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• W3136117165 abstract "Introduction:Menstruation hygiene management (MHM) among girls aged 13 to 15 years remains a public health concern in some parts of the world (1), including Cambodia (2). Lack of menstrual materials and limited school hygiene facilities makes girls to struggle to come to school during their menstruation any may result in school absence or poor school performance and it could inhibit their daily living (3). To date, there is limited studies in Cambodia to explain on how MHM may have impacted on girl physical, mental and school’s performance.Objective:This study aims to explore experience of school girls aged 13-15 with menstruation hygiene management and how its impact their daily performance and school activities.Methods:A qualitative method was conducted in schools in Samraong Tong District in Kampong Speu Province The study included Focus group discussion (FGD) and in-depth interview (IDI). FGDs were conducted among girls aged 13 to 15 years old to explore their perceptions and knowledge on menstruation and experience with their MHM. The IDIs was conducted with school principals, teachers and mothers to explore their perceptions related to MHM, the support and the challenges they encountered to support girls during menstruation. IDIs were also conducted with selected girls to explore their life experiences related to MHM. 4 FGDs with 32 girls, 30 IDIs with 2 school principals, 6 teachers, 6 mothers, and 16 girls were conducted for this study.Results:The study found that young girls in rural Cambodia experienced challenges for their MHM. Those challenges were: (a) limited understanding about menstruation. Most girls did not understand about what the menstruation (e.g. where it comes from and why it happens). They know that having menstruation signify that they are reaching adulthood; they considered that menstruation blood is poisonous; and they regarded period time as the time when their physical and mental health is down.  (b) girl had limited access to the information about menstruation with unpreparedness for menarche. Girls usually learnt about menstruation through their mothers when they were reaching menstruation time. Usually the mothers would teach girls how to take care themselves and what activities they should restrict during menstruation. Girls got information about menstruation when they reached aged 13 where they will study biology course included the topic on menstruation. (c) unfavorable menstrual hygiene management with lack of school hygiene facilities, such as lack of separated toilet for boy and girls, poor hygiene condition of toilet facilities, lack of bin for disposal of sanitary pad, lack of clean water is major obstacle for MHM at schools. Factors described above (d) impacted of MHM on girl’s health and school performance. Girls experience physical health such as itchy in the genital areas, pain, cramp and feeling fear and distress due to difficulties to change their sanitary napkin at school, they usually keep their period time as secret to their friends and peers, and most girls would ask for absent from school during the menstruation.Recommendation:To ensure MHM for girls during menstruation is a priority for schools and family in order to support physical and mental well-being of girls and to ensure their potential performance.  Based on the finding of this research it is recommended as follow:Education about menstruation for girls especially at the pre-menstruation age is crucial, education should be from mothers and schools. Mother-daughter communication should be encouraged and mother should be given accurate information about menstruation to communicate with their daughters. Education from school is very crucial for girls in rural areas who their mothers may also have limited access to information. School should, especially rearrange of the content about health in the book, and they should start teaching girls from primary school before they reach menstruation.Supporting from school facilities is also need to be considered by separating toilet for the boys and the girls, improved hygiene of the facilities, water supply, placing trash bin in toilet for schoolgirls to manage their menstruation properly. Female teachers should be assigned to provide counselling and support to young girl during their menstruation." @default.
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• W3136117165 date "2021-03-09" @default.
• W3136117165 modified "2023-09-23" @default.
• W3136117165 title "Menstrual Hygiene Management Among Schoolgirls (13-15 years old) In Samraong Tong District, Kampong Speu Province, In 2018" @default.
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