A systematic review of menstrual hygiene management (MHM) during humanitarian crises and/or emergencies in low- and middle-income countries

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: Sept. 28, 2022

Background Poor menstrual hygiene management (MHM) is linked to adverse health, and quality of life, particularly during emergencies. Although in recent times increased emphasis being laid upon MHM humanitarian crises—pandemics, disasters conflicts, the essential components complete an emergency are not clearly spelt out. We conducted a systematic review examine, analyse describe existing evidence related challenges experienced by women girls practicing crises / or public health Methods followed Preferred Reporting Items for Systematic reviews Meta-Analyses 2020 guidelines registered PROSPERO (CRD42022328636). searched online repositories: PubMed, Embase, PsycINFO articles published between January 2000 April 2022. For presenting key findings, we used descriptive statistics thematic analysis approach. Results identified total 1,078 articles, out which 78 were selected full-text review, finally 21 included. The pooled prevalence lack access sanitary pads was 34 percent (95 CI 0.24–0.45). safe proper pad disposal practices ranged from 11 85 per cent, with 54 cent 0.21–86). Qualitative analyses projected three themes that emerged on (1) Availability affordability products, accessibility water, sanitation (WASH) services, (2) support system coping “period poverty,” (3) Gender dimensions management. Most studies reported non-availability products WASH services Existence barriers at systemic personal level posed hygiene. Privacy as common barrier, shelters reportedly women-friendly. Conclusion limited subject suggestive need invest resources strengthening primary research low- middle-income countries more specifically Context-specific state policies emergencies would help guide district sub-district managers systems address provision registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022328636 , identifier CRD42022328636.

Language: Английский

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Effects of Interventions for Menstrual Health and Hygiene Management for Adolescent Girls: A Systematic Review and Meta-analysis

Pacific Rim International Journal of Nursing Research, Journal Year: 2024, Volume and Issue: 28(2), P. 356 - 376

Published: March 21, 2024

Menstruation relates to women’s well-being, and menstrual health hygiene are important. However, the effects of interventions remain unclear. This systematic review assessed on adolescent girls young women. Structured searches were conducted using five databases from 5 August 30 September 2022 with no restriction. We included individual-, cluster- quasi-randomized controlled trials that assessedthe quality life social outcomes. Two researchers independently completed screening process risk bias second version Cochrane tool for randomized trials.Ten studies described in 12 reports, three ongoing included. Five evaluated education interventions, one distribution products, four both. No study reported life. A small but non-significant positive impact school attendance was found meta-analysis evaluating sanitary products compared intervention (SMD = 0.23, 95%CI [-0.03, 0.48]). Although this study’s result should be used cautiously, offer Quality as well. Morecomprehensive innovative a rigorous research design required, nurses have an important role education, practice further topic.

Language: Английский

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Gender and the COVID-19 pandemic: Multinational research indicates that we must support and compensate LMIC women's leadership in crises

