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Factors Affecting Menstrual Hygiene Management Practice Among School Adolescents in Ambo, Western Ethiopia, 2018: A Cross-Sectional Mixed-Method Study

Authors Ahmed Shallo S, Willi W, Abubeker A

Received 13 June 2020

Accepted for publication 3 September 2020

Published 15 September 2020 Volume 2020:13 Pages 1579—1587


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Marco Carotenuto

Seifadin Ahmed Shallo,1 Wakeshe Willi,2 Abuzumeran Abubeker3

1Department of Public Health, Division of Reproductive Health and Nutrition, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia; 2Department of Public Health, Division of Reproductive Health and Nutrition, Ambo University, Ambo, Ethiopia; 3Department of Public Health, Division of Epidemiology, Ambo University, Ambo, Ethiopia

Correspondence: Seifadin Ahmed Shallo
Department of Public Health, Division of Reproductive Health and Nutrition, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia

Background: Menstruation is still regarded as something unclean in many parts of Ethiopia. Despite the challenges related to menstrual hygiene management, it has been routinely overlooked in the school setting. The existing evidence on menstrual hygiene management lacks objective measurement approaches. Therefore, the aim of this study was to assess factors affecting menstrual hygiene management practice among school adolescents in Ambo, Western Ethiopia.
Methods: An institutional-based mixed-method cross-sectional study was conducted from 1 to 30 March 2018 with 364 high school females. A systematic random sampling and purposive sampling technique were used to select study participants. We used a self-administered questionnaire, observational checklists, and focus group discussion. Data were analyzed using SPSS statistical software and thematic analysis. Multiple logistic regression analyses were done. With 95% CI, P< 0.05 was considered the level of significance.
Results: The prevalence of unsafe menstrual hygiene management practice was 53.6%, and it was affected by factors including age of the females [AOR: 0.16 (0.045, 0.57), P=0.005], frequency of discussing menses [AOR: 0.30, 95% CI: 0.13, 0.71, P-value = 0.006], and source of information about menses [AOR: 3.75, 95% CI: 1.75, 8.00) P= 0.001]. Lack of information about how to manage menses safely and lack of sufficient WASH facility were also identified.
Conclusion: High prevalence of unsafe menstrual hygiene management in the study area implies that urgent measures are needed from the concerned body. The school environments were not female friendly for managing their menses safely highlighting that the water, sanitation, and hygiene facilities in the schools need urgent solutions.

Keywords: menstrual hygiene management, school females, Ambo, Ethiopia

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