'The girl with her period is the one to hang her head' Reflections on menstrual management among schoolgirls in rural Kenya
'The girl with her period is the one to hang her head' Reflections on menstrual management among schoolgirls in rural Kenya
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DOI：
10.1186/1472-698x-11-7
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发表时间：
2011-06-16
影响因子：
3
通讯作者：
Rheingans, Richard D.
中科院分区：
文献类型：
--
作者：
McMahon, Shannon A.;Winch, Peter J.;Rheingans, Richard D.
背景：月经的开始是年轻女性生命中的一个里程碑事件。然而，人们对这一事件可能带来的复杂情况和挑战，特别是在资源贫乏的环境中，却研究不足。由于干预措施的目的是提高女性在学校的出勤率，因此必须探讨女孩在学校环境中如何看待和引导月经。本研究传达农村肯尼亚女学生的看法和做法有关precipitationMethods：数据收集在肯尼亚西部的尼扬扎省的6所农村学校。通过焦点小组讨论，深入访谈和现场观察记录，研究人员收集了48名小学女生和9名教师的信息。系统的分析开始于阅读的成绩单和汇报笔记，然后是手动编码的nationals.Results：焦点小组讨论成为机会，女孩分享对月经的想法，指导彼此的管理做法，并建议对方的应对机制。女孩们表示害怕、羞愧、分心和困惑是与月经有关的感觉。这些感觉在很大程度上与一种尴尬感有关，担心被同学污名化，正如教师解释的那样，认为月经的开始标志着女孩性地位的到来。在众多的经期管理方法中，女孩们最常说的是折叠、捆扎或缝制布料，包括衬衫或连衣裙上的布料、旧布料的碎片或旧毯子的碎片。据报道，衣服经常漏水，造成擦伤，这使得上学困难，特别是随着时间的推移。女孩对月经的态度和做法已安排到个人，环境和行为factors.Conclusion：月经管理的选择，是实用的，可持续的和文化上可接受的进一步研究必须进行通知未来的方案和政策，旨在赋予年轻女孩，因为他们过渡到womanhood。在这方面和类似情况下工作的利益攸关方必须考虑建立系统机制，向少女解释月经是什么以及如何管理月经，提供卫生用品或指导女孩如何创造用品是未来干预措施的关键组成部分。
Background: The onset of menstruation is a landmark event in the life of a young woman. Yet the complications and challenges that can accompany such an event have been understudied, specifically in resource-poor settings. As interventions aim to improve female attendance in schools, it is important to explore how menstruation is perceived and navigated by girls in the school setting. This research conveys rural Kenyan schoolgirls' perceptions and practices related to menstruationMethods: Data were collected at six rural schools in the Nyanza Province of Western Kenya. Using focus group discussions, in-depth interviews, and field notes from observations, researchers collected information from 48 primary schoolgirls and nine teachers. Systematic analysis began with a reading of transcripts and debriefing notes, followed by manual coding of the narratives.Results: Focus group discussions became opportunities for girls to share thoughts on menstruation, instruct one another on management practices and advise one another on coping mechanisms. Girls expressed fear, shame, distraction and confusion as feelings associated with menstruation. These feelings are largely linked to a sense of embarrassment, concerns about being stigmatized by fellow students and, as teachers explained, a perception that the onset of menstruation signals the advent of a girl's sexual status. Among the many methods for managing their periods, girls most frequently said they folded, bunched up or sewed cloth, including cloth from shirts or dresses, scraps of old cloth, or strips of an old blanket. Cloth was reported to frequently leak and cause chafing, which made school attendance difficult particularly as the day progressed. Attitudes and practices of girls toward menstruation have been arranged into personal, environmental and behavioural factors.Conclusion: Further research on menstrual management options that are practical, sustainable and culturally acceptable must be conducted to inform future programs and policies that aim to empower young girls as they transition into womanhood. Stakeholders working within this and similar contexts must consider systematic mechanisms to explain to young girls what menstruation is and how to manage it. Providing sanitary supplies or guiding girls on how to create supplies serve as critical components for future interventions.