Published: 2017-07-26

Knowledge regarding menstrual hygiene among adolescent girls

Sasmita Ghimire


Background: Adolescence in girls has been recognized as a special period which signifies the transition from girlhood to womanhood. Menstruation is generally considered as unclean in the society. Isolation of the menstruating girls and restrictions being imposed on them in the family, have reinforced a negative attitude towards this phenomenon. And the issue of menstrual hygiene is inadequately acknowledged and has not received proper attention.

Methods: Quantitative approach with descriptive cross-sectional design was used to assess the knowledge regarding menstrual hygiene among adolescent girls. A structured knowledge questionnaire was developed focusing on menstrual hygiene. Validity was ensured in consultation with guides and experts in the field of nursing, medicine and statistics. Reliability of the tool was tested by test retest method and found to be highly reliable with a score of 0.80. The study was carried out in 2 schools of Dharan, Nepal. About 100 adolescent girls were selected by simple random sampling technique. Structured knowledge questionnaire was used to collect needed data on knowledge of adolescent girls. The data collected were tabulated and analyzed by using descriptive and inferential statistics.

Results: Maximum numbers 42 of the subjects were in the age group of 12 years, majority i.e. 81 of the subjects belonged to nuclear family, majority i.e. 39 of the subjects were in 7th standard, maximum of 72 subjects belonged to Hindu  religion, majority i.e.79 had family income below 5000, majority of the subjects 35 had their first menstruation at the age of 14, 35 subjects father were self-employed, 60 subjects had their mothers as government employee , majority of the respondents, 80 had previous knowledge on menstrual hygiene. Majority of the subjects 70% had average knowledge, 25% of them had poor knowledge and only 5% had good knowledge regarding menstrual hygiene. There was a significant association of knowledge adolescent girls with demographic variables such as age at first menstruation.

Conclusions: Present study showed overall average knowledge of menstrual hygiene in adolescent girls. Formal as well as informal channels of communication need to be emphasized for the delivery of information on menstrual hygiene through organized community efforts. Institutions and organizations at community level should be strengthened for effective delivery of health and nutrition care services for overall better health of community beneficiaries.


Adolescent girls, Knowledge, Menstrual hygiene

Full Text:



Wash united. Menstrual-hygiene-management. Available at

Sustainable sanitation and water management. Menstrual hygiene management. Available at

Water Aid: Menstrual hygiene matters. July 2016. Available at

Dasgupta A, Sarkar M. Menstrual hygiene: how hygienic is the adolescent girl? Indian J Community Med. 2008;33(2):77-80.

Singh AJ. The place of menstruation in the reproductive lives of women of rural north India. Indian J Community Med. 2006;31(1):10-4.

Water Aid: Menstrual hygiene and management in Udaipur and Sindhuli districts of Nepal. July 2016. Available at

Upashe SP, Tekelab T, Mekonnen J. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC women's health. 2015;15(1):84.

Anusree PC, Ardra R, Aswathy BS, Faseela VC, Gincy PB, Anupama T. Knowledge regarding menstrual hygiene among adolescent girls in selected schools, Mangalore with a view to develop an information booklet. J Nurs Health Sci. 2014;3(1):55-60.

Deo DS, Ghattargi CH. Perceptions and Practices regarding menstruation: a comparative study in urban and rural adolescent girls. In J Community Medi. 2005;30(1):330-40.

Thakre SB, Thakre SS, Reddy M, Rathi N, Pathak K, Ughade S. Menstrual hygiene: knowledge and practice among adolescent school girls of saoner, nagpur district. J Clin Diag Res. 2011;5(5):1027-33.

Dambhare DG, Wagh SV, Dudhe JY. Age at menarche and menstrual cycle pattern among school adolescent girls in central India. Global J Health Sci. 2012;4(1):105-11.