Exploring the association between household sanitation and women’s menstrual hygiene management in rural Odisha, India

Introduction: Access to water, sanitation, and hygiene (WASH) facilities has been globally recognized as a critical need, especially for women and girls to ensure their menstrual hygiene. This study aimed to investigate the association between household sanitation and women's menstrual manageme...

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Main Authors: Manas Ranjan Behera, Ranjit Kumar Dehury, Deepanjali Behera, Bhuputra Panda
Format: Article
Language:English
Published: Elsevier 2024-11-01
Series:Clinical Epidemiology and Global Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213398424003014
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author Manas Ranjan Behera
Ranjit Kumar Dehury
Deepanjali Behera
Bhuputra Panda
author_facet Manas Ranjan Behera
Ranjit Kumar Dehury
Deepanjali Behera
Bhuputra Panda
author_sort Manas Ranjan Behera
collection DOAJ
description Introduction: Access to water, sanitation, and hygiene (WASH) facilities has been globally recognized as a critical need, especially for women and girls to ensure their menstrual hygiene. This study aimed to investigate the association between household sanitation and women's menstrual management experience in Odisha, India. Methods: A cross-sectional study was conducted in Balasore district of Odisha state in India among 694 rural women and girls aged 15–45 years selected using a multi-stage sampling method. The Performance Monitoring and Accountability (PMA) 2020 questionnaire was used for data collection. Multivariate logistic regression analysis was carried out using SPSS version 25. Results: More than two-third (68.4 %) of rural families used improved sanitary facilities. Around 30 % of households have been using an unimproved sanitary facility, which means the practice of open defecation is still prevalent in rural areas. About 40.6 % of women and girls reported using clothes as their primary menstrual hygiene material. Further, women and girls with improved sanitation facilities (aOR = 1.56, 95 % CI: 1.09–2.59) were more likely to change menstrual materials at the main household sanitation facility than those with an unimproved sanitation facility. In contrast, households using improved sanitation facility were less likely to use bedroom/sleeping areas to change the menstrual materials (aOR = 0.65, 95 % CI: 0.42–0.99) than those with an unimproved facility. Conclusion: Availability of improved household sanitation is critical to good menstruation management practices. State-specific policy for menstrual health and hygiene could provide the much-needed impetus to strengthen WASH infrastructure in rural and tribal regions of Odisha.
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spelling doaj-art-442511f4b9234ad58628981ca2b2dfd12025-08-20T02:50:55ZengElsevierClinical Epidemiology and Global Health2213-39842024-11-013010180410.1016/j.cegh.2024.101804Exploring the association between household sanitation and women’s menstrual hygiene management in rural Odisha, IndiaManas Ranjan Behera0Ranjit Kumar Dehury1Deepanjali Behera2Bhuputra Panda3School of Public Health, Kalinga Institute of Industrial Technology (KIIT) Deemed to Be University, Odisha, 751024, IndiaSchool of Management Studies, University of Hyderabad, Telangana, 500046, IndiaSchool of Public Health, Kalinga Institute of Industrial Technology (KIIT) Deemed to Be University, Odisha, 751024, India; Corresponding author. School of Public Health Kalinga Institute of Industrial Technology (KIIT) Deemed to be University Campus-5 (KIMS), Patia, Bhubaneswar, Odisha, 751024, IndiaSchool of Public Health, Kalinga Institute of Industrial Technology (KIIT) Deemed to Be University, Odisha, 751024, IndiaIntroduction: Access to water, sanitation, and hygiene (WASH) facilities has been globally recognized as a critical need, especially for women and girls to ensure their menstrual hygiene. This study aimed to investigate the association between household sanitation and women's menstrual management experience in Odisha, India. Methods: A cross-sectional study was conducted in Balasore district of Odisha state in India among 694 rural women and girls aged 15–45 years selected using a multi-stage sampling method. The Performance Monitoring and Accountability (PMA) 2020 questionnaire was used for data collection. Multivariate logistic regression analysis was carried out using SPSS version 25. Results: More than two-third (68.4 %) of rural families used improved sanitary facilities. Around 30 % of households have been using an unimproved sanitary facility, which means the practice of open defecation is still prevalent in rural areas. About 40.6 % of women and girls reported using clothes as their primary menstrual hygiene material. Further, women and girls with improved sanitation facilities (aOR = 1.56, 95 % CI: 1.09–2.59) were more likely to change menstrual materials at the main household sanitation facility than those with an unimproved sanitation facility. In contrast, households using improved sanitation facility were less likely to use bedroom/sleeping areas to change the menstrual materials (aOR = 0.65, 95 % CI: 0.42–0.99) than those with an unimproved facility. Conclusion: Availability of improved household sanitation is critical to good menstruation management practices. State-specific policy for menstrual health and hygiene could provide the much-needed impetus to strengthen WASH infrastructure in rural and tribal regions of Odisha.http://www.sciencedirect.com/science/article/pii/S2213398424003014SanitationMenstrual healthMenstrual hygieneWomen's healthWASH
spellingShingle Manas Ranjan Behera
Ranjit Kumar Dehury
Deepanjali Behera
Bhuputra Panda
Exploring the association between household sanitation and women’s menstrual hygiene management in rural Odisha, India
Clinical Epidemiology and Global Health
Sanitation
Menstrual health
Menstrual hygiene
Women's health
WASH
title Exploring the association between household sanitation and women’s menstrual hygiene management in rural Odisha, India
title_full Exploring the association between household sanitation and women’s menstrual hygiene management in rural Odisha, India
title_fullStr Exploring the association between household sanitation and women’s menstrual hygiene management in rural Odisha, India
title_full_unstemmed Exploring the association between household sanitation and women’s menstrual hygiene management in rural Odisha, India
title_short Exploring the association between household sanitation and women’s menstrual hygiene management in rural Odisha, India
title_sort exploring the association between household sanitation and women s menstrual hygiene management in rural odisha india
topic Sanitation
Menstrual health
Menstrual hygiene
Women's health
WASH
url http://www.sciencedirect.com/science/article/pii/S2213398424003014
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