Knowledge and Practice of Menstrual Hygiene among Female Undergraduates at a Private Tertiary Institution in Nigeria

Authors

  • Deborah Tolulope Esan Deborah Tolulope Esan Faculty of Nursing, Bowen University, Iwo, Osun State, Nigeria.
  • Yetunde Oluwafunmilayo Tola School of Public Health Sciences, Faculty of Health, University of Waterloo, Ontario, Canada. Institute of Nursing Research, Osogbo, Osun State, Nigeria.
  • Oluwadamilare Akingbade Institute of Nursing Research, Osogbo, Osun State, Nigeria. And The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong.
  • Sharon Ayobami Ariyo Department of Human Nutrition and Dietetics, College of Medicine and Health Sciences, Afe Babalola University Ado Ekiti, Ekiti State, Nigeria.
  • Bukola Idowu Ogunniyi Department of Nursing Science, College of Medicine and Health Sciences, Afe Babalola University, Ado- Ekiti, Ekiti State, Nigeria.
  • Richard Dele Agbana Department of Community Medicine, Afe Babalola University Ado Ekiti, Ekiti State, Nigeria.

DOI:

https://doi.org/10.60099/prijnr.2023.262984

Keywords:

Female undergraduates, Knowledge, Menstrual hygiene practice, Nigeria

Abstract

         Menstrual hygiene is keeping the body clean while a woman is menstruating. Many females have encountered considerable difficulty maintaining menstrual hygiene because of a lack of awareness or access to menstrual products, particularly in low- and
middle-income nations. However, knowledge and practice of menstrual hygiene among female undergraduates, especially in Nigeria, are understudied. This descriptive crosssectional study investigated the knowledge, practices and barriers associated with menstrual hygiene among female undergraduates of a private university in Nigeria. Three hundred and sixty-four participants were recruited using purposive sampling. Sociodemographic data, knowledge, practice and barriers associated with menstrual hygiene were assessed using a self-report knowledge and practice of menstrual hygiene questionnaire. Data were analyzed using descriptive statistics.
         The results revealed that most respondents (72.3%) had poor knowledge of menstrual hygiene, while around half (49.2%) maintained good practices. The most common barriers to practicing menstrual hygiene among the respondents were reported as fatigue and limited water access in their dormitories. Therefore, schools of higher learning need to ensure that students have regular access to clean water with adequate time between classes to allow for proper menstrual hygiene practice. Nurses could provide menstrual education for mothers and their adolescents before getting into university. Similarly, nurses working in institutions of higher learning should provide regular menstrual hygiene awareness programs on campus and advocate for access to clean water and hygiene facilities for female students undergoing menstruation.

Author Biographies

Deborah Tolulope Esan, Deborah Tolulope Esan Faculty of Nursing, Bowen University, Iwo, Osun State, Nigeria.

 

 

Yetunde Oluwafunmilayo Tola, School of Public Health Sciences, Faculty of Health, University of Waterloo, Ontario, Canada. Institute of Nursing Research, Osogbo, Osun State, Nigeria.

 

 

Sharon Ayobami Ariyo, Department of Human Nutrition and Dietetics, College of Medicine and Health Sciences, Afe Babalola University Ado Ekiti, Ekiti State, Nigeria.

 

 

 

 

Bukola Idowu Ogunniyi, Department of Nursing Science, College of Medicine and Health Sciences, Afe Babalola University, Ado- Ekiti, Ekiti State, Nigeria.

 

 

Richard Dele Agbana, Department of Community Medicine, Afe Babalola University Ado Ekiti, Ekiti State, Nigeria.

 

 

References

Bhusal CK. Practice of menstrual hygiene and associated factors among adolescent school girls in Dang District, Nepal. Adv Prev Med. 2020 Jul 24;2020:1292070. doi: 10.1155/2020/1292070.

Roy A, Paul P, Saha J, Barman B, Kapasia N, Chouhan P. Prevalence and correlates of menstrual hygiene practices among young currently married women aged 15-24 years: an analysis from a nationally representative survey of India. Eur J Contracept Reprod Health Care. 2021;26(1):1-10. doi: 10.1080/13625187.2020.1810227.

Majeed J, Sharma P, Ajmera P, Dalal K. Menstrual hygiene practices and associated factors among Indian adolescent girls: a meta-analysis. Reprod Health. 2022;19(1):148. doi: 10.1186/s12978-022-01453-3.

Babbar K, Martin J, Ruiz J, Parray AA, Sommer M. Menstrual health is a public health and human rights issue. Lancet Public Health. 2022 Jan;7(1):e10-1. doi: 10.1016/ S2468-2667(21)00212-7.

