Menstrual Hygiene Management Practices and Associated Factors Among Female Adolescents in Amai Secondary School, Delta State, Nigeria
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Abstract
Background: Menstrual hygiene is essential for adolescent girls’ health, wellbeing, and involvement in school. Sociodemographic factors, such as age, class, and parental occupation, may influence hygiene practices. This study assessed menstrual hygiene practices and the influence of sociodemographic variables on menstrual hygiene practices among female adolescents.
Methods: A school- based cross-sectional study involved 380 girls aged 10-19 years, selected through simple random sampling. Data on sociodemographic characteristics were collected alongside hygiene practices; handwashing, genital cleansing, absorbent use and disposal, bathing, and changing sanitary materials. Descriptive statistics summarized participant’s sociodemographic, menstrual hygiene practices, and logistic regression evaluated predictors of good menstrual hygiene.
Results: The mean age was 14.7 ± 2.5 years, with nearly equal proportions aged 10-14 (46.1%) and 15-19 (53.9%). JSS3 students had the highest percentage (22.9%) and JSS1 the lowest (9.7%). Most parents of the respondents were farmers (53.4%) or business owners (31.8%). Sanitary pads were the most common absorbent (32.6%), though some used cotton (19.5%) or foolscap sheets (6.8%). Frequent bathing, genital cleansing, and pad changing were reported by the majority, and 65% practiced good menstrual hygiene. Age, class, and parental occupation were not found to influence good hygiene practices.
Conclusion: Despite generally good hygiene practices, gaps in product access and school facilities remain. Interventions providing education, affordable products, and supportive environments are recommended.
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References
Bulto GA. Knowledge on menstruation and practice of menstrual hygiene management among school adolescent girls in central Ethiopia: A cross-sectional study. Risk Management and Healthcare Policy. 2021;14:911–923. https://doi.org/10.2147/RMHP.S296670
World Health Organization. Overview of adolescent health [Internet]. Geneva: WHO; 2023 [cited 2024 Jan 15]. Available from: https://www.who.int/health-topics/adolescent-health#tab=tab_1
Deshpande T, Patil S, Gharai S, Patil S, Durgawale P. Menstrual hygiene among adolescent girls – A study from urban slum area. Journal of Family Medicine and Primary Care. 2018;7(6):1439. https://doi.org/10.4103/jfmpc.jfmpc_80_18
Anbesu EW, Asgedom DK. Menstrual hygiene practice and associated factors among adolescent girls in sub-Saharan Africa: a systematic review and meta-analysis. BMC Public Health. 2023;23:33. https://doi.org/10.1186/s12889-022-14942-8
Kaur R, Kaur K, Kaur R. Menstrual hygiene, management, and waste disposal: practices and challenges faced by girls/women of developing countries. Journal of Environmental and Public Health.2018;2018:1730964. https://doi.org/10.1155/2018/1730964
Appiah-Agyekum NN, Nyamekye MA, Agbenu IA, Otoo DD. Menstrual hygiene knowledge and practices among female senior high school students in the new Juaben North municipality of Ghana: a cross-sectional study. BMC Public Health. 2025;25(1):1563. https://doi.org/10.1186/s12889-025-22836-8
Hussein J, Gobena T, Gashaw T. The practice of menstrual hygiene management and associated factors among secondary school girls in eastern Ethiopia: the need for water, sanitation, and hygiene support. Women’s Health (London). 2022;18:17455057221087871. https://doi.org/10.1177/17455057221087871
Mohammed S, Larsen-Reindorf RE, Awal I. Menstrual hygiene management and school absenteeism among adolescents in Ghana: results from a school-based cross-sectional study in a rural community. International Journal of Reproductive Medicine. 2020;2020:6872491. https://doi.org/10.1155/2020/6872491
Ogunlaja IP, Ogunlaja AO, Adeniran AS, Bakare TY, Bobo T, Oyaromode A, et al. The knowledge, pattern and practice of menstrual hygiene among female secondary school students in Ogbomoso, south-west Nigeria. Bayero Journal of Nursing and Health Care. 2023;5(1):1003–1013. https://doi.org/10.4314/bjnhc.v5i1.6
Igwe CN, Amadi AN, Onwuzulike NM, Ozims SJ, Amadi COA, Achigbu KI, et al. Menstrual hygiene management practices among undergraduates of Imo State, Nigeria. International Journal of Science and Healthcare Research. 2020;5(4):1–10
