Julie M Buser, Emily Capellari, Mekitie Wondafrash, Rachel Gray, Kirby L Morris, Faelan E Jacobson-Davies, Diomede Ntasumbumuyange, Edward Kumakech, Yolanda R Smith
Unravelling the complexity of research capacity strengthening for health professionals in low- and middle-income countries: A concept analysis
Journal of advanced nursing
menstrual hygiene management mhm associated menstrual process women adolescent girls face cultural financial challenges rural areas many developing countries part pilot study assessed sustainability effectiveness approaches lessons learned mhm project intervention rural areas lilongwe malawi rural primary schools n 4 purposively selected mhm intervention implemented lilongwe malawi study employed mixedmethod research design assessments data collection performed surveys learners literature reviews key informant interviews kiis n 90 20 focus group discussions fgds study participants included boys adolescent girls n 100 1119 years grades 58 teachers mother groups community leaders selected schools schools water sanitation hygiene facilities latrines 45 improved 54 ventilated improved pit latrines vips promoted menstrual hygiene adolescent girls however two schools studied 50 n 4 separate washrooms changing sanitary materials slight increase latrine coverage kabuthu zone communities 90 baseline versus 934 midterm however coverage dropped 857 final evaluation attributed much rain received area damaged latrines significant reduction p 005 number girls failing attend classes due menstruation 70 baseline versus 14 final evaluation furthermore project resulted majority girls 944 access school strong uptake adoption sanitary products reusable pads menstrual cups among adolescent girls age groups study demonstrated inclusion key stakeholders health workers parents mother groups community leaders promoted uptake sustainability reusable pads menstrual cups mhm interventions programs mhm project implementation improved adolescent girls education area inclusion boys key stakeholders health education talks addressed issues stigma discrimination study therefore calls comprehensive training mhm hygiene education remove discrimination harmful cultural practices