reem Bassiouny El-Lassy, Abeer Abd El-Aziz Madian. Impact of health educational program on menstrual beliefs and practices of adolescent Egyptian girls at secondary technical nursing school. Life Sci J. 2013;10(2):335-45.

Kibret M. Knowledge, attitude and practice on reproductive health among high school students in Bahir. Dar, Ethiopia. Afr J Reprod Health. 2003;7:39-45.

Shah SP, Nair R, Shah PP, Modi DK, Desai SA, Desai L. Improving quality of life with new menstrual hygiene practices among adolescent tribal girls in rural Gujarat, India. Reprod Health Matters. 2013;21(41):205-13.

Singh S, Kandpal SD, Roy D. Menstrual hygiene practices and RTI among ever-married women in rural slum. Indian J Community Health. 2011;23(1):41-3.

Arora A, Mittal A, Pathania D, Singh J, Mehta C, Bunger R. Impact of health education on knowledge and practices about menstruation among adolescent school girls of rural part of district Ambala, Haryanam. Indian J Community Health. 2013;25(4):492-7.

Wickramasinghe D. Managing menstrual hygiene in emergency situations: how far from reality? ASIA Regional Sanitation and Hygiene Practitioners Workshop. Dhaka, Bangladesh, 31 January - 2 February 2012. Available at: http://www.wsscc.org/sites/default/files/publications/wickramasinghe_menstrualhygiene-emergiencies-srilanka_2012.pdf

Rani PS. Knowledge and practices of menstrual hygiene among married adolescents and young women in Chittoor District of Andhra Pradesh: India. IOSR J Nurs Health Sci. 2014;3(2):6-15.

Roy D. Epidemiology of reproductive tract infection in rural Wardha. In: Roy D, eds. A Thesis. Nagpur: Thesis submitted to Nagpur University for Doctor of Medicine; 1999.

Sakhi. HLFPPT. Hindustan latex family planning promotion trust, India, 2011. Available at: http://www.hlfppt.org/images/sakhi.pdf. Accessed 18 August 2011.

Dhingra R, Kumar A, Kaur M. Knowledge and practices related to menstruation among Tribal (Gujjar) adolescent girls. Ethno-Med. 2009;3(1):43-8.

Adinma ED, Adinma JI. Perceptions and practices on menstruation among Nigerian secondary school girls. Afr J Reprod Health. 2008;12(1):74-83.

Nemade D, Anjenaya S, Gujjar R. Impact of health education on knowledge and practices about menstruation among adolescent school girls of Kalamboli, Navi Mumbai. Health Popul Persp Issues. 2009;32(4):167-75.

Juyal R, Kandpal SD, Semwal J, Negi KS. Practices of menstrual hygiene among adolescent girls in a district of Uttarakhand. Indian J Community Med. 2012;24(2):124-8.

Dongre A, Deshmukh PR, Garg, BS. The effect of community-based health education intervention on management of menstrual hygiene among rural Indian adolescent girls. World Health Popul. 2007;9(3):48-54.

Karthikeyan GB, Sangeetha R. Women’s attitude towards perception and derived satisfaction towards branded sanitary napkin, 2013. Available at: http://www.indianmba.com/Faculty_Column/FC1537/fc1537.html. and http://www.indianmba.com/Faculty_Column/Faculty_Column16/faculty_column16.html. Accessed 20 June 2014.

Poureslami M, Osati F. Attitude of female adolescents about dysmenorrhea and menstrual hygiene in Tehran suburbs. Arch Iran Med. 2002;5:377-96.

Barua A, Kathleen K. Reproductive health seeking by married adolescent girls in Maharashtra, India. Reprod Health Matters. 2001;9(17):53-62.

Seidman Y. Effects of a premenstrual syndrome education program on premenstrual symptomatology. Health Care Women Int. 1990;11(4):491-501.

Joshi D, Fawcett BN. Water, Hindu mythology and an unequal social order in India. Paper presented at the second conference of the International Water History Association, Bergen, Norway, 10-12, 2001. Accessed at: http://www.wateraid.org/~/media/publications/water-hindu-mythology-unequal-social-order.pdf.

Udgiri R, Angadi MM, Patil S. Knowledge and practices regarding menstruation among adolescent girls in an urban slum, Bijapur. J Indian Med Assoc. 2010;108:514-6.

Esimai OA, Esan GO. Awareness of menstrual abnormality amongst college students in urban area of Ile-Ife, Osun State, Nigeria. Indian J Community Med. 2010;35:63-6.

Singh MM, Devi R, Gupta SS. Awareness and health seeking behaviour of rural adolescent and reproductive health issues. Indian J Med Sci. 1999;53:439-43.

Omidvar S, Begum K. Menstrual pattern among unmarried women from south India. J Nat Sc Biol Med. 2011;2:174-9.

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Published

2017-02-03

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Original Research Articles