Exploring Knowledge and Practices Regarding Menstrual Hygiene Management Among Bihari Women In The Geneva Camp In Bangladesh
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Abstract
Background: Research into menstrual hygiene management (MHM) has been mainly based on menstruation-related knowledge and practices of women and girls in the mainstream Bangladeshi society; socially disadvantaged groups, such as the Bihari refugee women, have largely been ignored.
Purpose: This study aims to assess knowledge and practices about MHM among Bihari women in the Mohammadpur Geneva Camp in Dhaka, Bangladesh.
Methods: In 2017, a cross-sectional survey was conducted among Bihari women and girls by the trained interviewers using a structured questionnaire. The purposive sampling was applied to select 160 Bihari women aged between 15 and 49. Data were entered, cleaned, and analysed using SPSS software. Both univariate and bivariate analyses were undertaken to examine knowledge and MHM-related practices with a significance level of p<0.01.
Results: Overall, most women (59.4%) had low knowledge about menstruation. More than one-quarter (27.0%) used disposable sanitary napkins. The Bihari women who did not use sanitary pads (73%) reported that they used old disposable clothes (59.83%), reusable cloths (25.64%), cotton (9.40%), or toilet tissue paper (4.27%). Around two-thirds of the women (68.0%) performed special baths and 36.9% followed socio-cultural taboos during menstruation. The bivariate analyses revealed that higher menstruation knowledge was associated with higher use of disposable sanitary napkins (low knowledge: 18.9%, high knowledge: 38.5%; p<0.01).
Conclusions: The findings suggest that it is imperative for Bihari women to have adequate and appropriate menstruation knowledge so that they can maintain good menstrual hygiene practices. The findings highlight challenges experienced by the refugee women in maintaining MHM and can be used to improve women’s reproductive health and well-being and reduce the risk of reproductive tract infections (RTI) among socially disadvantaged women.
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References
Afiaz, & Biswas. (2021). Awareness on menstrual hygiene management in Bangladesh and the possibilities of media interventions: using a nationwide cross-sectional survey. BMJ Open, 11(4), 134.
Ainul, Bajracharya, Reichenbach, & Gille. (2017). Adolescents in Bangladesh: A situation analysis of programmatic approaches to sexual and reproductive health education and services Washington, DC and Dhaka.
Alam, Luby, Halder, Islam, Opel, Shoab, Ghosh, Rahman, Mahon, & Unicomb. (n.d.). Menstrual hygiene management among Bangladeshi adolescent schoolgirls and risk factors affecting school absence: results from a cross-sectional survey. BMJ Open, 7(7), 558.
Ali, & Rizvi. (2010). Menstrual knowledge and practices of female adolescents in urban Karachi, Pakistan. Journal of Adolescence, 33(4), 531–541.
Ameade, & Garti. (2016). Relationship between female university students’ knowledge on menstruation and their menstrual hygiene practices: a study in Tamale, Ghana. In Advances in Preventive Medicine.
Astuti, A. W., Hirst, J., & Bharj, kuldip kaur. (2021). Adolescent fathers’ experiences in indonesia?: a qualitative study. International Journal of Adolescence and Youth, 26(1), 201–210.
Bashar. (2006). Unresolved statelessness: The case of Biharis in Bangladesh. Journal of International Affairs, 10(1), 1–3.
Baumann, Lhaki, & Burke. (2019). Assessing the role of caste/ethnicity in predicting menstrual knowledge, attitudes, and practices in Nepal. Global Public Health, 14(9), 1–14.
Boakye-Yiadom, Aladago, Beweleyir, Mohammed, Salifu, & Asaarik. (2018). Assessing the knowledge, attitude and practice of menstrual hygiene management among junior high schools adolescent females in the Yendi Municipality in the northern region of Ghana. European Scientific Journal, 14(1), 13.
Bolarinwa. (2015). Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Nigerian Postgraduate Medical Journal, 22(4), 195.
