Menstrual hygiene practices among the adolescent schoolgirls in the rural area of Bangladesh

Mst. Rokshana Rabeya, Md Nazrul Islam, Umme Hafsa, Nadiatul Ami Nisa, Gopal Kumar Ghosh, Afsana Yesmin, Khairun Nahar Juthi, Tamima Rahman, Tanjina Sharmin


Adolescence is a time of tremendous opportunity. However, inadequate menstrual hygiene habits are related to lower academic achievement and enrollment at school, with possible effects on longer-term socio-economic status and impaired overall quality of life. Therefore, this cross-sectional study was conducted among 422 adolescent schoolgirls in Bangladesh between July 2019 and February 2020 with the aim of examining menstrual hygiene practices. Data indicate that the mean age of menarche in 422 adolescents was 12.71±0.97. According to the data, 47% had well, and 53% had poor hygiene practices. In multivariable logistic regression analysis, educational status of respondents’ mother at secondary level [AOR = 2.023, 95% CI: 1.159-3.532], fathers at graduate and above level [ AOR = 3.150, 95% CI: 0.883-11.238], high level of household income [AOR = 2.580, 95% CI: 1.480-4.495], and knowledge about complication of poor hygiene practice among girls [AOR = 2.286, 95% CI: 1.160-4.504] were significantly associated with the level of hygiene practices. Poor menstrual hygiene practice was found among more than half of girls. Attitude toward safe menstrual materials should initiate to improve good hygiene practices. Awareness campaigns for parents and teachers to assist their children would be a vital strategy to ensure good hygiene practices.


“Adolescent Demographics,” UNICEF DATA. (accessed Dec. 02, 2021).

“National-Strategy-for-Adolescent-Health-2017-2030.pdf.” Accessed: Dec. 02, 2021. [Online]. Available:

P. Senapathi and H. Kumar, “A comparative study of menstrual hygiene management among rural and urban adolescent girls in Mangaluru, Karnataka,” International Journal Of Community Medicine And Public Health, vol. 5, no. 6, pp. 2548–2556, May 2018, doi: 10.18203/2394-6040.ijcmph20182193.

“Wateraid_menstrual-hygiene-school-adolesencegirls-Nepal_2009.pdf.” Accessed: Dec. 02, 2021. [Online]. Available:

R. Ahmed and K. Yesmin, “21 Menstrual hygiene: Breaking the silence,” Hygiene promotion, p. 5.

A. Malhotra, S. Goli, S. Coates, and M. Mosquera-Vasquez, “Factors associated with knowledge, attitudes, and hygiene practices during menstruation among adolescent girls in Uttar Pradesh,” Waterlines, vol. 35, no. 3, pp. 277–305, Jul. 2016, doi: 10.3362/1756-3488.2016.021.

R. Dhingra, A. Kumar, and M. Kour, “Knowledge and Practices Related to Menstruation among Tribal (Gujjar) Adolescent Girls,” Studies on Ethno-Medicine, vol. 3, no. 1, pp. 43–48, Jan. 2009, doi: 10.1080/09735070.2009.11886336.

N. Joshy, K. Prakash, and K. Ramdey, “Social Taboos and Menstrual Practices in the Pindar Valley,” Indian Journal of Gender Studies, vol. 26, no. 1–2, pp. 79–95, Feb. 2019, doi: 10.1177/0971521518811171.

P. A. Phillips-Howard, B. Caruso, B. Torondel, G. Zulaika, M. Sahin, and M. Sommer, “Menstrual hygiene management among adolescent schoolgirls in low- and middle-income countries: research priorities,” Glob Health Action, vol. 9, p. 10.3402/gha.v9.33032, Dec. 2016, doi: 10.3402/gha.v9.33032.

E. Wilson, J. Haver, B. Torondel, J. Rubli, and B. A. Caruso, “Dismantling menstrual taboos to overcome gender inequality,” Lancet Child Adolesc Health, vol. 2, no. 8, p. e17, Aug. 2018, doi: 10.1016/S2352-4642(18)30209-8.