Torondel B, Sinha S, Mohanty JR, Swain T, Sahoo P, Panda B, et al. Association between unhygienic menstrual management practices and prevalence of lower reproductive tract infections: a hospital-based cross-sectional study in Odisha, India. BMC Infectious Diseases. 2018;18(1):473. https://doi.org/10.1186/s12879-018-3384-2
Balakrishnan S, Carolin A, Sudharsan B, Shivasakthimani R. The prevalence of reproductive tract infections based on the syndromic management approach among ever-married rural women in Kancheepuram District, Tamil Nadu: a community-based cross-sectional study. Cureus. 2022;14(3):e23314. https://doi.org/10.7759/cureus.23314
Ene N, Bolarinwa OA, Adedigba C, Oyeleye J, Boboye I, Nwosu U, et al. “If I use pad, I feel comfortable and safe”: a mixed-method analysis of knowledge, attitude, and practice of menstrual hygiene management among in-school adolescent girls in a Nigerian city. BMC Public Health. 2024;24(1):1721. https://doi.org/10.1186/s12889-024-19256-5
Okeke KM, Charles-Unadike VO, Fidelis MN, Nwachukwu KC. Menstrual hygiene practices among secondary school girls in Owerri Municipal Council of Imo State, Nigeria. International Journal of Human Kinetics and Health Education. 2022;6(2). Available from: https://journals.aphriapub.com/index.php/IJoHKHE/article/view/1485
Ayele A, G/Mariam M, Beyene H, Tolcha A, Tediso D, Shalamo T, et al. Menstrual hygiene practice and associated factors among adolescent primary school females in Dale Woreda, Sidama, Ethiopia: a cross-sectional study. Frontiers in Reproductive Health. 2025;7:1458132. https://doi.org/10.3389/frph.2025.1458132
Sonowal P, Talukdar K, Saikia H. Sociodemographic factors and their association with menstrual hygiene practices among adolescent girls in urban slums of Dibrugarh town, Assam. Journal of Family Medicine and Primary Care. 2021;10(12):4446–4451. https://doi.org/10.4103/jfmpc.jfmpc_703_21
Van Eijk AM, Sivakami M, Thakkar MB, Bauman A, Laserson KF, Coates S, et al. Menstrual hygiene management among adolescent girls in India: a systematic review and meta-analysis. BMJ Open. 2016;6(3): e010290. https://doi.org/10.1136/bmjopen-2015-010290
Sommer M, Caruso BA, Sahin M, Calderon T, Cavill S, Mahon T, et al. A time for global action: addressing girls’ menstrual hygiene management needs in schools. PLoS Medicine. 2015;12(2):e1001962. https://doi.org/10.1371/journal.pmed.1001962
Chinyama J, Chipungu J, Rudd C, Mwale M, Verstraete L, Sikamo C, et al. Menstrual hygiene management in rural schools of Zambia: a descriptive study of knowledge, experiences and challenges faced by schoolgirls. BMJ Open. 2019;9(9):e030304. https://doi.org/10.1136/bmjopen-2019-030304
Ahmed SK. How to choose a sampling technique and determine sample size for research: a simplified guide for researchers. Oral Oncology Reports. 2024;12:100662. https://doi.org/10.1016/j.oor.2024.100662
Eze CJ, Faremi VO, Amoo YO, Obialor JC, Obialor BO, Eze HA, et al. Menstrual hygiene management among Nigerian adolescent girls: knowledge and associated factors. Pan African Science Journal. 2023;3(03). https://doi.org/10.47787/pasj.v3i04.57
Ajaegbu VU, Okwuikpo M, Famuyigbo OF, Leslie AT, Maitnmi JO, Maitanmi BT. Awareness of menstrual hygiene and factors affecting its practice among adolescent girls in two selected senior secondary schools in Ogun State, Nigeria. African Journal of Health Nursing and Midwifery. 2021;4(2):76–87. https://doi.org/10.52589/AJHNM-MXRNYNCJ
Nwimo IO, Elom NA, Ilo CI, Ezugwu UA, Ezugwu LE, Nkwoka IJ, et al. Menstrual hygiene management practices and menstrual distress among adolescent secondary school girls: a questionnaire-based study in Nigeria. African Health Sciences. 2022;22(2):397–409. https://doi.org/10.4314/ahs.v22i2.46
Ilusanmi OS, Aluko KO. Knowledge and practice of menstrual hygiene among adolescent school girls in secondary schools, Ijebu-Ode Local Government, Ogun State, Nigeria. Journal of Research in Humanities and Social Science. 2021;9(7):67–73
Shrestha RB, Bhatta A. Menstruation hygiene management among adolescent school girls of Inaruwa municipality. MedS Alliance Journal of Medicine and Medical Sciences. 2022;2(3):83–88. https://doi.org/10.3126/mjmms.v2i3.47754
Asumah MN, Abubakari A, Aninanya GA. Determinants of menstrual hygiene management practices among schoolgirls: a cross-sectional study in the Savannah region of Ghana. Infectious Diseases in Obstetrics and Gynecology. 2022;2022:7007117. https://doi.org/10.1155/2022/7007117
Idoko LO, Okafor KC, Victoria AO. Facilities and misconceptions concerning menstrual health and menstrual hygiene management among young people in Jos, Plateau State, Nigeria. Open Journal of Obstetrics and Gynecology. 2023;13(5):918–933. https://doi.org/10.4236/ojog.2023.135079