Budhathoki, Bhattachan, Castro-Sánchez, Sagtani, Rayamajhi, Rai, & Sharma. (2018). Menstrual hygiene management among women and adolescent girls in the aftermath of the earthquake in Nepal. BMC Women’s Health, 18(1), 33.
Budhathoki, Bhattachan, Pokharel, Bhadra, & Teijlingen, V. (2017). Reusable sanitary towels: promoting menstrual hygiene in post-earthquake Nepal. Journal of Family Planning and Reproductive Health Care, 43(2), 157–159.
Chebii. (2018). Menstrual issues: how adolescent schoolgirls in the Kibera slums of Kenya negotiate their experiences with menstruation. Women’s Reproductive Health, 5(3), 204–215.
Crofts, & Fisher. (2012). Menstrual hygiene in Ugandan schools: an investigation of low-cost sanitary pads. Journal of Water, Sanitation and Hygiene for Development, 2(1), 50–58.
DeMaria, Delay, Sundstrom, Wakefield, Naoum, Ramos-Ortiz, & Meier. (2020). “My mama told me it would happen”: menarche and menstruation experiences across generations. Women & Health, 60(1), 87–98.
Eijk, V., Sivakami, Thakkar, Bauman, Laserson, & Coates. (2016). Menstrual hygiene management among adolescent girls in India: a systematic review and meta-analysis. BMJ Open, 6(3).
Ennew. (1994). Street and working children: a guide to planning. Save the Children.
Farzana. (2009). An artificial minority: The stateless Biharis in Bangladesh. Journal of Muslim Minority Affairs, 29(2), 223–235.
Faugier, & Sargeant. (1997). Sampling hard to reach populations. Journal of Advanced Nursing, 26(4), 790–797.
Gultie, Hailu, & Workineh. (2014). Age of menarche and knowledge about menstrual hygiene management among adolescent school girls in Amhara province, Ethiopia: implication to health care workers & school teachers. PloS One, 9(9), 44.
Haider. (2018). Biharis in Bangladesh and their restricted access to citizenship rights. J South Asia Research, 38(3), 24–42.
Hennegan, & Sol. (2019). Confidence to manage menstruation at home and at school: findings from a cross-sectional survey of schoolgirls in rural Bangladesh. Culture, Health & Sexuality, 1(1), 1–20.
Hjelm, K., Bard, K., & Apelqvist, J. (2018). A qualitative study of developing beliefs about health, illness and healthcare in migrant African women with gestational diabetes living in Sweden. BMC Women’s Health, 18(1), 1–14. https://doi.org/10.1186/s12905-018-0518-z
Huda, Sikder, Rahman, Mohiuddin, & Islam. (2016). Access to Mass Media and Awareness of Sexually Transmitted Diseases (STDs) Among the Truck Drivers in Dhaka City: Do Mass Media Make Them Aware? South Asian. Journal of Social Science, 1(1), 1–16.
Kaur. (2018). Menstrual Hygiene, Management, and Waste Disposal: Practices and Challenges Faced by Girls/Women of Developing Countries. Journal of Environmental and Public Health.
Khan. (2015). Gender and diaspora: the Bihari community in Bangladesh. NIDA Case Research Journal, 7(2), 84–96.
Kuhlmann, Henry, & Wall. (2017). Menstrual Hygiene Management in Resource-Poor Countries. Obstetrical & Gynecological Survey, 72(6), 356.
Kumar, Prasuna, & Seth. (2017). Assessment of menstrual hygiene among reproductive age women in South-west Delhi. Journal of Family Medicine and Primary Care, 6(4), 730.
Lahme, Stern, & Cooper. (2018). Factors impacting on menstrual hygiene and their implications for health promotion. Global Health Promotion, 25(1), 54–62.
Mappa, I., Distefano, F. A., & Rizzo, G. (2020). Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study. Journal of Perinatal Medicine, 48(6), 545–550. https://doi.org/10.1515/jpm-2020-0182
Morrison, Basnet, Anju, Khimbanjar, Chaulagain, Baral, & Hodgkin. (2018). Girls’ menstrual management in five districts of Nepal: Imlications for policy and practice. Studies in Social Justice, 12(2), 252–272.
