Comparing use and acceptability of menstrual cups and sanitary pads by schoolgirls in rural Western Kenya

作者: Linda Mason , Elizabeth Nyothach , Anna Maria Van Eijk , David Obor , Kelly T. Alexander

DOI: 10.18203/2320-1770.IJRCOG20193506

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摘要: Background: Girls in low and middle-income countries (LMIC) lack access to hygienic affordable menstrual products. We explore Kenyan schoolgirls’ use views of the cup compared girls provided with disposable sanitary pads for a feasibility study. Methods: Schoolgirls aged 14-16 years, received 10 schools or 16 pads/month another10 schools. All were trained by nurses on puberty, hand washing, product use. They self-completed net book survey at baseline twice term during year follow-up. examined their reported ease insertion removal, also comfort, soreness, pain An aggregate ‘acceptability’ score was compiled each girls’ socio-demographic characteristics compared. Results: 195 participants cups 255 pads. Mean age 14.6 menarchial 13.6 an average 3.8 days menses per month. Cup 39% month 1, rising 80% 12 (linear trend p<0.001). Pad rose from 85% 92% p=0.15). Measures acceptability demonstrated had initial problems using but difficulties insertion, removal comfort reduced over time. fewer issues. At baseline, approximately quarter pad arm inserting intravaginally although this significantly lower among prior experience (aRR 0.62; 0.45-0.87). Conclusions: While smaller proportion used them first months given pads, similar study-end, early issues LMIC may successfully comfortably cups, require instruction, support some persistence

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