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      Menstrual health and school absenteeism among adolescent girls in Uganda (MENISCUS): a feasibility study.

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          Abstract

          Management of menstruation can present substantial challenges to girls in low-income settings. In preparation for a menstrual hygiene intervention to reduce school absenteeism in Uganda, this study aimed to investigate menstruation management practices, barriers and facilitators, and the influence of menstruation on school absenteeism among secondary school students in a peri-urban district of Uganda.

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          The value and challenges of participatory research: strengthening its practice.

          Margaret Cargo, Shawna L. Mercer (2008)
          The increasing use of participatory research (PR) approaches to address pressing public health issues reflects PR's potential for bridging gaps between research and practice, addressing social and environmental justice and enabling people to gain control over determinants of their health. Our critical review of the PR literature culminates in the development of an integrative practice framework that features five essential domains and provides a structured process for developing and maintaining PR partnerships, designing and implementing PR efforts, and evaluating the intermediate and long-term outcomes of descriptive, etiological, and intervention PR studies. We review the empirical and nonempirical literature in the context of this practice framework to distill the key challenges and added value of PR. Advances to the practice of PR over the next decade will require establishing the effectiveness of PR in achieving health outcomes and linking PR practices, processes, and core elements to health outcomes.
          Article 0 comments Cited 319 times – based on 0 reviews     Review now
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            A Systematic Review of the Health and Social Effects of Menstrual Hygiene Management

            Colin Sumpter, Belen Torondel (2013)
            Background Differing approaches to menstrual hygiene management (MHM) have been associated with a wide range of health and psycho-social outcomes in lower income settings. This paper systematically collates, summarizes and critically appraises the available evidence. Methods Following the PRISMA guidelines a structured search strategy was used to identify articles investigating the effects of MHM on health and psycho-social outcomes. The search was conducted in May 2012 and had no date limit. Data was extracted and quality of methodology was independently assessed by two researchers. Where no measure of effect was provided, but sufficient data were available to calculate one, this was undertaken. Meta-analysis was conducted where sufficient data were available. Results 14 articles were identified which looked at health outcomes, primarily reproductive tract infections (RTI). 11 articles were identified investigating associations between MHM, social restrictions and school attendance. MHM was found to be associated with RTI in 7 papers. Methodologies however varied greatly and overall quality was low. Meta-analysis of a subset of studies found no association between confirmed bacterial vaginosis and MHM (OR: 1.07, 95% CI: 0.52–2.24). No other substantial associations with health outcomes were found. Although there was good evidence that educational interventions can improve MHM practices and reduce social restrictions there was no quantitative evidence that improvements in management methods reduce school absenteeism. Conclusion The management of menstruation presents significant challenges for women in lower income settings; the effect of poor MHM however remains unclear. It is plausible that MHM can affect the reproductive tract but the specific infections, the strength of effect, and the route of transmission, remain unclear. There is a gap in the evidence for high quality randomised intervention studies which combine hardware and software interventions, in particular for better understanding the nuanced effect improving MHM may have on girls’ attendance at school.
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              A Time for Global Action: Addressing Girls’ Menstrual Hygiene Management Needs in Schools

              Marni Sommer, Bethany A. Caruso, Murat Sahin … (2016)
              Marni Sommer and colleagues reflect on priorities needed to guide global, national, and local action to address girls' menstrual hygiene management needs in schools.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): BMC Womens Health
                Title: BMC women's health
                Publisher: Springer Science and Business Media LLC
                ISSN (Electronic): 1472-6874
                ISSN (Print): 1472-6874
                Publication date (Electronic): January 03 2018
                Volume: 18
                Issue: 1
                Affiliations
                [1 ] Uganda Virus Research Institute, Entebbe, Uganda.
                [2 ] Medical Research Council, Uganda Virus Research Institute, Entebbe, Uganda.
                [3 ] London School of Hygiene and Tropical Medicine, London, UK.
                [4 ] MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
                [5 ] Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland.
                [6 ] London School of Hygiene and Tropical Medicine, London, UK. helen.weiss@lshtm.ac.uk.
                [7 ] MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. helen.weiss@lshtm.ac.uk.
                Article
                Publisher Item ID: 10.1186/s12905-017-0502-z
                DOI: 10.1186/s12905-017-0502-z
                PMC ID: 5753466
                PubMed ID: 29298699
                SO-VID: e0abf118-db7f-4444-ab1d-1ccc26cca211
                History

                Keywords: School absenteeism,Adolescence,School girls,School attendance,Menstrual health,Menstrual knowledge
                Data availability:
                Keywords: School absenteeism, Adolescence, School girls, School attendance, Menstrual health, Menstrual knowledge

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