
Sandra Isano
University of Global Health Equity, RwandaTitle: Assessing the knowledge and attitude of menstrual hygiene among high school students, and menstrual practices among high school girls in rural Rwanda
Abstract
Background:
This study sought to
assess the knowledge, attitude about menstruation among high school teachers,
boys and girls in Butaro, a rural area in northern Rwanda. In addition, the
menstrual hygiene practices of the high school girls were also assessed; to
inform the design of intervention.
Methods:
A school-based
cross-sectional questionnaire was administered to 339 people in three high
schools in a rural region in Rwanda.
Results:
Thirty-two teachers and
307 secondary school boys and girls were surveyed. Only 9.8% of students had
good knowledge related to menstrual health, with slightly more schoolgirls
(13.9%) than schoolboys (5%). Feeling insecure, scared, and worried that others
could smell them, were the common menstrual-related concerns cited by girls.
About 20% of girls used cloth to manage their menstrual flow and 22.3% reported
menstrual-related school absenteeism; lack of sanitary protection products and
fear of being teased were among the most prominent reasons.
Conclusions:
Providing accessible
facilities for girls to change, pain medication, and sufficient sanitary pads
are necessary. Reusable sanitary pads and menstrual cups could be cheaper and
more sustainable alternatives to commercial menstrual products. Cultivating a
psychologically safe school environment is necessary.