Knowledge, Practices and Challenges in Menstrual Hygiene Management Among Girls Aged 10-15 Years at Karamurani Catholic Primary School, Mwizi Sub County, Mbarara District

TABLE OF CONTENTS

ABSTRACT.....................................................................................................................................i

COPYRIGHT..................................................................................................................................ii

DECLARATION............................................................................................................................iii

APPROVAL FOR SUBMISSION..................................................................................................iv

DEAN’S APPROVAL...................................................................................................................iv

DEDICATION.................................................................................................................................v

ACKNOWLEDGEMENT..............................................................................................................vi

LIST OF FIGURES AND TABLES...............................................................................................xi

LIST OF ACRONYMS.................................................................................................................xii

OPERATIONAL DEFINITIONS.................................................................................................xiii

CHAPTER ONE..............................................................................................................................1

1.1 Introduction................................................................................................................................1

1.2Background.................................................................................................................................1

1.3 Statement of the Problem...........................................................................................................3

1.4 Purpose of the Study..................................................................................................................4

1.5 Specific objectives.....................................................................................................................4

1.6 Research questions.....................................................................................................................5

1.7 Justification for the study...........................................................................................................5

1.7.1 Nursing practice......................................................................................................................5

1.7.2 Nursing educators...................................................................................................................5

1.7.3 Nursing researchers................................................................................................................5

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CHAPTER TWO: LITERATURE REVIEW.................................................................................6

2.1 Introduction................................................................................................................................6

2.2 Knowledge about menstruation.................................................................................................6

2.3 Practices on Menstrual hygiene management............................................................................8

2.4 Challenges faced by girls towards MHM..................................................................................9

2.4.1 Lack of adequate sanitation facilities in schools....................................................................9

2.4.2 Inadequate feminine hygiene products.................................................................................10

2.4.3 Financial barriers..................................................................................................................11

2.4.4 School absenteeism and reduced performance.....................................................................12

CHAPTER THREE: METHODOLOGY......................................................................................13

3.1 Introduction..............................................................................................................................13

3.2 Study Design and rationale......................................................................................................13

3.3 Study setting and rationale.......................................................................................................13

3.4 Study Population......................................................................................................................14

3.4.1 Sample size determination....................................................................................................14

3.4.2 Sampling procedure..............................................................................................................15

3.4.3 Inclusion criteria...................................................................................................................16

3.4.4 Exclusion criteria..................................................................................................................16

3.5 Definition of variables.............................................................................................................16

3.5.1 Dependent variables..............................................................................................................16

3.5.2 Independent variables...........................................................................................................16

3.6 Research instruments...............................................................................................................17

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3.6.1 Pre-testing of the research Instrument..................................................................................17

3.7 Data collection procedures......................................................................................................17

3.7.1 Data management and quality control..................................................................................18

3.7.2 Data procesing and analysis..................................................................................................18

3.8 Ethical considerations..............................................................................................................18

3.9 Anticipated study limitations...................................................................................................18

3.10 Dissemination of results........................................................................................................19

CHAPTER FOUR: THE FINDINGS OF THE STUDY...............................................................20

4.1 Introduction..............................................................................................................................20

4.2 Social – Demographic Information.........................................................................................20

4.2: Knowledge about Menstruation..............................................................................................22

4.2: Hygienic Practices during Menstruation................................................................................26

4.3: Challenges faced by School Girls during menstruation.........................................................28

CHAPTER FIVE: DISCUSSION, CONCLUSIONS, RECOMMENDATIONS.........................30

5.1 Introduction..............................................................................................................................30

5.2 Social Demographic Information............................................................................................30

5.3 Discussion of findings.............................................................................................................31

5.3.1 Knowledge of primary school girls about menstruation.......................................................31

5.3.2 Practices during menstrual hygiene management.................................................................33

5.3.3 Challenges faced by school girls during menstruation.........................................................34

5.4 Conclusions..............................................................................................................................36

5.5 Recommendations....................................................................................................................37