EClinicalMedicine, Journal Year: 2022, Volume and Issue: 53, P. 101748 - 101748

Published: Nov. 1, 2022

These three years under the COVID-19 pandemic have yielded rapid scientific advancements for management of outbreaks and reduction hospitalizations deaths.1Massetti G.M. Jackson B.R. Brooks J.T. et al.Summary guidance minimizing impact on individual persons, communities, health care systems - United States, August 2022.MMWR Morb Mortal Wkly Rep. 2022; 71: 1057-1064Crossref PubMed Google Scholar However, despite early recognition gender inequalities gendered social mental impacts pandemic,2McDougal L. Dehingia N. Cheung W.W. Dixit A. Raj burden, author affiliation women's well-being: a bibliometric analysis related publications including focus low- middle-income countries.EClinicalMedicine. 52: 101606Summary Full Text PDF Scopus (1) efforts to address these received less focus, both in terms research policy. This series sought fill this gap with new focused low middle income countries (LMIC) contexts. Findings from work offers important implications policy toward protectiveness equality empowerment. The first paper, McDougal al.,2McDougal positions as whole by offering research, effects beyond infection well economic outcomes. Their review papers published LMICs February 2020 May 2021 shows rapidly generating during time, but predominantly written authors affiliated high-income (HICs). Importantly, conducted year pandemic, relied convenience samples due data collection difficulties, showed poorer females, impediments uptake reproductive maternal services, concerns increased vulnerability household violence control. Demonstrated unequal domestic labor burdens financial stressors were contributors safety outcomes women girls. Research included aligns extends upon findings further contextualized insights, authorship inclusive – many cases led or senior authored LMIC scholars based nations study. With regard healthcare needs we continue see unmet girls, more clarity how are infrastructure issues deprioritizing girls households. Woods' study adolescent young urban Kenya that access menstrual supplies was supply availability also families choosing against purchasing while financially strained.3Wood S. Milkovich R. Mary T. al.Product-access challenges throughout among cohort Nairobi, Kenya.EClinicalMedicine. 49: 101482Summary Similarly, Dey al.'s4Dey AK Bhan N Rao Ghule M Chatterji S A Restoring child service utilization after disruption: evidence cross-sectional Maharashtra, India.eClinicalMedicine. https://doi.org/10.1016/j.eclinm.2022.101741Summary married rural India found regarding system capacity greater increases associated lower likelihood seeking themselves their children. Global growing workers, female population globally, here again, patient stresses combined devaluing particularly caregivers give rise abuses.5Dey A.K. Hay K. Strengthening crisis requires ending workers.EClinicalMedicine. 50: 101518Summary (2) Economic pandemic. As prior studies issue Williams al.6Williams Wood S.N. Stuart H.C. al.Gendered time use adolescents adults 101479Summary Oakley al.,7Oakley E. Abuhamad Seager J. al.COVID-19 wellbeing: locally adapted measures Ethiopia, Jordan, Palestine.EClinicalMedicine. 101586Summary respectively, document Kenya, Palestine. show females than males took unpaid caregiving, paid agricultural work.6Williams Scholar,7Oakley Notably, faced constraints connectivity entertainment consequence presence male members.7Oakley may explain differential seen relative boys pandemic.2McDougal correspond those Allard al.'s migrant returning centers communities India. Migrant compared men likely remain home villages unemployed over they longer-term hardships food insecurity.8Allard Jagnani M. Neggers Y. Pande Schaner Moore C.T. Indian migrants face barriers post-Covid recovery males: panel study.EClinicalMedicine. 53: 101631Summary disproportionate socio-economic vulnerabilities long-term just health. While there some relatively worse consequences males, role rebuilding. Northern Nigeria documents even context lagging progress poor generally, workers working alongside numerically dominant workforce region ensure care.9Taiwo Oyekenu O. Ekeh F. Gender differences attendance pandemic.EClinicalMedicine. 101605Summary In context, contending responsibilities undertaking seven rather five-day weeks provide constitutes earning it highlights risks harm men. Household burden explains observed difference workdays Nigerian We similar Priyadarshini al.'s10Priyadarshini Joshi Singh D Chakraborty Spousal support performance elected representatives Bihar, https://doi.org/10.1016/j.eclinm.2022.101743Summary India, where highly instrumental welfare supports who receive productive. offer an entrée consider policies might frontline largely population, normative change help build better balance burdens. sum, has taken serious toll our socioeconomic well-being disparate ways other determinants traditional roles value treatment exacerbated resultant harms. Yet, can emergence leadership managing which opportunity us restructure responses be equitable positive. If increase compensation, structural responsibilities, work, will not only stronger management, able societies crises. A.R. conceptualized wrote commentary. Author no conflicts interest report. supported grant Bill Melinda Gates Foundation (BMGF INV018007; PI: Anita Raj). Renewed call action: Collection inequalityIn 2019, Lancet paper Equality, Norms, Health highlighting health, called systems, programmes, transform norms society. recognised systemic neglect undermines everyone. Following this, March 2020, eClinicalMedicine released Equality continued commitment fight disparities inequality. Full-Text Open Access

Language: Английский

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Socio Economic Determinants and Effective Menstrual Management among Primary School Girls in Rural Schools in Nyatike Sub County

African Journal of Empirical Research, Journal Year: 2023, Volume and Issue: 4(2), P. 964 - 975

Published: Nov. 10, 2023

Access to menstrual hygiene products is a major challenge facing women and girls in developing countries, including Kenya. This study about the socioeconomic determinants of management among Nyatike Sub County. The was guided by following specific objectives: establish effects traditional practices on primary school girls, examine knowledge awareness management, analyze family income assess current measures that are place enhance health rural schools A descriptive survey design used, cluster sampling coupled with simple random used select 689 respondents for questionnaire, who were mainly head teachers teachers, female heads households. Descriptive analysis showed 59.3% have encountered restrictions during their menstruation. About 74.4% believe has improved overall confidence comfort Additionally, 53.2% always access they need. However, 46.8% still difficulties obtaining necessary products. Consequently, 76.8% revealed sensitizing students hygiene. inferential various girls. In conclusion, there positive effect It also clear most implemented some strategies recommends regular sensitization programs students, parents, community eliminate stigma, myths, misconceptions around

Language: Английский

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Spatial heterogeneity of menstrual discriminatory practices against Nepalese women: a population-based study using the 2022 Demographic and Health Survey

