Assess the Effectiveness of Planned Audio - Teaching Program on Menstrual Hygiene in Terms of Knowledge, Attitude and Practice among Visually Challenged Females of Reproductive Age Group in Selected Area of NCR”
Main Article Content
Abstract
Over 20% of the world's blind people live in India, the second most populous nation in the world. According to the World Health Organization; one person worldwide loses their vision every five seconds, leaving 180 million individuals visually impaired. In India, blindness and vision impairment continue to be serious public health issues. The needs of girls who are blind or visually impaired have been so severely neglected. Consequently, specific steps should be done to sustain the higher level of education and hygiene habits on menstruation in girls who are visually impaired and are of reproductive age. One group pre -post test pre experimental research design was apply. In that 60 visually challenged females of reproductive age group sample were selected through convenient sampling technique. The data collected through, structured knowledge questionnaire, Likert scale for attitude and Non-observational checklist for practice. Result: visually challenged females of reproductive age group was observed and comparing their pre test and post test mean scores. In knowledge, attitude and practice the mean post test score is greater than the mean pretest score. Therefore, the intervention through audio teaching tool was effective to enhance the knowledge, attitude and practice of the samples in this research study. The result revealed that there is significant association between the education with knowledge regarding menstruation, regular menstruation, duration of menstrual flow and pre test knowledge score; significant association between the knowledge regarding menstruation and source of information and post test knowledge score; Therefore the research hypothesis (H2) is accepted for knowledge at 0.05 level of significance and null hypothesis is rejected for knowledge. The Result shows then association btw the pre-post test practice scores with demographic variables so the null hypothesis is accepted for practice at the level of significance. The Knowledge is also showing significant association regarding menstruation with source of information and duration of menstrual cycle. The pretest attitude score; significant association between age and post test attitude score. Therefore the research hypothesis (H2) is accepted for attitude at 0.05 level of significance and null hypothesis is rejected for attitude.
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References
Hutmacher F. Why Is There So Much More Research on Vision Than on Any Other Sensory Modality?. Front Psychol. 2019;10:2246. Published 2019 Oct 4. doi:10.3389/fpsyg.2019.02246 [PubMed] [PMC Article]
Iqbal S, Dubey AK, Gedam DS. Blindness: Indian scenario: Is it really preventable? Int J Med Res Rev. 2013;1(5):255-260. doi:10.17511/ijmrr.2013.i05.11.[Google Scholar][PubMed]
Coast E, Lattof SR, Strong J. Puberty and menstruation knowledge among young adolescents in low- and middle-income countries: a scoping review. Int J Public Health. 2019;64(2):293-304. doi:10.1007/s00038-019-01209-0.[PubMed][PMC Article]
Gupta N, Tandon R, Gupta SK, Sreenivas V, Vashist P. Burden of corneal blindness in India. Indian J Community Med. 2013; 38(4):198-206. doi:10.4103/0970-0218.120153.[PubMed][PMC Article]
https://www.who.int/blindness/Vision2020_report.pdf
Vision Loss Expert Group of the Global Burden of Disease Study. Causes of blindness and vision impairment in 2020 and trends over 30 years: evaluating the prevalence of avoidable blindness in relation to “VISION 2020: the Right to Sight”. Lancet Global Health 2020. doi.org/10.1016/S2214-109X(20)30489-7.
https://medlineplus.gov/menstruation.html
https://my.clevelandclinic.org/health/articles/10132-normal-menstruation
Garg R, Goyal S, Gupta S. India moves towards menstrual hygiene: subsidized sanitary napkins for rural adolescent girls-issues and challenges. Matern Child Health J. 2012 May;16(4):767-74. doi: 10.1007/s10995-011-0798-5. PMID: 21505773. [PubMed]
Garg, Rajesh & Goyal, Shobha & Gupta, Sanjeev. (2011). India Moves Towards Menstrual Hygiene: Subsidized Sanitary Napkins for Rural Adolescent Girls—Issues and Challenges. Maternal and child health journal. 16. 767-74. 10.1007/s10995-011-0798-5. [PubMed][Research Gate][PMC Article]
Water Aid: Menstrual hygiene matters. July 2016. Available at http://www.wateraid.org/what-wedo/our-approach/research-and-publications/viewpublication
Ghimire S. Knowledge regarding menstrual hygiene among adolescent girls. Int J Res Med Sci 2017;5:3426-30.[PubMed}
Chapparbandi SR, Nigudgi SR. A cross sectional study on menstrual hygiene of adolescent girls in rural field practice area of Kalaburagi, Karnataka, India. Int J Community Med Public Health 2016;3:2233-6.
Kyilleh, J.M., Tabong, P.TN. & Konlaan, B.B. Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana. BMC Int Health Hum Rights 18, 6 (2018). https://doi.org/10.1186/s12914-018-0147-5[PubMed][PMC Article]
https://www.who.int/reproductivehealth/topics/adolescence/en/
Pashe, S.P., Tekelab, T. & Mekonnen, J. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC Women's Health 15, 84 (2015). https://doi.org/10.1186/s12905-015-0245-7.
