Adolescent girls’ menstrual hygiene management: evidence from rural northern Ghana
DOI:
https://doi.org/10.36005/jplm.v2i2.53Keywords:
Menstrual Hygiene Management, adolescent health, sanitary pads, sexual behaviours, women’s healthAbstract
Background: Menstrual Hygiene Management (MHM) among adolescents has emerged as global public health concern in low and middle-income countries. Although research on MHM among adolescents is vast, the peculiar cultural and economic barriers faced by Junior high schoolgirls in menstrual hygiene management in the deprived settings of northern Ghana are seldom explored, even though sanitation coverage in this part of the country does not exceed 20 percent. We thus explored menstrual hygiene management barriers among adolescent schoolgirls in Junior High Schools in the Upper West region.
Methods: A case study of adolescent girls’ menstrual practices and management in selected schools in the Jirapa Municipality was conducted. We employed a qualitative approach in the collection and analysis of the data. A mix of purposive and convenience sampling procedures was used to select 44 diverse participants, comprising: basic schoolgirls (n=32), and mothers (n=12), who participated in semi-structured interviews. The data collected were analysed using the thematic analytical framework.
Results: Underpinned by Gusfield’s cultural and structural analysis of public problems as well as Bronfenbrenner’s socioecological theory, we found that limited knowledge of menstruation and its management, cultural beliefs, and high costs of menstrual care products to be main barriers to effective MHM among adolescent girls in basic schools in Ghana. This has often resulted in school absenteeism and dropout, girls engaging in commercial sex to raise funds to buy menstrual hygiene products, menstruation-related stigma and seclusion and exclusion during menstruation.
Conclusion: Our findings have implications for MHM policy planning and implementation. The Ministries of Education, Health and Water Resources need to collaborate and develop an MHM Policy as part of the National Sanitation and Hygiene Strategy, and a strategy to provide direction on how to implement MHM activities in basic schools in the country.
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References
Abor, P. A. (2022). Menstrual hygiene management in public high schools in Ghana. African Health Sciences, 22(1), 88-91.
Agyekum, K. (2002). Menstruation as a verbal taboo among the Akan of Ghana. Journal of Anthropological Research, 58(3), 367-387.
Ansong, D., & Alhassan, M. (2016). Educational progression in Ghana: Gender and spatial variations in longitudinal trajectories of Junior High School Completion rate. International Journal of Progressive Education, 12(2).
Baba, H., Yendork, J. S., & Atindanbila, S. (2020). Exploring married girls’ subjective experiences of well-being and challenges. Journal of Adolescence, 79, 193-207.
Beauchamp, D. E. (1976). Public health as social justice. Inquiry, 13(1), 3-14.
Bronfenbrenner, U. (1979). The ecology of human development Cambridge. MA: Harvard.
Bronfenbrenner, U. (2005). Making human beings human: Bioecological perspectives on human development: Sage.
Citypopulation.de. (2022). Jirapa Municipal: Municipal District in Ghana. In. https://www.citypopulation.de/en/ghana/admin/upper_west/1006__jirapa_municipal/: Citypopulation.de.
Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it.
Domapielle, M. K., Akurugu, C. A., & Mdee, A. (2020). Horizontal Inequity in Healthcare Delivery: A Qualitative Analysis of Perceptions of Locality and Costs of Access in the Jirapa Municipality, North‐western Ghana. Journal of International Development, 32(8), 1308-1323.
Dorfman, L., Wallack, L., & Woodruff, K. (2005). More than a message: framing public health advocacy to change corporate practices. Health Education & Behavior, 32(3), 320-336.
Edward, K. (2011). L, Welch T. The extension of Colaizzi's method of phenomenological enquiry. Contemp Nurse, 39(2), 163-171.
Ghimire, M. G. (2020). Menstrual Hygiene Management and Practices in Campuses. Journal of Health Promotion, 8, 73-84.
Gumanga, S., & Kwame-Aryee, R. (2012). Menstrual characteristics in some adolescent girls in Accra, Ghana. Ghana medical journal, 46(1).
Gusfield, J. R. (1984). The culture of public problems: Drinking-driving and the symbolic order: University of Chicago Press.
Jørgensen, M. W., & Phillips, L. J. (2002). Discourse analysis as theory and method: Sage.