World Health Organization. WHO statement on menstrual health and rights [Internet]. 2022 June 22 [cited 2023 July 20]. Available from: https://www.who.int/news/ item/22-06-2022-who-statement-on-menstrual-health-and-rights

Saranya J, Prakash C, Kumar SKS. Menstrual hygiene practices among adolescent girls. Int J Innov technol Expl Eng. 2019;8(12):364-6. Available from: https://www. ijitee.org/wp-content/uploads/papers/v8i12/L327010 81219.pdf

Habtegiorgis Y, Sisay T, Kloos H, Malede A, Yalew M, Arefaynie M et al.. Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: a neglected issue in water, sanitation, and hygiene research. PLoS One. 2021 Jun 9;16(6):e0248825. doi: 10.13 71/journal.pone.0248825.

Yalew M, Adane B, Arefaynie M, Kefale B, Damtie Y, Mitiku K et al. Menstrual hygiene practice among female adolescents and its association with knowledge in Ethiopia: a systematic review and meta-analysis. PLoS One. 2021; 16(8):e0254092. doi: 10.1371/journal.pone.0254092.

World Bank. Menstrual health and hygiene [Internet]. 2022 [cited 2023 July 15]. Available from: https://www.worldbank. org/en/topic/water/brief/menstrual-health-and-hygiene

World Bank. Menstrual hygiene management enables women and girls to reach their full potential [Internet]. 2018 May 15 [cited 2023 July 20]. Available from: https://www. worldbank. org/en/news/feature/2018/05/25/menstrual-hygiene- management

Odey GO, Amusile O, Oghenetejiri PO, David S, Adi A, Lucero-Prisno DE 3rd. Period during a pandemic: the neglected reality of Nigerian girls and women. Public Health Pract (Oxf). 2021 Oct 1;2:100196. doi: 10.1016/j.puhip. 2021.100196.

Emmanuel Osemota Foundation. Sanitary pads and absenteeism in schools [Internet]. 2022 Aug 22 [cited 2023 July 19]. Available from: https://emmanuelosemotafoundation. org/sanitary-pads-2/

Aladeselu M. Menstrual hygiene day: 37 million Nigerian females are in period poverty. The Cable [Internet]. 2023 May 28 [cited 2023 July 25]. Available from: https://www. thecable. ng/menstrual-hygiene-day-37-million-nigerian-females-are-in-period-poverty

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. Int J Reprod Med. 2020;2020:6872491. doi: 10.1155/2020/ 6872491.

Nabwera HM, Shah V, Neville R, Sosseh F, Saidykhan M, Faal F. et al. Menstrual hygiene management practices and associated health outcomes among school-going adolescents in rural Gambia. PLoS One. 2021;16(2): e0247554. doi: 10.1371/journal.pone. 0247554.

Neupane MS, Sharma K, Bista AP, Subedi S, Lamichhane S. Knowledge on menstruation and menstrual hygiene practices among adolescent girls of selected schools, Chitwan. JCMC [Internet]. 2020 Mar 15 [cited 2023 May 10];10(1):69- 73. Available from: https://www.nepjol.info/index.php/ JCMC/article/view/28075

Torondel B, Ferma J, Francis SC, Caruso BA, Routray P, Reese H et al. Effect of a combined household-level piped water and sanitation intervention on reported menstrual hygiene practices and symptoms of urogenital infections in rural Odisha, India. Int J Hyg Environ Health. 2022 Jan;239:113866. doi: 10.1016/j.ijheh.2021.11386.

Belayneh Z, Mekuriaw B. Knowledge and menstrual hygiene practice among adolescent school girls in southern Ethiopia: a cross-sectional study. BMC Public Health. 2019;19(1):1595. doi: 10.1186/s12889-019-79 73-9.

Nair MK, Chacko DS, Ranjith Darwin M, Padma K, George B, Russell PS. Menstrual disorders and menstrual hygiene practices in higher secondary school girls. Indian J Pediatr. 2012 Jan;79 Suppl 1:S74-8. doi: 10.1007/ s12098-011-0431-z.

Sahiledengle B, Atlaw D, Kumie A, Tekalegn Y, Woldeyohannes D, Agho KE. Menstrual hygiene practice among adolescent girls in Ethiopia: a systematic review and meta-analysis. PLoS One. 2022 Jan 4;17(1): e0262295. doi: 10.1371/journal.pone.0262295.

Nnennaya EU, Atinge S, Dogara SP, Ubandoma RJ. Menstrual hygiene management among adolescent school girls in Taraba State, Nigeria. Afr Health Sci. 2021 Jun;21(2):842-51. doi: 10.4314/ahs.v21i2.45.

Habtegiorgis Y, Sisay T, Kloos H, Malede A, Yalew M, Arefaynie M. et al. Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: a neglected issue in water, sanitation, and hygiene research. PLoS One. 2021 Jun 9;16(6):e0248825. doi: 10. 1371/journal.pone.0248825.

Michael J, Iqbal Q, Haider S, Khalid A, Haque N, Ishaq R et al. Knowledge and practice of adolescent females about menstruation and menstruation hygiene visiting a public healthcare institute of Quetta, Pakistan. BMC Womens Health. 2020 Jan 6;20(1):4. doi: 10.1186/ s12905-019-0874-3.