Anand E, Singh J, Unisa S. Menstrual hygiene practices and its association with reproductive tract infections and abnormal vaginal discharge among women in India. Sex Reprod Healthc. 2015 Dec;6(4):249-54. doi: 10.1016/j.srhc.2015.06.001. Epub 2015 Jun 25. PMID: 26614609.[PubMed]
Rugoho T, Maphosa F. Challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe: The case of Chitungwiza town. Afr J Disabil. 2017;6:252. Published 2017 May 26. doi:10.4102/ajod.v6i0.252. [PubMed][PMC Article]
https://www.unicef.org/media/91341/file/UNICEF-Guidance-menstrual-health-hygiene-2019.pdf
https://www.medicinenet.com/menstruation/article.htm
Singh A, Gupta V, Agrawal D, Goyal P, Singh M, Lukhmana S. A cross-sectional study to investigate the impact of focused group discussion on menstrual hygiene among rural school girls of Southern Haryana, India. J Educ Health Promot. 2020;9:260. Published 2020 Oct 30. doi:10.4103/jehp.jehp_475_20.[PubMed][PMC Article]
Dasgupta A, Sarkar M. Menstrual Hygiene: How Hygienic is the Adolescent Girl?. Indian J Community Med. 2008;33(2):77-80. doi:10.4103/0970-0218.40872 [PubMed]
https://menstrualhygieneday.org/managing-menstruation-for-women-and-girls-with-disabilities/
Torondel, B., Sinha, S., Mohanty, J.R. et al. Association between unhygienic menstrual management practices and prevalence of lower reproductive tract infections: a hospital-based cross-sectional study in Odisha, India. BMC Infect Dis 18, 473 (2018). https://doi.org/10.1186/s12879-018-3384-2.
Das P, Baker KK, Dutta A, et al. Menstrual Hygiene Practices, WASH Access and the Risk of Urogenital Infection in Women from Odisha, India. PLoS One. 2015;10(6):e0130777. Published 2015 Jun 30. doi:10.1371/journal.pone.0130777. [PMC Article]
Paudel, A. ., Bilakshan Sah, R., Ghimire, A. ., Chakravartty, A. ., Chhetri, . M. ., & Bastakoti, S. . (2021). Knowledge and Practice Regarding Menstruation among the Visually Challenged Female Students of Westen Nepal. Annapurna Journal of Health Sciences, 1(1), 23–29.[Google Scholar]
Wilbur, J., Kayastha, S., Mahon, T. et al. Qualitative study exploring the barriers to menstrual hygiene management faced by adolescents and young people with a disability, and their carers in the Kavrepalanchok district, Nepal. BMC Public Health 21, 476 (2021). [Google Scholar]
Nandhini. A, Payal Dabhi. A Study to assess the effectiveness of Audio drama on knowledge regarding menstrual hygiene among visually challenged adolscent girls at selected blind school of north Gujarat. Int. J. Nur. Edu. and Research. 2021. [Google Scholar]
Dündar T, Özsoy S. Menstrual hygiene management among visually impaired women. British Journal of Visual Impairment. 2020;38(3):347-362.[Google Scholar]
Prema S, Diksha Dhandapani, Dona Prakash, Snehal Gawade. Effectiveness of Planned Health Teaching on Knowledge and self reported practices of Menstrual Hygiene among visually impaired Adolescent girls in selected blind Schools of Pune city. Int. J. of Advances in Nur. Management. 2020; 8(1):53-56. [Google Scholar]
Subathra, Serma & Shetty, Asha & Shyamadevi, & Murugesan, Karthick & Shanmugam, Shankar. Knowledge and Practice on menstrual hygiene among specially abled (Deaf & Dumb) adolescent Girls at selected centres in Bhubaneswar, Odisha State -A Pilot Project. European Journal of Molecular & Clinical Medicine , 2020, Volume 07, Issue 03.[Google Scholar]
Rajasri G. Yaliwal, Aruna M. Biradar, Shreedevi S. Kori, Subhashchandra R. Mudanur, Shivakumar U. Pujeri, Mohd Shannawaz, "Menstrual Morbidities, Menstrual Hygiene, Cultural Practices during Menstruation, and WASH Practices at Schools in Adolescent Girls of North Karnataka, India: A Cross-Sectional Prospective Study", Obstetricsand Gynecology International, vol. 2020, 8 pages, 2020. [Google Scholar]
Hennegan J, Montgomery P. Interventions Improve Education and Psychosocial Outcomes for Women and Girls in Low and Middle Income Countries ? A Systematic Review. PLoS One [Internet]. 2016;49:1–21. Available from: Do Menstrual Hygiene Management Interventions Improve Education and Psychosocial Outcomes for Women and Girls in Low and Middle Income Countries? A Systematic Review. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Singh A, Gupta V, Agrawal D, Goyal P, Singh M, Lukhmana S. A cross-sectional study to investigate the impact of focused group discussion on menstrual hygiene among rural school girls of Southern Haryana, India. J Educ Health Promot. 2020 Oct 30;9:260. [Google Scholar]