Menstrual health intervention and school attendance in Uganda (MENISCUS-2): a pilot intervention study.
Absenteeism
Adolescent
Female
Health Education
/ methods
Humans
Hygiene
/ education
Longitudinal Studies
Male
Menstrual Hygiene Products
/ supply & distribution
Menstruation
/ physiology
Pain Management
/ methods
Pilot Projects
Puberty
/ physiology
School Health Services
Schools
/ organization & administration
Self-Management
/ methods
Toilet Facilities
/ standards
Uganda
adolescent health
education
menstrual health
menstrual hygiene
school attendance
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
04 02 2020
04 02 2020
Historique:
entrez:
7
2
2020
pubmed:
7
2
2020
medline:
16
2
2021
Statut:
epublish
Résumé
Achieving good menstrual health and hygiene (MHH) is a public health challenge and there is little evidence to inform interventions. The aim of this study was to pilot test an intervention to improve MHH and school attendance in Uganda, in preparation for a future cluster-randomised trial. Longitudinal study with pre-post evaluation of a pilot intervention. Two secondary schools in Entebbe, Uganda. Of the 473 eligible students in secondary 2 (S2) at baseline, 450 (95.1%; 232 girls and 218 boys) consented/assented. 369 students (188 girls; 81.0%; and 181 boys; 83.0%) participated in the endline survey. The intervention comprised training teachers to improve delivery of government guidelines for puberty education, training in use of a menstrual kit and pain management, a drama skit, provision of analgesics and improvements to school water and sanitation hygiene facilities. Feasibility and acceptability of delivering the intervention. Baseline and endline quantitative surveys were conducted, with qualitative interviews conducted at endline. School attendance was assessed using self-completed daily diaries among a nested cohort of 100 female students. There were high levels of uptake of the individual and behavioural intervention components (puberty education, drama skit, menstrual hygiene management (MHM) kit and pain management). The proportion of girls reporting anxiety about next period decreased from 58.6% to 34.4%, and reported use of effective pain management increased from 76.4% to 91.4%. Most girls (81.4%) reported improved school toilet facilities, which improved their comfort managing menstruation. The diary data and qualitative data indicated a potential intervention impact on improving menstrual-related school absenteeism. The pilot study showed that the multicomponent MHM intervention was acceptable and feasible to deliver, and potentially effective in improving menstruation knowledge and management. A cluster-randomised trial is needed to evaluate rigorously the intervention effects on MHM and school attendance. NCT04064736; Pre-results.
Identifiants
pubmed: 32024786
pii: bmjopen-2019-031182
doi: 10.1136/bmjopen-2019-031182
pmc: PMC7044877
doi:
Banques de données
ClinicalTrials.gov
['NCT04064736']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e031182Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Organisme : Medical Research Council
ID : MR/P020283/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/R010161/1
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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