Menstrual health intervention and school attendance in Uganda (MENISCUS-2): a pilot intervention study

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dc.contributor.authorKansiime, Catherine
dc.contributor.authorHytti, Laura
dc.contributor.authorNalugya, Ruth
dc.contributor.authorNakuya, Kevin
dc.contributor.authorNamirembe, Prossy
dc.contributor.authorNakalema, Shamirah
dc.contributor.authorNeema, Stella
dc.contributor.authorTanton, Clare
dc.contributor.authorAlezuyo, Connie
dc.contributor.authorNamuli Musoke, Saidat
dc.contributor.authorTorondel, Belen
dc.contributor.authorFrancis, Suzanna C.
dc.contributor.authorRoss, David A.
dc.contributor.authorBonell, Christopher
dc.contributor.authorSeeley, Janet
dc.contributor.authorWeiss, Helen Anne
dc.date.accessioned2022-04-29T11:44:32Z
dc.date.available2022-04-29T11:44:32Z
dc.date.issued2020
dc.description.abstractAchieving good menstrual health and hygiene (MHH) is a public health challenge and there is little evidence to inform interventions. The aim of this study was to pilot test an intervention to improve MHH and school attendance in Uganda, in preparation for a future cluster-randomised trial. Design Longitudinal study with preā€“post evaluation of a pilot intervention. Setting Two secondary schools in Entebbe, Uganda. Participants Of the 473 eligible students in secondary 2 (S2) at baseline, 450 (95.1%; 232 girls and 218 boys) consented/assented. 369 students (188 girls; 81.0%; and 181 boys; 83.0%) participated in the endline survey. Intervention The intervention comprised training teachers to improve delivery of government guidelines for puberty education, training in use of a menstrual kit and pain management, a drama skit, provision of analgesics and improvements to school water and sanitation hygiene facilities. Primary and secondary outcome measures Feasibility and acceptability of delivering the intervention. Baseline and endline quantitative surveys were conducted, with qualitative interviews conducted at endline. School attendance was assessed using self-completed daily diaries among a nested cohort of 100 female students. Results There were high levels of uptake of the individual and behavioural intervention components (puberty education, drama skit, menstrual hygiene management (MHM) kit and pain management). The proportion of girls reporting anxiety about next period decreased from 58.6% to 34.4%, and reported use of effective pain management increased from 76.4% to 91.4%. Most girls (81.4%) reported improved school toilet facilities, which improved their comfort managing menstruation. The diary data and qualitative data indicated a potential intervention impact on improving menstrual-related school absenteeism. Conclusions The pilot study showed that the multicomponent MHM intervention was acceptable and feasible to deliver, and potentially effective in improving menstruation knowledge and management. A cluster-randomised trial is needed to evaluate rigorously the intervention effects on MHM and school attendance.en_US
dc.identifier.citationKansiime C, Hytti L, Nalugya R, et al. Menstrual health intervention and school attendance in Uganda (MENISCUS-2): a pilot intervention study. BMJ Open 2020;10:e031182. doi:10.1136/ bmjopen-2019-031182en_US
dc.identifier.other10.1136/ bmjopen-2019-031182
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/2958
dc.language.isoenen_US
dc.publisherBMJ Openen_US
dc.subjectMenstrual healthen_US
dc.subjectSchool attendanceen_US
dc.subjectUgandaen_US
dc.subjectStudyen_US
dc.titleMenstrual health intervention and school attendance in Uganda (MENISCUS-2): a pilot intervention studyen_US
dc.typeArticleen_US
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