Kumari, P., & Panchal, P. H. (2019). Menstrual Health Management. Research & Reviews: A Journal of Health Professions, 8(3), 97-102s.
Kumbeni, M. T., Ziba, F. A., Apenkwa, J., & Otupiri, E. (2021). Prevalence and factors associated with menstruation-related school absenteeism among adolescent girls in rural northern Ghana. BMC women's health, 21(1), 1-6.
Lawan, U., Nafisa, W. Y., & Musa, A. B. (2010). Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. African Journal of Reproductive Health, 14(3), 201-207.
McCombs, M. E., & Shaw, D. L. (1972). The agenda-setting function of mass media. Public opinion quarterly, 36(2), 176-187.
Mohammed, S., & Larsen-Reindorf, R. E. (2020). Menstrual knowledge, sociocultural restrictions, and barriers to menstrual hygiene management in Ghana: Evidence from a multi-method survey among adolescent schoolgirls and schoolboys. PLoS One, 15(10), e0241106. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580927/pdf/pone.0241106.pdf
Mohammed, S., Larsen-Reindorf, R. E., & Awal, I. (2020). Menstrual hygiene management and school absenteeism among adolescents in Ghana: results from a school-based cross-sectional study in a rural community. International journal of reproductive medicine, 2020.
Morrow, R., Rodriguez, A., & King, N. (2015). Colaizzi’s descriptive phenomenological method. The psychologist, 28(8), 643-644.
Rajagopal, S., & Mathur, K. (2017). ‘Breaking the silence around menstruation’: experiences of adolescent girls in an urban setting in India. Gender & Development, 25(2), 303-317.
Sarfo, E. A., Yendork, J. S., & Naidoo, A. V. (2021). Examining the intersection between marriage, perceived maturity and child marriage: perspectives of community elders in the Northern region of Ghana. Culture, Health & Sexuality, 23(7), 991-1005.
Shumie, Z. S., & Mengie, Z. A. (2022). Menstrual hygiene management knowledge, practice and associated factors Among School Girls, Northeast Ethiopia. PLoS One, 17(7), e0271275.
Sommer, M., Ackatia-Armah, N., Connolly, S., & Smiles, D. (2015). A comparison of the menstruation and education experiences of girls in Tanzania, Ghana, Cambodia and Ethiopia. Compare: A Journal of Comparative and International Education, 45(4), 589-609.
Sommer, M., Hirsch, J. S., Nathanson, C., & Parker, R. G. (2015). Comfortably, safely, and without shame: defining menstrual hygiene management as a public health issue. American Journal of Public Health, 105(7), 1302-1311.
Sommer, M., Zulaika, G., Schmitt, M. L., Khandaki, N., Gellis, L., & Phillips-Howard, P. (2020). Improving the impact of menstrual health innovations in low-and middle-income countries: a theory of change and measurement framework. Journal of Global Health Reports, 4(e2020007.).
Sugita, E. W. (2022). Gender and Culture Matters: Considerations for Menstrual Hygiene Management. The Sanitation Triangle, 65.
Sumpter, C., & Torondel, B. (2013). A systematic review of the health and social effects of menstrual hygiene management. PLoS One, 8(4), e62004. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3637379/pdf/pone.0062004.pdf
Thakre, S. B., Thakre, S. S., Reddy, M., Rathi, N., Pathak, K., & Ughade, S. (2011). Menstrual hygiene: knowledge and practice among adolescent school girls of Saoner, Nagpur district. J Clin Diagn Res, 5(5), 1027-1033.
Ten V, T.A., 2007. Menstrual hygiene : a neglected condition for the achievement of several Millennium Development Goals, Brussels, Belgium: Europe External Policy Advisors. Available at: https://www.ircwash.org/sites/default/files/Tjon-A-Ten-2007-Menstrual.pdf.
Tjon A Ten, V. (2007). Menstrual hygiene : a neglected condition for the achievement of several Millennium Development Goals. https://www.ircwash.org/resources/menstrual-hygiene-neglected-condition-achievement-several-millennium-development-goals: Europe External Policy Advisors, Brussels, Belgium, p. 22.
Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398-405.
Wilbur, J., Torondel, B., Hameed, S., Mahon, T., & Kuper, H. (2019). Systematic review of menstrual hygiene management requirements, its barriers and strategies for disabled people. PLoS One, 14(2), e0210974.
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