A.-H. El-Gilany, K. Badawi, and S. El-Fedawy, “Menstrual Hygiene among Adolescent Schoolgirls in Mansoura, Egypt,” Reproductive Health Matters, vol. 13, no. 26, pp. 147–152, Jan. 2005, doi: 10.1016/S0968-8080(05)26191-8.

M. Secor-Turner, K. Schmitz, and K. Benson, “Adolescent Experience of Menstruation in Rural Kenya,” Nurs Res, vol. 65, no. 4, pp. 301–305, Aug. 2016, doi: 10.1097/NNR.0000000000000161.

B. Rana, A. Prajapati, K. N. Sonaliya, V. Shah, M. Patel, and A. Solanki, “An Assessment of Menstrual Hygiene Practices amongst Adolescent Females at Kheda District of Gujarat State, India,” vol. 6, no. 1, p. 7, 2015.

A. Dasgupta and M. Sarkar, “Menstrual Hygiene: How Hygienic is the Adolescent Girl?,” Indian J Community Med, vol. 33, no. 2, pp. 77–80, Apr. 2008, doi: 10.4103/0970-0218.40872.

J. Hennegan, A. K. Shannon, J. Rubli, K. J. Schwab, and G. J. Melendez-Torres, “Women’s and girls’ experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis,” PLOS Medicine, vol. 16, no. 5, p. e1002803, May 2019, doi: 10.1371/journal.pmed.1002803.

M. Sivakami et al., “Effect of menstruation on girls and their schooling, and facilitators of menstrual hygiene management in schools: surveys in government schools in three states in India, 2015,” J Glob Health, vol. 9, no. 1, p. 010408, doi: 10.7189/jogh.09.010408.

G. Miiro et al., “Menstrual health and school absenteeism among adolescent girls in Uganda (MENISCUS): a feasibility study,” BMC Women’s Health, vol. 18, no. 1, p. 4, Jan. 2018, doi: 10.1186/s12905-017-0502-z.

R. Juyal, S. D. Kandpal, and J. Semwal, “Menstrual Hygiene and Reproductive Morbidity in Adolescent Girls in Dehradun, India,” Bangladesh Journal of Medical Science, vol. 13, no. 2, Art. no. 2, Mar. 2014, doi: 10.3329/bjms.v13i2.14257.

G. K. Ghosh, M. N. Islam, K. N. Juthi, A. Yesmin, T. Rahman, and D. R. Rabeya, “Nutritional status, dietary diversity, and food security of adolescent girls in rural Bangladesh,” The Ethiopian Journal of Health Development, vol. 35, no. 3, Art. no. 3, Oct. 2021, Accessed: May 29, 2022. [Online]. Available:

T. K. Gultie, “Practice of Menstrual Hygiene and Associated Factors among Female Mehalmeda High School Students in Amhara Regional State, Ethiopia,” Science Journal of Public Health, vol. 2, no. 3, Art. no. 3, Apr. 2014, doi: 10.11648/j.sjph.20140203.18.

A. Mulugeta et al., “Child malnutrition in Tigray, Northern Ethiopia,” East African Medical Journal, vol. 87, Accessed: Dec. 13, 2019. [Online]. Available:

H. Mohammed Gena, “Menstrual Hygiene Management Practices and Associated Factors among Secondary School Girls in East Hararghe Zone, Eastern Ethiopia,” Advances in Public Health, vol. 2020, pp. 1–7, Nov. 2020, doi: 10.1155/2020/8938615.

S. Omidvar, F. N. Amiri, A. Bakhtiari, and K. Begum, “A study on menstruation of Indian adolescent girls in an urban area of South India,” J Family Med Prim Care, vol. 7, no. 4, pp. 698–702, Aug. 2018, doi: 10.4103/jfmpc.jfmpc_258_17.

J. Davis et al., “Menstrual hygiene management and school absenteeism among adolescent students in Indonesia: evidence from a cross-sectional school-based survey,” Trop Med Int Health, vol. 23, no. 12, pp. 1350–1363, Dec. 2018, doi: 10.1111/tmi.13159.

A. Vashisht, R. Pathak, R. Agarwalla, B. N. Patavegar, and M. Panda, “School absenteeism during menstruation amongst adolescent girls in Delhi, India,” J Family Community Med, vol. 25, no. 3, pp. 163–168, 2018, doi: 10.4103/jfcm.JFCM_161_17.