Farinloye T, Adeola O, Mogaji E. Typology of Nigerian universities: a strategic marketing and branding implication. In: Understanding the higher education market in Africa. 2020:168-198. Routledge

Olaleye S, Ukpabi D, Mogaji, E. Public vs private universities in Nigeria: Market dynamics perspective. In: Understanding the higher education market in Africa. Routledge; 2020. pp. 19-36.

Yamane T. Statistics: an introductory analysis. 2nd ed. New York: Harper and Row; 1967.

Innovation Barometer. Part 5: how to adapt the questionnaire [Internet]. n.d. [cited 2023 July 25]. Available from: https://innovationbarometer.org/copenhagen-manual/ read-online/part-5-how-to-adapt-the-innovation-barometer-questionnaire/

UNICEF. An assessment of menstrual hygiene management in secondary schools [Internet]. 2015 [cited 2023 July 24]. Available from: https://www.unicef.org/nigeria/ media/1256/file/Assessment-menstrual-hygiene-management-in-secondary-schools-2.jpg.pdf

Akpan U, Isihak S. The geography of poverty in Nigeria. African Governance and Development Institute [Internet]. 2020 [cited 2023 July 23]. Available from: https:// econpapers.repec.org/paper/agdwpaper/20_2f035. htm

Esan DT, Muhammad F, Okocha SE, Ogunkorode A, Bamigboye TO, Adeola RS, Akingbade O. Causes, enablers and perceived solutions to teenage pregnancy: a qualitative study in a South-Western State in Nigeria. Pan Afr Med J. 2022 Nov 3;43:120. doi: 10.11604/ pamj.2022.43.120.36142.

The New York Times. Scotland makes period products free [Internet]. 2022 Aug 15 [cited 2023 July 24]. Available from: https://www.nytimes.com/2022/08/15/world/ europe/scotland-free-period-products.html

Government of Western Australia. Public secondary school students to receive free period products [Internet]. 2023 Mar 27 [cited 2023 July 27]. Available from: https://www. wa.gov. au/government/media-statements/McGowan- Labor-Government/Public-secondary-school-students-to-receive-free-period-products-20230327

Shah V, Nabwera HM, Sosseh F, Jallow Y, Comma E, Keita O, Torondel B. A rite of passage: a mixed methodology study about knowledge, perceptions and practices of menstrual hygiene management in rural Gambia. BMC Public Health. 2019 Mar 7;19(1):277. doi: 10.1186/s12889-019-6599-2.

Tola YO, Akingbade O, Akinwaare MO, Adesuyi EO, Arowosegbe TM, Ndikom CM, Adejumo PO, Alexis O. Psychoeducation for psychological issues and birth preparedness in low- and middle-income countries: a systematic review. AJOG Glob Rep. 2022 Jul 18;2(3): 100072. doi: 10.1016/j.xagr.2022.100072.

Akingbade O, Nguyen KT, Chow KM. Effect of mHealth interventions on psychological issues experienced by women undergoing chemotherapy for breast cancer: a systematic review and meta-analysis. J Clin Nurs. 2023 Jul;32(13- 14):3058-73. doi: 10.1111/jocn.16533.

Arowolo D, Olarinde O, Tola Y, Ogunlowo B, Akingbade O. Advancing the Nigerian health system through advanced practice nursing. Nurs Pract Today, 2023;10 (1):7-12. https://npt.tums.ac.ir/index.php/npt/article/view/2349

Akingbade O, Adediran V, Somoye IE, Alade AS, Chow KM. Perceived feasibility and usefulness of mHealth interventions for psychoeducational support among Nigerian women receiving chemotherapy for breast cancer: a focus group study. Support Care Cancer. 2022 Dec;30(12): 9723-34. doi: 10.1007/s00520-022-07403-w

Akingbade O, Adeleye K, Fadodun OA, Fawole IO, Li J, Choi EPH, et al. eHealth literacy was associated with anxiety and depression during the COVID-19 pandemic in Nigeria: a cross-sectional study. Front Public Health. 2023;11:1194908. doi: 10.3389/fpubh.2023.1194908.

Kaur R, Kaur K, Kaur R. Menstrual hygiene, management, and waste disposal: practices and challenges faced by girls/ women of developing countries. J Environ Public Health. 2018 Feb 20;2018:1730964. doi: 10.1155/2018/ 1730964.

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Published

2023-10-10

How to Cite

1.
Esan DT, Tola YO, Akingbade O, Ariyo SA, Ogunniyi BI, Agbana RD. Knowledge and Practice of Menstrual Hygiene among Female Undergraduates at a Private Tertiary Institution in Nigeria. PRIJNR [Internet]. 2023 Oct. 10 [cited 2024 Nov. 22];27(4):798-810. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/262984