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: April 8, 2024

Abstract Background Menstrual discrimination hinders progress toward Sustainable Development Goals including gender equality, health, education, and sanitation. Examining spatial heterogeneity of menstrual discriminatory practices presents an opportunity for targeted interventions. Our goal was to evaluate geographical disparities in restrictions among Nepalese women assess their association with socio-economic demographic factors. Methodology We utilized data from the 2022 Nepal Demographic Health Survey, focusing on aged 15 49 who had experienced a period last year. analysis explored patterns restriction outcomes related engagement religious activities, household level restrictions, severe form referred Chhaupadi . The standard Gaussian kernel density estimation used create continuous prevalence maps scan statistic detect local clusters. between different forms socio-economic, factors were examined using Poisson regression model robust errors. Findings Overall, reported any 84.8% subject variations ranging 79.0% Bagmati 95.6% Sudurpashchim. Religious most prevalent (79.8%) followed by (39.5%) then (6.2%). Geographical detected all more prominent Individual (age, sex, ethnicity/caste), (household wealth, age sex head) regional (province) significantly associated at least one outcome. Strikingly, reside households led female heads less likely report experiencing during menstruation (Adjusted ratio (aPR) =0.89 [95%CI: 0.84–0.94], p<0.001) whilst those residing wealthy lower likelihood (aPR =0.26 0.17-0.39] richest). Interpretation observed micro-variations presenting behavioral Women empowerment is promising strategy fight against within household. Therefore, community-based interventions should be designed tested determine utility these settings.

Language: Английский

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Perspectives on prior preparation for menstrual experience from women and female health workers in Malawi

Women s Health, Journal Year: 2024, Volume and Issue: 20

Published: Jan. 1, 2024

Background: While studies have explored various aspects of menstruation, an evident gap remains in the literature concerning perspectives young women and female health workers. By shedding light on this unexplored terrain, study provides novel insights that can inform targeted interventions foster a more inclusive understanding menstrual health. As such, investigation stands at forefront academic endeavour research, making original valuable impact field. Objectives: The objective was to explore experiences reproductive-aged during menstruation Malawi. specific objectives were examine reproductive-age related preparation, identify factors influencing choice products for Malawi, public implications products. Design: This cross-sectional employed qualitative research methods acceptance implementation cups as feminine hygienic product Methods: involved focus group discussions interviews with aged 18–54 years providers Bwaila Mitundu family clinics Lighthouse HIV management centres. Thematic content analysis performed using NVivo 12. Ethical approval obtained from College Medicine Research Ethics Committee (P.08/21/3379). Results: Education is provided early 10 before menarche by sisters, friends, mothers, aunties grandmothers. Parents remain silent issues. Commonly used include disposable pads, cloths, reusable pads cotton wool. few mentioned tampons, pieces blankets flex foam, majority demonstrated widespread ignorance about cups. Mentors or counsellors, affordability, accessibility, comfort disposal issues influence women’s being used. Conclusion: need break silence Messages are explicit forming adolescents what expect menarche, how manage menses including health-related impacts, ways mitigating menses-related misconceptions, discrimination stigma, could be incorporated into primary school curriculum. Safe accessible free charge subsidised cost.

Language: Английский

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Acceptance of Sustainable Menstrual Choices among Youth: An Analysis Using UTAUT Perspective

Universal Journal of Public Health, Journal Year: 2023, Volume and Issue: 11(5), P. 549 - 562

Published: Oct. 1, 2023

Social media applications like Instagramhave the potential to promote menstrual products and provide sustainable choices.The objective of study was determine influence Instagram on choice use intention.The research heavily relies self-efficacy consumers managing menstruation by using Unified Theory Acceptance Use Technology Model (UTAUT 3).A purposive sampling technique used select respondents from menstruating females willing fill out questionnaires.The questionnaire divided into three sections each item scored a 5-point Likert scale, (1) strongly disagreed (5) agreed.A statistical analysis method based Structural Equation Modelling (SEM) Partial Least Squares (PLS) for data analysis.The were 310 female college students government private universities Lucknow City, Uttar Pradesh Noida National Capital Region India.The conclusion drawn suggests that performance expectancy, effort social influence, facilitating conditions, habit, personal innovativeness play crucial role in user's Behavioral Intention (BI) Behavior (UB).The recommends information related choices can help achieve equity empowering women make regarding their health well-being.

Language: Английский

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Uncovering the Influence of Marketing Strategies on Menstrual Health Management During Covid-19 in Indonesia

Gazdaság és Társadalom, Journal Year: 2023, Volume and Issue: unknown, P. 101 - 127

Published: Jan. 1, 2023

The study examines the influence of marketing strategies on menstrual health management (MHM) among Indonesian women during Covid-19 pandemic. research used a mixed-method approach, including quantitative surveys and qualitative focus group discussions. Using sample size 1,516 respondents, findings indicate that did not affect use disposable sanitary pads or MHM preferences before However, after Covid-19, products had significant impact preferences. Qualitative revealed product, price, promotion are important aspects Due to increased time spent at home internet usage, have greater access information about MHM. also found rising awareness reusable products, hygiene, environmental concerns. Thus, recommends product brands innovation social media promo­tional activities meet changing needs

Language: Английский

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