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<p>In several Lower-and-Middle-Income Countries (LMICs), including India, inadequate menstrual health is a serious issue stemming from insufficient guidance and information. Menstrual health and hygiene (MHH) is both a human rights and public health concern, and is intricately linked to the achievement of Sustainable Development Goals (SDGs). Nonetheless, initiatives aimed at alleviating menstrual taboos, religious and cultural prohibitions, and the ongoing silence around menstruation which hinder menstrual health knowledge and outcomes while also perpetuating gender inequality have not received adequate attention. A context-specific evaluation of the knowledge, attitudes, and practices (KAP) of Menstrual Health and Hygiene Management (MHHM), together with an examination of cultural practices and community norms, can be important in formulating policy interventions and ensuring their effective execution. This study offers significant insights from Assam on the celebration of menarche (Tuloni Biya) and following knowledge, attitudes, and practices (KAP) of adolescent girls and young adult women. Primary data were gathered by a structured questionnaire from six districts of Assam, including a total of 602 adolescent girls and young adult women for the study. Research indicates that over 50 percent of girls and women lack sufficient understanding regarding menstruation, more than 45 percent exhibit indifferent or negative attitudes, and over 70 percent engage in unhygienic menstrual management practices. The economic condition, menarche celebration, family structure, and maternal educational achievement have significantly impacted the KAP status. The recommendations include involving parents and teachers in awareness campaigns, employing innovative approaches, considering context-specific factors in policy interventions, and reinforcing grassroots channels.</p>

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Role of Knowledge, Attitude and Practices in Menstrual Health and Hygiene Management: Experiences from Rural Assam, India

  • 期刊论文

  • 发表日期：

    2025年7月21日

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  • Daisy Dutta,
  • Pulak Mishra

摘要

In several Lower-and-Middle-Income Countries (LMICs), including India, inadequate menstrual health is a serious issue stemming from insufficient guidance and information. Menstrual health and hygiene (MHH) is both a human rights and public health concern, and is intricately linked to the achievement of Sustainable Development Goals (SDGs). Nonetheless, initiatives aimed at alleviating menstrual taboos, religious and cultural prohibitions, and the ongoing silence around menstruation which hinder menstrual health knowledge and outcomes while also perpetuating gender inequality have not received adequate attention. A context-specific evaluation of the knowledge, attitudes, and practices (KAP) of Menstrual Health and Hygiene Management (MHHM), together with an examination of cultural practices and community norms, can be important in formulating policy interventions and ensuring their effective execution. This study offers significant insights from Assam on the celebration of menarche (Tuloni Biya) and following knowledge, attitudes, and practices (KAP) of adolescent girls and young adult women. Primary data were gathered by a structured questionnaire from six districts of Assam, including a total of 602 adolescent girls and young adult women for the study. Research indicates that over 50 percent of girls and women lack sufficient understanding regarding menstruation, more than 45 percent exhibit indifferent or negative attitudes, and over 70 percent engage in unhygienic menstrual management practices. The economic condition, menarche celebration, family structure, and maternal educational achievement have significantly impacted the KAP status. The recommendations include involving parents and teachers in awareness campaigns, employing innovative approaches, considering context-specific factors in policy interventions, and reinforcing grassroots channels.