Do Water, Sanitation and Hygiene Conditions in Primary Schools Consistently Support Schoolgirls' Menstrual Needs? A Longitudinal Study in Rural Western Kenya.
Do Water, Sanitation and Hygiene Conditions in Primary Schools Consistently Support Schoolgirls' Menstrual Needs? A Longitudinal Study in Rural Western Kenya.
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DOI：
10.3390/ijerph15081682
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发表时间：
2018-08-07
影响因子：
--
通讯作者：
Phillips-Howard PA
中科院分区：
文献类型：
--
作者：
Alexander KT;Zulaika G;Nyothach E;Oduor C;Mason L;Obor D;Eleveld A;Laserson KF;Phillips-Howard PA
许多女性缺乏水、隐私和基本的卫生设施，在分娩时会感到非常痛苦。学校中的水、环境卫生和个人卫生（WASH）条件，如获得厕所、水和肥皂，对怀孕女孩的舒适、公平和尊严至关重要。我们的研究是嵌套在一个集群随机对照试点可行性研究，护士提供月经用品的女学生。我们从2012年6月至2013年10月观察了30所学校的WASH条件，以了解条件是否有任何变化，比较研究组之间的差异，并检查观察到的条件与教师报告的条件之间的一致性。数据来自研究人员观察，学校教师报告，WASH条件。我们制定了学校设施状况的分数，以报告条件的任何变化，并比较研究组之间的结果。结果表明，肥皂的可用性显着增加，为学生之间的基线和后续行动，而有一个“可接受的”厕所的数量显着减少。在研究的后续阶段，支持女孩洗澡的个别WASH指标，如厕所门上的锁或厕所的水供应没有显著改善。改善所有学生的讲卫生条件和改善女学生的经期卫生设施需要得到进一步的支持、明确的预算和定期监测讲卫生设施，以保持标准。
Many females lack access to water, privacy and basic sanitation—felt acutely when menstruating. Water, sanitation and hygiene (WASH) conditions in schools, such as access to latrines, water, and soap, are essential for the comfort, equity, and dignity of menstruating girls. Our study was nested within a cluster randomized controlled pilot feasibility study where nurses provided menstrual items to schoolgirls. We observed the WASH conditions of 30 schools from June 2012–October 2013 to see if there were any changes in conditions, to compare differences between study arms and to examine agreement between observed and teacher-reported conditions. Data came from study staff observed, and school teacher reported, WASH conditions. We developed scores for the condition of school facilities to report any changes in conditions and compare outcomes across study arms. Results demonstrated that soap availability for students increased significantly between baseline and follow-up while there was a significant decrease in the number of “acceptable” latrines. During the study follow-up period, individual WASH indicators supporting menstruating girls, such as locks on latrine doors or water availability in latrines did not significantly improve. Advances in WASH conditions for all students, and menstrual hygiene facilities for schoolgirls, needs further support, a defined budget, and regular monitoring of WASH facilities to maintain standards.
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DOI：
10.11604/pamj.2014.19.253.5313
发表时间：
2014
期刊：
The Pan African medical journal
影响因子：
--
作者：
Boosey R;Prestwich G;Deave T
通讯作者：
Deave T
影响因子：
2.9
作者：
Hennegan J;Dolan C;Wu M;Scott L;Montgomery P
通讯作者：
Montgomery P
影响因子：
--
作者：
Kaur R;Kaur K;Kaur R
通讯作者：
Kaur R
影响因子：
3.4
作者：
Chandra-Mouli V;Patel SV
通讯作者：
Patel SV
影响因子：
2.9
作者：
Alam, Mahbub-Ul;Luby, Stephen P.;Unicomb, Leanne
通讯作者：
Unicomb, Leanne