Acceptability of menstrual products interventions for menstrual hygiene management among women and girls in Malawi.
Acceptability of menstrual products interventions for menstrual hygiene management among women and girls in Malawi.
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DOI：
10.1186/s12978-020-01045-z
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发表时间：
2020-11-23
影响因子：
3.4
通讯作者：
Morse T
中科院分区：
文献类型：
--
作者：
Kambala C;Chinangwa A;Chipeta E;Torondel B;Morse T
资源匮乏国家的女孩和妇女面临的一个主要挑战是月经产品供应不足和不可靠。虽然发展伙伴正在实施月经产品干预措施，以应对马拉维的这一挑战，但关于月经产品的分配以及这些干预措施在用户中的可接受性的信息非常缺乏。我们对女孩（n = 20）和妇女（n = 26）进行了深入访谈，对妇女（n = 35）进行了4次焦点小组讨论（FGD），对女孩（n = 60）进行了7次FGD，以探讨8个地区对月经产品干预的可接受性。教师（n = 12），社区领导人（n = 6），社区卫生工作者（n = 8）和服务提供者（n = 9）也进行了采访，探讨实施问题和他们的意见，月经产品干预措施对女孩和妇女的影响。使用内容分析法对数据进行分析。正在推广的常见月经产品包括本地制造的可重复使用的护垫、商业制造的一次性护垫和月经杯。总体而言，成年女性更喜欢可重复使用的护垫，年轻女孩更喜欢一次性护垫。据报告，使用分发的任何类型的材料的好处包括提高清洁度和减少女孩旷课。虽然社区领导人和教师对使用一次性月经用品表示赞赏，但他们表示关切的是，普通马拉维人负担不起这些用品，并对滥用一次性卫生巾表示遗憾。妇女和女孩强调，她们缺乏有效清洗和烘干可重复使用卫生巾的设施。服务提供商抱怨协调不力，缺乏国家标准来规范在国家一级分销的月经产品的质量。更好地纳入男性和保健工作者可提高方案的可持续性。虽然可用的月经产品干预措施在参与者中是可以接受的，但我们注意到一些挑战，包括负担能力，处理方法差，对卫生设施缺乏关注以及缺乏规范月经产品质量的标准协议。报告提出了解决这些问题的建议。
A key challenge for menstruating girls and women in low-resource countries is the inadequate and unreliable supply of menstrual products. Although development partners are implementing menstrual product interventions to address this challenge in Malawi, there is a paucity of information on the distribution of menstrual products and the acceptability of these interventions among users. We conducted in-depth interviews with girls (n = 20) and women (n = 26) and 4 focus group discussions (FGDs) with women (n = 35) and 7 FGDs with girls (n = 60) to explore the acceptability of menstrual products interventions in 8 districts. Teachers (n = 12), community leaders (n = 6), community health workers (n = 8) and service providers (n = 9) were also interviewed to explore implementation issues and their views regarding the effect of menstrual products interventions on girls and women. Data were analyzed using content analysis. Common menstrual products being promoted include locally made reusable pads, commercially made disposable pads and menstrual cups. Overall, adult women preferred reusable pads and young girls preferred disposable pads. Reported benefits of using any type of material distributed included enhanced cleanliness and reduced school absenteeism for girls. While community leaders and teachers applauded the use of disposable menstrual products they expressed concern that they are not affordable for an average Malawian and bemoaned the indiscriminate disposal of used disposable pads. Women and girls highlighted their lack of facilities to effectively wash and dry reusable pads. Service providers bemoaned poor coordination and the lack of national standards to regulate the quality of menstrual products distributed at national level. Improved inclusion of males and health workers could enhance the sustainability of programmes. While the available menstrual products interventions are acceptable among participants, we note several challenges including affordability, poor disposal methods, lack of attention on sanitation facilities and the lack of standard protocols to regulate the quality of menstrual products. Recommendations to address these issues are reported.
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影响因子：
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作者：
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通讯作者：
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DOI：
10.11604/pamj.2014.19.253.5313
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DOI：
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发表时间：
2018-08-07
影响因子：
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