Factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in African rural schools: scoping review

Menstrual hygiene management (MHM) is a critical component of adolescent health and well-being, particularly in rural African schools where cultural, economic, and infrastructural challenges persist. This scoping review followed the steps proposed by Arksey and O'Malley to explore the factors i...

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Main Authors: Mosotho Zenia Tshivule, Molatelo Melitah Rasweswe, Tebogo Maria Mothiba, Mamare Adelaide Bopape
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Reproductive Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/frph.2025.1553101/full
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author Mosotho Zenia Tshivule
Molatelo Melitah Rasweswe
Tebogo Maria Mothiba
Mamare Adelaide Bopape
author_facet Mosotho Zenia Tshivule
Molatelo Melitah Rasweswe
Tebogo Maria Mothiba
Mamare Adelaide Bopape
author_sort Mosotho Zenia Tshivule
collection DOAJ
description Menstrual hygiene management (MHM) is a critical component of adolescent health and well-being, particularly in rural African schools where cultural, economic, and infrastructural challenges persist. This scoping review followed the steps proposed by Arksey and O'Malley to explore the factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in rural African settings. The review systematically analysed literature conducted in diverse African rural public schools. Findings reveal that many adolescent school girls lack comprehensive knowledge about menstruation, due to unreliable or insufficient sources of menstrual hygiene management information and unpreparedness for menarche. Furthermore, their menstrual hygiene practices are shaped by various sociocultural and religious influences. There is also resource limitation, related to availability and cost of menstrual hygiene management supplies, and water, sanitation, and hygiene (WASH) infrastructure in rural schools. These challenges have a significant impact on school attendance, academic performance, and the overall quality of life for adolescent girls. The review practice. It emphasizes the importance of multi-sectoral approaches in supporting adolescent girls in rural African schools and advocates for further research to address persistent knowledge and practice gaps. There is also a need for integrated interventions, including menstrual health education, improved WASH infrastructure, and the provision of affordable menstrual products. Addressing these factors holistically can enhance menstrual hygiene management, reduce stigma, and promote gender equality in education.
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spelling doaj-art-cfbf4b60799f48aca2ba5cf7b86663cb2025-08-20T03:03:46ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532025-08-01710.3389/frph.2025.15531011553101Factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in African rural schools: scoping reviewMosotho Zenia Tshivule0Molatelo Melitah Rasweswe1Tebogo Maria Mothiba2Mamare Adelaide Bopape3Department of Nursing Science, University of Limpopo, Polokwane, South AfricaDepartment of Nursing Science, University of Limpopo, Polokwane, South AfricaResearch Office, University of Limpopo, Polokwane, South AfricaFaculty of Health Science, University of Limpopo, Polokwane, South AfricaMenstrual hygiene management (MHM) is a critical component of adolescent health and well-being, particularly in rural African schools where cultural, economic, and infrastructural challenges persist. This scoping review followed the steps proposed by Arksey and O'Malley to explore the factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in rural African settings. The review systematically analysed literature conducted in diverse African rural public schools. Findings reveal that many adolescent school girls lack comprehensive knowledge about menstruation, due to unreliable or insufficient sources of menstrual hygiene management information and unpreparedness for menarche. Furthermore, their menstrual hygiene practices are shaped by various sociocultural and religious influences. There is also resource limitation, related to availability and cost of menstrual hygiene management supplies, and water, sanitation, and hygiene (WASH) infrastructure in rural schools. These challenges have a significant impact on school attendance, academic performance, and the overall quality of life for adolescent girls. The review practice. It emphasizes the importance of multi-sectoral approaches in supporting adolescent girls in rural African schools and advocates for further research to address persistent knowledge and practice gaps. There is also a need for integrated interventions, including menstrual health education, improved WASH infrastructure, and the provision of affordable menstrual products. Addressing these factors holistically can enhance menstrual hygiene management, reduce stigma, and promote gender equality in education.https://www.frontiersin.org/articles/10.3389/frph.2025.1553101/fullmenstrual hygieneadolescent girlsrural schoolsAfricaknowledgeattitudes
spellingShingle Mosotho Zenia Tshivule
Molatelo Melitah Rasweswe
Tebogo Maria Mothiba
Mamare Adelaide Bopape
Factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in African rural schools: scoping review
Frontiers in Reproductive Health
menstrual hygiene
adolescent girls
rural schools
Africa
knowledge
attitudes
title Factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in African rural schools: scoping review
title_full Factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in African rural schools: scoping review
title_fullStr Factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in African rural schools: scoping review
title_full_unstemmed Factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in African rural schools: scoping review
title_short Factors influencing menstrual hygiene knowledge, attitudes, and practices among adolescent girls in African rural schools: scoping review
title_sort factors influencing menstrual hygiene knowledge attitudes and practices among adolescent girls in african rural schools scoping review
topic menstrual hygiene
adolescent girls
rural schools
Africa
knowledge
attitudes
url https://www.frontiersin.org/articles/10.3389/frph.2025.1553101/full
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