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Effectiveness of menstrual hygiene management training to enhance knowledge, attitude, and practice among adolescents in Sindhupalchowk, Nepal

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Listed:
  • Swastika Shrestha
  • Saki Thapa
  • Bikram Bucha
  • Safal Kunwar
  • Bigyan Subedi
  • Aishwarya Rani Singh
  • Durga Datta Chapagain
  • Raghu Dhital
  • Maxine Caws

Abstract

Background: Menstrual Health (MH) knowledge, attitude and practice (KAP) are highly affected by access to information regarding menstruation. Despite being included in the school curriculum, Sexual and Reproductive Health (SRH) education is often not delivered in practice. School-based educational interventions have been shown to be effective in promoting MH. Methods: A school-based study was conducted in Indrawati rural municipality of Sindhupalchowk district in Nepal. 427 participants (175 boys and 252 girls), aged 11–13, completed a questionnaire evaluating MH KAP before receiving a structured training module on MH provided by experienced trainers from Putali Nepal using the Menstrupedia tool. The questionnaire was repeated one month after the training. Pre and post intervention scores were compared to determine the effect of the intervention. Focus group discussions were also conducted to understand the perceptions of participants toward SRH teaching. Association of independent socio-demographic with dependent variables knowledge and attitude towards menstrual health were analyzed using MANOVA test. The Wilcoxon signed-rank test was used to compare the median outcome of the pre and post-test attitude and knowledge. The maximum possible score was 6 for MH knowledge. The total attitude score ranged 14 to 70. Results: The median knowledge score increased by 1 point (p =

Suggested Citation

  • Swastika Shrestha & Saki Thapa & Bikram Bucha & Safal Kunwar & Bigyan Subedi & Aishwarya Rani Singh & Durga Datta Chapagain & Raghu Dhital & Maxine Caws, 2025. "Effectiveness of menstrual hygiene management training to enhance knowledge, attitude, and practice among adolescents in Sindhupalchowk, Nepal," PLOS ONE, Public Library of Science, vol. 20(1), pages 1-20, January.
    • Handle: RePEc:plo:pone00:0313422
    DOI: 10.1371/journal.pone.0313422
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    1. Melaku Yalew & Bezawit Adane & Mastewal Arefaynie & Bereket Kefale & Yitayish Damtie & Kefale Mitiku & Amare Agmas & Gebeyaw Biset & Tilahun Dessie Alene & Metadel Adane & Elsabeth Addisu & Reta Dewau, 2021. "Menstrual hygiene practice among female adolescents and its association with knowledge in Ethiopia: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(8), pages 1-14, August.
    2. World Bank, 2022. "The Enabling Environment for Menstrual Health and Hygiene," World Bank Publications - Reports 39725, The World Bank Group.
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