DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20195073

Assessment of knowledge and health care seeking behaviour for menstrual health among adolescent school girls in urban slums of Bengaluru: a cross sectional study

Mouna H. S., Hamsa L., Ranganath T. S., Vishwanath N.

Abstract


Background: Adolescent girls are often less informed and less comfortable in accessing reproductive health care and information. Due to taboos and socio-cultural restrictions associated with menstruation and its issues, a culture of silence surrounds it. Every stage of women’s life influences next stage, thus present menstrual health will help the girls to have good reproductive, sexual and maternal health later. Good knowledge and better health care seeking behaviour will help in managing menstruation hygienically and with dignity. Hence the present study was undertaken with the objectives, to assess knowledge about menstruation and to determine health care seeking behaviour for menstrual health among adolescent girls in urban slums.

Methods: A cross sectional study was conducted to assess knowledge about menstruation and determine health seeking behaviour for menstrual health among 150 adolescent school girls. Multi stage random sampling with probability proportionate to size sampling technique was used. A pre-tested, semi-structured questionnaire was self administered to assess socio-demographic factors, knowledge and health care seeking behaviour for menstrual health.

Results: Among 150 adolescent girls, 102(68.0%) of them had good knowledge. Among girls who had excessive bleeding and irregular menses only half of them sought medical treatment (p<0.05) and though 59.5% had more than one symptoms in a cycle, only 37.3% sought treatment.

Conclusions: Health care seeking behaviour for menstrual health among adolescent girls was marginally low, only 34(37.4%) sought treatment.


Keywords


Adolescent girls, Menstruation, Knowledge, Health care seeking behaviour

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References


Ekong IE. Health seeking behaviour for menstrual problems among school girls and its associated factors: An implication for health education. Int J Curr Res. 2015;7(08):19638-44.

Clasen T. Water and Sanitation. In: Detels R, Gulliford M, Karim QA, Tan CC, eds. Oxford Textbook of Global Public Health. 6th ed. New York, NY; 2015: 169.

Omidvar S, Amiri FN, Bakhtiari A, Begum K. A study on menstruation of Indian adolescent girls in an urban area of South India. J Family Med Prim Care. 2018;7(4):698-702.

Menstrual hygiene management in schools in South Asia. 2018; 1-4.

Chandra MV, Patel SV. Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries. Reprod Health. 2017;14(1): 1-16.

Sulakshana B, Naik VA, Mallapur MD. Treatment seeking behaviour of rural adolescent girls - a community based cross-sectional study. 2012;2(2):23-7.

Farotimi AA, Esike J, Nwozichi CU, Ojediran TD, Ojewole FO. Knowledge, Attitude, and Healthcare-Seeking Behavior Towards Dysmenorrhea among Female Students of a Private University in Ogun State, Nigeria. J Basic Clin Reprod Sci. 2015;4(1):33-8.

Moline ML, Kahn DA, Ross RW, Cohen LS. Premenstrual Dysphoric Disorder : A Guide for Patients and Families. Postgraduate Med. 2001;1-7.

A continuum of care for adolescent girls in South Asia: defining the issues, synthesizing evidence, and working towards a policy agenda. UNICEF Regional Office for South Asia. 2010;4:1-27.

Kirk J, Sommer M. Menstruation and body awareness: linking girls’ health with girls’ education. R Trop Inst. 2006; 1-22.

The Global Strategy for Women’s, Childrens’s and Adolescent’s health. 2016. Available at http://www.who.int/life-course/partners/global-strategy/en. Accessed on 23 April 2019.

Kabir H, Saha NC, Wirtz AL, Gazi R. Treatment-seeking for selected reproductive health problems: Behaviours of unmarried female adolescents in two low-performing areas of Bangladesh. Reprod Health. 2014;11(1):1-7.

Chan SS, Yiu KW, Yuen PM, Sahota DS, Chung TK.. Menstrual problems and health-seeking behaviour in Hong Kong Chinese girls. Hong Kong Med J. 2009;15(1):18-23.

Ekong I, Udofia E, Johnson O, Ekanem US. Menstrual problems and their prevalence among adolescents in Akwa Ibom Int J Curr Res and Aca Rev. 2015;3(8): 96-105.

Hickey M, Balen A. Menstrual disorders in adolescence: investigation and management. 2003;9(5):493-504.

Dutta DC. Textbook of Gynecology. 6th ed. New Delhi: Chapter 8: Menstruation. Jaypee Publishers; 2018: 82.

Hillard PJA. Menstruation in Young Girls: A Clinical Perspective. Obstet Gynecol. 2002;99(4):655-62.

World Health Organisation, common wealth Medical Association Trust and UNICEF. Orientation Programme on Adolescent Heath for Health-care Providers Handout New Modules. 2006. Available at http://www.who.int/child-adolescent -health. Accessed on 16 April 2019.

Tarannum F, Khalique N, Eram U. A community based study on age of menarche among adolescent girls in Aligarh. Int J Community Med Public Health. 2018;5(1):395-400.

Kaplowitz P. Pubertal development in girls : Secular trends Pubertal development in girls : secular trends. Curr Opin Obstet Gynecol. 2018; 487-91.

Omidvar S, Bakouei F, Amiri FN, Begum K. Primary Dysmenorrhea and Menstrual Symptoms in Indian Female Students : Prevalence, Impact and Management. Global J Health Sci. 2016;8(8):133-44.

Agarwal A. Original Article A Study of Dysmenorrhea During Menstruation in Adolescent Girls. indian J Community Med. 2010;35(1) 159-64.

Sriprasert I, Pakrashi T, Kimble T, Archer DF. Heavy menstrual bleeding diagnosis and medical management. Contracept Reprod Med. 2017;2(22)1-8.

Rahatgaonkar VG, Wakankar AH, Oka GA, Kamble SV. Menstrual disorders and treatment seeking behaviour of adolescents. Int J Community Med Public Health. 2018;5(10):4248-53.

Deka C, Baishya AC, Ojah J. A study of reproductive health and health seeking behaviour of adolescent girls residing in urban slums of Guwahati city. N Indian J Obgyn. 2015;2(1):51-5.