دورية أكاديمية
أعرض في EDS

Prevalence and factors associated with unmet need for menstrual hygiene management in six countries in Sub-Saharan Africa: A multilevel analysis.

التفاصيل البيبلوغرافية
العنوان: Prevalence and factors associated with unmet need for menstrual hygiene management in six countries in Sub-Saharan Africa: A multilevel analysis.
المؤلفون: Akoth C; Institute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya. catherineakoth20@gmail.com., Wambiya EO; Sheffield Centre for Health and Related Research, Division of Population Health, School of Medicine and Population Health, University of Sheffield, Sheffield, S1 4DA, UK., Kibe PM; African Population and Health Research Centre, Nairobi, Kenya., Mbuthia GW; School of Nursing, College of Health Sciences, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya., Ng'ang'a L; Sheffield Centre for Health and Related Research, Division of Population Health, School of Medicine and Population Health, University of Sheffield, Sheffield, S1 4DA, UK., Otieno P; African Population and Health Research Centre, Nairobi, Kenya., Oguta JO; Sheffield Centre for Health and Related Research, Division of Population Health, School of Medicine and Population Health, University of Sheffield, Sheffield, S1 4DA, UK.
المصدر: BMC women's health [BMC Womens Health] 2024 Aug 29; Vol. 24 (1), pp. 473. Date of Electronic Publication: 2024 Aug 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088690 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6874 (Electronic) Linking ISSN: 14726874 NLM ISO Abbreviation: BMC Womens Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2001-
مواضيع طبية MeSH: Menstruation* , Hygiene* , Multilevel Analysis*, Humans ; Female ; Adult ; Young Adult ; Africa South of the Sahara ; Adolescent ; Prevalence ; Middle Aged ; Menstrual Hygiene Products/statistics & numerical data ; Menstrual Hygiene Products/supply & distribution ; Health Services Needs and Demand/statistics & numerical data
مستخلص: Background: Menstruation is a normal biological process experienced by more than 300 million women globally every day. Women require clean menstrual absorbents that can be changed as often as needed in a private and safe place with proper hygiene and disposal facilities. These needs must be met consistently throughout the duration of the menstrual cycle. Access to menstrual needs is crucial for women's health, wellbeing, and dignity. This study assessed the prevalence and factors associated with unmet need for menstrual hygiene management (MHM) in Ethiopia, Kenya, Uganda, Burkina Faso, Ghana, and Niger.
Methods: We used data from the Performance Monitoring for Action (PMA) 2020 surveys. We defined the unmet need for MHM as the "lackof resources, facilities and supplies for MHM." Sample characteristics were summarised using frequencies and percentages, while prevalence was summarised using proportions and their respective confidence intervals (CI). Factors associated with unmet need for MHM were assessed using multilevel logistic regression models.
Results: The study included 18,048 women of reproductive age from the six countries. The prevalence of unmet need for MHM was highest in Burkina Faso (74.8%), followed by Ethiopia (69.9%), Uganda (65.2%), Niger (57.8%), Kenya (53.5%), and lowest in Ghana (34.2%). Unmet need for MHM was consistently higher among uneducated and multiparous women, those who reused MHM materials, practiced open defecation, and lived in rural areas across all six countries. The odds of unmet need for MHM were higher among younger women under 35 years, unmarried women, those with lower education levels, and those from poorer households. Similarly, the reuse of MHM materials, use of shared or non-improved toilet facilities, and open defecation increased the odds of unmet need for MHM. In contrast, the presence of handwashing facilities reduced the odds of unmet need for MHM.
Conclusion: More than half of the women in five of the six countries have an unmet need for MHM, with significantly higher odds among younger women, those with low wealth status, the unmarried, and those with inadequate access to sanitary facilities. This study highlights the state of period poverty in Sub-Saharan Africa. Efforts to end period poverty should consider MHM needs as an integrated whole, as addressing each need in isolation is insufficient.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Menstrual health; Menstrual hygiene management; Menstrual needs; Menstruation; Period poverty
تواريخ الأحداث: Date Created: 20240829 Date Completed: 20240830 Latest Revision: 20240902
رمز التحديث: 20240902
مُعرف محوري في PubMed: PMC11360879
DOI: 10.1186/s12905-024-03211-y
PMID: 39210308
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6874
DOI:10.1186/s12905-024-03211-y