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KNOWLEDGE AND MANAGEMENT OF MENSTRUATION AND MENSTRUAL PROBLEMS AMONG URBAN AND RURAL SECONDARY SCHOOL GIRLS IN ENUGU EAST LOCAL GOVERNMENT AREA.

ABSTRACT

 In many societies menstruation is not openly discussed in some families, school and communities leading to a very big gap in knowledge about menstruation and menstrual problems. This gap equally poses problems on issues about menstrual hygiene, menstrual problems and management of those problems. In addition to inadequate information, girls need access to hygienic absorbent sanitary products, water, good toilets that ensure privacy and disposal facilities which can in the long run, protect their health. This study investigated the knowledge and management of menstruation and menstrual problems among urban and rural secondary school girls in Enugu East Local Government Area. A cross sectional descriptive survey was adopted for this study. The sample for the study comprised of 699 secondary school girls. Four Hundred were drawn from the three randomly selected secondary schools in urban area. The remaining 299 girls were from the only government owned secondary school in the rural area. The sample size for the urban schools was determined using Taro Yamane’s formula. A researcher developed questionnaire in questions and optional form was used to generate data. The results were presented in tables with frequencies, percentages and Pearson’s Chi-square was used to test hypotheses. The results showed that 497(87.0%) of the respondents had knowledge before menarche. Mothers were major sources of this information. There was significance difference ( ) in the knowledge of menstruation between Urban and Rural Secondary School girls. Majority of the girls 407(71.2%) use sanitary pads alone or in conjunction wit5h other materials. More than half 308(53.8%) change their menstrual absorbent materials three times a day and 352( 6) take their bath three times a day. There was no significance difference ( ) in management of menstruation between Urban and Rural Secondary School girl. Majority 384(67.3%) reported they have toilets in their school and 210(54.7%) reported that toilets do not provide privacy for change of menstrual absorbent materials. The commonest menstrual problem experienced by girls is dysmenorrheal 368(64.4%). There was no significance difference (P>0.05) in the menstrual problems experienced by Urban and rural girls. The majority 101(681%) of the respondents, use paracetamol to manage abdominal pains. Only 79(13.8%) of girls that have problems associated with flow consulted a doctor. There was a significance difference ( in the management of menstrual problem between Urban and rural Secondary School girls. In conclusion, the findings of this study revealed that girls have information about menstruation but the information was very deficient in the process of menstruation. Some girls do not dispose menstrual wastes properly Environment especially at school do not encourage good management of menstruation. Therefore, it is recommended that there is still need for organized health education in schools to discourage unhealthy strategies for managing menstruation especially as it concerns disposal of menstrual wastes. Also there is need to provide supportive enabling environment both in Schools and homes for girls for effective management of menstruation should also involve screening of girls to detect any serious gynaecological problems, early referral for prompt management.

Project detailsContents
 
Number of Pages111 pages
Chapter one Introduction
Chapter two Literature review
Chapter three  methodology
Chapter  four  Data analysis
Chapter  five Summary,discussion & recommendations
ReferenceReference
QuestionnaireQuestionnaire
AppendixAppendix
Chapter summary1 to 5 chapters
Available documentPDF and MS-word format


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