S. Mohammed, R. E. Larsen-Reindorf, and I. Awal, “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, vol. 2020, pp. 1–9, Apr. 2020, doi: 10.1155/2020/6872491.

K. Jyoti, M. Lal, S. Mahajan, and T. Singh, “Assessing the impact of information, education and communication activities regarding menstrual hygiene practices among adolescent girls 13-17 years in the rural area of Amritsar,” International Journal Of Community Medicine And Public Health, vol. 7, no. 4, pp. 1470–1474, Mar. 2020, doi: 10.18203/2394-6040.ijcmph20201458.

S. Hossain, “A Study of the Knowledge and Practice Regarding Menstrual Hygiene in Rural Adolescent School Going Girls in an Indian Cosmopolitan City,” Journal of Pharmacy Practice and Community Medicine, vol. 3, no. 3, pp. 185–187, 2017, doi: 10.5530/jppcm.2016.3.37.

D. V. K. Bhagavan, D. A. Gp, and D. S. Shetty, “To study the effect of health education on knowledge of pubertal changes and menstrual hygiene,” Int. J. Clin. Obstet. Gynaecol., vol. 3, no. 2, pp. 79–82, 2019, doi: 10.33545/gynae.2019.v3.i2b.15.

F. O. Fehintola, A. O. Fehintola, A. O. Aremu, A. Idowu, O. A. Ogunlaja, and I. P. Ogunlaja, “Assessment of knowledge, attitude and practice about menstruation and menstrual hygiene among secondary high school girls in Ogbomoso, Oyo state, Nigeria,” International Journal of Reproduction, Contraception, Obstetrics and Gynecology, vol. 6, no. 5, pp. 1726–1732, Apr. 2017, doi: 10.18203/2320-1770.ijrcog20171932.

K. Suhasini and M. Chandra, “Factors Influencing Menstrual Hygiene Practice Among Late Adolescent Girls in an Urban Area of Belgaum,” Ann Comm Health, vol. 4, no. 4, pp. 20–24, Jan. 2017, [Online]. Available:

C. K. Bhusal, “Practice of Menstrual Hygiene and Associated Factors among Adolescent School Girls in Dang District, Nepal,” Advances in Preventive Medicine, vol. 2020, pp. 1–7, Jul. 2020, doi: 10.1155/2020/1292070.

M. K. Goel and M. Kundan, “Psycho-Social Behaviour of Urban Indian Adolescent Girls during menstruation,” Australas Med J, vol. 4, no. 1, pp. 49–52, 2011, doi: 10.4066/AMJ.2011.534.

K. MacLean, C. Hearle, and K. Ruwanpura, “Stigma of staining? Negotiating menstrual taboos amongst young women in Kenya,” Women’s Studies International Forum, vol. 78, pp. 1–10, Jan. 2020, doi: 10.1016/j.wsif.2019.102290.

Z. Belayneh and B. Mekuriaw, “Knowledge and menstrual hygiene practice among adolescent school girls in southern Ethiopia: a cross-sectional study,” BMC Public Health, vol. 19, no. 1, p. 1595, Nov. 2019, doi: 10.1186/s12889-019-7973-9.

C. K. Bhusal, S. Bhattarai, R. Kafle, R. Shrestha, P. Chhetri, and K. Adhikari, “Level and Associated Factors of Knowledge regarding Menstrual Hygiene among School-Going Adolescent Girls in Dang District, Nepal,” Advances in Preventive Medicine, vol. 2020, pp. 1–9, Oct. 2020, doi: 10.1155/2020/8872119.

I. Sarkar, M. Dobe, A. Dasgupta, R. Basu, and B. Shahbabu, “Determinants of menstrual hygiene among school going adolescent girls in a rural area of West Bengal,” J Family Med Prim Care, vol. 6, no. 3, pp. 583–588, Sep. 2017, doi: 10.4103/2249-4863.222054.

S. P. Upashe, T. Tekelab, and J. Mekonnen, “Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia,” BMC Women’s Health, vol. 15, no. 1, p. 84, Oct. 2015, doi: 10.1186/s12905-015-0245-7.



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