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UNESCO HIV and Health Education Clearinghouse

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  1. Adolescent schoolgirls’ experiences of menstrual cups and pads in rural western Kenya: a qualitative study

    Poor menstrual hygiene management (MHM) among schoolgirls in low income countries affects girls' dignity, self-esteem, and schooling. Hygienic, effective, and sustainable menstrual products are required. A randomized controlled feasibility study was conducted among 14-16-year-old girls, in 30 primary schools in rural western Kenya, to examine acceptability, use, and safety of menstrual cups or sanitary pads. Focus group discussions (FGDs) were conducted to evaluate girls' perceptions and experiences six months after product introduction. …

  2. Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries

    This paper maps the knowledge, attitudes, beliefs and practices surrounding menarche, menstrual hygiene and menstrual health among adolescent girls in low and middle income countries in order to inform the future design of relevant policies and programming. The study of over 80 journal articles from a number of low and middle income countries confirmed that: (1) Many adolescent girls start their periods uninformed and unprepared. (2) Mothers are the primary source of information, but they inform girls too-little and too-late and often communicate their own misconceptions. …

  3. Menstruation and education in Nepal

    This paper presents the results from a randomized evaluation that distributed menstrual cups (menstrual sanitary products) to adolescent girls in rural Nepal. Girls in the study were randomly allocated a menstrual cup for use during their monthly period and were followed for fifteen months to measure the effects of having modern sanitary products on schooling. While girls were 3 percentage points less likely to attend school on days of their period, the researchers find no significant effect of being allocated a menstrual cup on school attendance. …

  4. Menstrual hygiene management impacts girls’ school experience in the Bolivian Amazon

    The purpose of this study on menstrual hygiene management (MHM) in the Beni department of Bolivia was to better understand the challenges girls face due to menstruation; describe factors which influence girls’ experiences during menstruation; and present recommendations to create a supportive school environment for adolescent girls in Bolivia. This study complements the findings of the first MHM study undertaken in Cochabamba, Bolivia in 2012, by providing information specific to the Amazonian population of the eastern lowlands of Bolivia. …

  5. Menstrual hygiene matters: training guide for practitioners

    This training guide includes eight session plans, each with a facilitation guide, four handouts, two PowerPoint presentations and two short films. …

  6. The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh

    This is the first study to evaluate a menstrual education programme among adolescent school girls in Bangladesh. This study evaluated the menstrual knowledge, beliefs and practices of, and menstrual disorders experienced by, students in grade 6–8 in Bangladesh.

  7. Growing up at school. A guide to menstrual management for school girls

    This booklet has been written to help school girls manage the critical period when they enter adolescence between the ages of 10 and 14. Adolescence is the time during which boys and girls grow from childhood into adulthood and changes take place in their bodies. During this period, known as puberty, menstruation starts in girls.

  8. Menstrual hygiene matters: a resource for improving menstrual hygiene around the world

    This document is an educational resource for improving menstrual hygiene for women and girls in different settings, including communities, schools and emergencies. The 9 modules and toolkits: bring together examples of good menstrual hygiene practice from around the world; provide guidance on building competence and confidence to break the silence surrounding the issue; encourage increased engagement in advocacy on menstrual hygiene. It is for use by all professionals who are concerned with improving the lives of girls and women. …

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