Assessing the level of Knowledge and Practice of Menstrual Hygiene among Adolescent School girls in Siraha district of Nepal: A cross sectional study

Ira Sharma, Elina Moktan


Background: Menstrual hygiene is itself a taboo and a matter of shame to express in public in developing countries even though it is crucial for a sound reproductive health matters. This study was aimed to identify the knowledge and practice on Menstrual Hygiene among adolescent school girls in Nepal.

Methods: This cross-sectional study was conducted by using semi-structured and self-administered questionnaire. Frequency and percentage tables were used for uni-variate analysis and statistical analysis was done by bi-variate Chi-square statistics or Fisher exact tests.

Results:  The adequate knowledge on menstrual hygiene (MH) was found in 85.5%. The MH practice was appropriate in 45.5%. Mother was the main source of information (37.14%) to daughters, about menstrual hygiene (MH). Respondents had no idea how to dispose off sanitary pads (51.72%) and also felt shy to use it (24.13%) and therefore its use among the girls was low. The statistical analysis revealed that level of knowledge was significantly associated with educational status (p-value=0.000) and religion (p-value=0.006), while the ethnicity (p-value>0.05 ) had no statistical relationship. The level of practice showed no association with all three predictors (p-value>0.05). Moreover there was found significant statistical association between the level of knowledge and practice (p-value=0.047).

Conclusion: Since, knowledge and practice levels are statistically significant, the level of knowledge about MH can be increased for better practice by intervening the awareness programs in community. Even though the school girls have better knowledge, socio-economic and cultural factors obstruct them for appropriate practice that must be assessed and simplified.


Menstrual Hygiene, Knowledge and practice, school girls, Nepal

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