Original Articles

A Cross Sectional Study of Knowledge and Practices about Reproductive Health among Female Adolescents in an Urban Slum of Mumbai

Abstract

Objective: To study knowledge about reproductive health among female adolescents and to assess their treatment seeking behavior regarding reproductive health problems in an urban slum of Mumbai.
Materials and methods: Cross sectional descriptive study was undertaken in an urban slum area of Mumbai for period of 3 months. All adolescent girls from 10 - 19 years of age, who had attained menarche, attending general OPD and STI clinic were included. Subjects were interviewed face to face using pretested semi-structured questionnaire after obtaining informed consent. The questionnaire contained information regarding socio demographic parameters and that related to reproductive health i.e. menstrual hygiene, knowledge and practices related to HIV / AIDS, contraception, abortion, Medical Termination of Pregnancy (MTP), etc. and their treatment seeking behavior in last 3 months for reproductive health problems. Privacy and confidentiality was strictly maintained. Analysis was done with SPSS version 17.
Results: Seventy nine (32.8%) subjects had unsatisfactory menstrual hygienic practices. Two hundred twelve (88%) women were aware about availability of ANC services. Sixty six percent of women had correct knowledge of modes of transmission of HIV while only 18.7% knew about safe sexual practices. Education status and early adolescents age group (10 -14 years) was found to be significantly associated with knowledge of adolescents regarding menstruation.
Conclusion:Female adolescents should be given appropriate knowledge regarding puberty and sexual health to help them confidently deal with their reproductive and sexual health issues.

 

Adolescent Reproductive and Sexual Health (ARSH) Strategy under NRHM / RCH-II.http://mohfw.nic.in/NRHM/ARSH.htm

Implementation guide on RCH II ARSH strategy. http://mohfw.nic.in/NRHM/Documents/ARSH/Imp lementation_guide_on_RCH%20II.pdf

Unequal, Unfair, Ineffective and Inefficient Gender Inequity in Health: Why it exists and how we can change it. Final Report to the WHO Commission on Social Determinants of Health, September 2007. http://www.who.int/social_determinants/resources/c sdh_media/wgekn_final_report_07.pdf

Gender based constraints: Improving the Reproductive Health of Married and Unmarried Youth in India. http://www.icrw.org/files/images/Addressing-Gender- Based-Constraints-in-Youth-Reproductive-Health- Findings-from-Intervention-Studies-in-India.pdf

Karim AM, Magnani RJ, Morgan GT, Bond KC. Reproductive health risk and protective factors among unmarried youth in Ghana. International Family Planning Perspectives 2003; 29: 14-24.

Adinma JI, Adinma ED. Impact of reproductive health on socio-economic development: a case study of Nigeria. Afr J Reprod Health 2011 ; 15:7-12.

Kumar A, Srivastava K. Cultural and social practices regarding menstruation among adolescent girls. Soc Work Public Health 2011; 26:594-604.

Kennedy E, Gray N, Azzopardi P, Creati M. Adolescent fertility and family planning in East Asia and the Pacific: a review of DHS reports. Reprod Health 2011; 8:11.

Nair MK, Paul MK, Leena ML, Thankachi Y, George B, Russell PS, et al. Effectiveness of a Reproductive Sexual Health Education Package among School Going Adolescents. Indian J Pediatr. 2011 May 27. [Epub ahead of print]

Madeni F, Horiuchi S, Iida M. Evaluation of a reproductive health awareness program for adolescence in urban Tanzania - a quasiexperimental pre-test post-test research. Reprod Health 2011 ; 8:21.

Kayiki SP, Forste R. HIV/AIDS related knowledge and perceived risk associated with condom use among adolescents in Uganda. Afr J Reprod Health 2011 ; 15:57-63.

Committee on Pediatric AIDS, Emmanuel PJ, Martinez J. Adolescents and HIV infection: the pediatrician's role in promoting routine testing. Pediatrics 2011; 128:1023-9.

Dasgupta A, Sarkar M. Menstrual Hygiene: How Hygienic is the Adolescent Girl? Indian J Community Med 2008; 33:77-80.

Nair P, Grover VL, Kannan AT. Awareness and practices of menstruation and pubertal changes amongst unmarried female adolescents in a rural area of East Delhi. Indian Journal of Community Medicine 2007; 32: 156-7.

India: First Periodic Report on the CRC. http://wcd.nic.in/crcpdf/CRC-2.PDF

The medical termination of pregnancy act, 1971 no. 34 of 1971 http://www.mp.gov.in/health/acts/mtp%20Act.pdf

Lawan UM, Yusuf NW, Musa AB. Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. African Journal of Reproductive Health 2010 ; 14: 201- 7.

Mudey AB, Kesharwani N, Mudey GA, Goyal RC. A cross-sectional study on awareness regarding safe and hygienic practices amongst school going adolescent girls in rural area of Wardha District, India. Global Journal of Health Science 2010 ; 2: 225-31.

Ali TS, Rizvi SN. Menstrual knowledge and practices of female adolescents in urban Karachi, Pakistan. J Adolesc 2010 ; 33:531-41.

Ali TS, Ali PA, Waheed H, Memon AA. Understanding of Puberty and related Health Problems among Female Adolescents in Karachi, Pakistan. J Pak Med Assoc 2006; 56: 68-72.

Ocaktan ME, Baran E, Akdur R. Evaluation of habitual behavior related to genital hygiene in women living in a health care center area. Saudi Med J 2010 ; 31:1251-6.

Adinma ED, Adinma JI. Perceptions and practices on menstruation amongst Nigerian secondary school girls. Afr J Reprod Health 2008; 12:74-83.

Pattanaik D, Lobo J, Kapoor SK, Menon PS. Knowledge and attitudes of rural adolescent girls regarding reproductive health issues. Natl Med J India 2000;13:124-8.

De la Ayala-Castellanos MM, Vizmanos-Lamotte B, Portillo-Dávalos RA. [Sexual and reproductive health among adolescents in high school in Guadalajara, México]. Ginecol Obstet Mex 2011 ; 79:86-92. Spanish.

Peltzer K, Pengpid S. Prevalence and social Correlates of sexual intercourse among schoolgoing adolescents in Thailand. Scientific World Journal 2011; 11: 1812-20.

Wong LP. Attitudes towards dysmenorrhoea, impact and treatment seeking among adolescent girls: a rural school-based survey. Aust J Rural Health 2011; 19: 218-23.

Nair MK, Chacko DS, Ranjith Darwin M, Padma K, George B, Ps R. Menstrual Disorders and Menstrual Hygiene Practices in Higher Secondary School Girls.Indian J Pediatr 2011 May 28. [Epub ahead of print].

Files
IssueVol 5, No 4 (December 2011) QRcode
SectionOriginal Articles
Keywords
adolescent menstrual hygiene HIV/AIDS safe sexual practices menarche

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Bobhate P, Shrivastava S. A Cross Sectional Study of Knowledge and Practices about Reproductive Health among Female Adolescents in an Urban Slum of Mumbai. J Family Reprod Health. 2011;5(4):117-124.