Mufdlilah, & Rachmawati. (2018). Gestational diabetes mellitus and macrosomia: An analysis of secondary data. Journal of Health Technology Assessment in Midwifery, 1(2), 94–98. https://doi.org/10.31101/jhtam.819
Muhit, & Chowdhury. (2013). Menstrual hygiene condition of adolescent schoolgirls at Chittagong division in Bangladesh. International Journal of Scientific & Technology Research, 2(6), 58–62.
Parker, Smith, Verdemato, Cooke, & Webster. (2014). Menstrual management: a neglected aspect of hygiene interventions. Disaster Prevention and Management, 23(4), 437–454.
Patel. (2016). A cross sectional study on menstruation and menstrual hygiene among medical students of Valsad, Gujarat. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5(12), 4297–4302.
Phillips-Howard Nyothach, O., Wang, Onyango, & Alexander. (2016). Menstrual cups and sanitary pads to reduce school attrition, and sexually transmitted and reproductive tract infections: a cluster randomised controlled feasibility study in rural western Kenya. BMJ Open, 6(11).
Prajapati, & Patel. (2015). Menstrual hygiene among adolescent girls: A cross sectional study in urban community of Gandhinagar. JMR, 1(4), 122–125.
Rafe. (2018). The neglected “Bihari” community in Bangladesh. Deutsche Welle. https://www.dw.com/en/the-neglected-bihari-community-in-bangladesh/a-50824994
Rubinsky, V., Gunning, J. N., & Cooke-Jackson, A. (2020). “I Thought I Was Dying:” (Un)Supportive Communication Surrounding Early Menstruation Experiences. Health Communication, 35(2), 242–252. https://doi.org/10.1080/10410236.2018.1548337
Salim, & Begum. (2016). Hygienic practices during menstruation among adolescent school girls. Northern International Medical College Journal, 7(2), 139–142.
Simanjuntak. (2008). Hubungan Anemia Pada Ibu Hamil dengan Kejadian BBLR di BP RSU Rantaurapat?: (thesis). Medan?:Universitas Sumatra Utara.
Smiles, Short, & Sommer. (2017). “I didn’t tell anyone because I was very afraid”: girls’ experiences of menstruation in contemporary Ethiopia. Women’s Reproductive Health, 4(3), 185–197.
Thakur, Aronsson, Bansode, Lundborg, S., Dalvie, & Faxelid. (2014). Knowledge, practices, and restrictions related to menstruation among young women from low socioeconomic community in Mumbai, India. Frontiers in Public Health, 2(1), 72.
Tiwary. (2018). Role of menstrual hygiene in sustainable development goals. International Journal of Health Science and Research, 8(5), 377–387.
Ulley, J., Harrop, D., Ali, A., Alton, S., & Fowler Davis, S. (2019). Deprescribing interventions and their impact on medication adherence in community-dwelling older adults with polypharmacy: A systematic review. BMC Geriatrics, 19(1), 1–13. https://doi.org/10.1186/s12877-019-1031-4
UNICEF. (2020). Rohingya Crisis. UNICEF Bangladesh. https://www.unicef.org/emergencies/rohingya-crisis
Upashe, Tekelab, & Mekonnen. (2015). Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC Women’s Health, 15(184).
Varghese, Ravichandran, & Anandhan. (2015). Knowledge and Practice of Menstrual hygiene among Adolescent girls. Ind J Youth Adol Health, 2(3).
Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., Murch, S., Sankar, M. J., Walker, N., Rollins, N. C., Allen, K., Dharmage, S., Lodge, C., Peres, K. G., Bhandari, N., Chowdhury, R., Sinha, B., Taneja, S., Giugliani, E., … Richter, L. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475–490. https://doi.org/10.1016/S0140-6736(15)01024-7