Knowledge and Practice of Genital Health and Hygiene among Adolescent Girls of Lalitpur Metropolitan City, Nepal

Sanjeev Kumar Shah^1, , Shristy Shrestha¹, Purna Laxmi Maharjan¹, Kshitij Karki², Abinash Upadhayay², Suraksha Subedi³ and Milan Gurung⁴

¹Department of Public Health, National Open College, Pokhara University, Nepal

²Department of Public Health, Asian College for Advance Studies, Purbanchal University, Nepal

³Department of Nursing, Asian College for Advance Studies, Purbanchal University, Nepal

⁴Ganeshman Singh Memorial Hospital and Research Center, Lalitpur, Nepal

Cite this paper

Sanjeev Kumar Shah, Shristy Shrestha, Purna Laxmi Maharjan, Kshitij Karki, Abinash Upadhayay, Suraksha Subedi and Milan Gurung. Knowledge and Practice of Genital Health and Hygiene among Adolescent Girls of Lalitpur Metropolitan City, Nepal. American Journal of Public Health Research. 2019; 7(4):151-156. doi: 10.12691/AJPHR-7-4-4

Abstract

Introduction: The problem related to genital hygiene is inadequately known and has not acknowledged proper attention during the phase of adolescence which distresses the health of the girls and there is an increased susceptibility to reproductive tract infections and pelvic inflammatory diseases and other complications. The objective of this study was to assess the knowledge and practice of genital hygiene among adolescent girls at Lalitpur Metropolitan City, Nepal. Methodology: A school based cross-sectional study design was employed in Lalitpur Metropolitan City, Nepal. A multi-stage sampling technique was used to select 400 female high school students. Data collection was carried out from July 04 to July 30, 2018 using a pre- tested, structured questionnaire. The data were analyzed in SPSS for Windows version 22.0. Bivariate and multivariate logistic regression analysis was done at 95 % confidence interval. Findings indicate: The 37 (9.3%) respondents had good knowledge and 101 (25.3 %) practice of genital hygiene respectively. A significant positive association between good knowledge of genital health with that of exposure to social media [AOR = 2.60, 95 % CI: 1.28-5.28] was demonstrated. Girls who had experienced burning sensations were significantly associated with poor knowledge score [AO.R. (C.I.) 2.62(1.05-6.51)] and girls who had experienced vaginal discharge were nearly three times more likely to have poor knowledge about genital hygiene [AOR = 3.07, 95 % CI: 1.41-6.66]. Girls who had experienced itching in genital area were 2.12 times more likely to have poor practice about genital hygiene compared to those who had not experienced itching. [AO.R. (C.I.) 2.12(1.25-3.89)]. Conclusions: The findings showed that the adolescents had inadequate knowledge which had led to poor genital hygiene practices. Awareness regarding the need for information about good genital hygiene practices is very important.

Keywords

knowledge, practice, genital, hygiene, adolescent girls, social media

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Hamed A.G. The Impact of Genital Hygiene Practices on the Occurrence of Vaginal Infection and the Development of a Nursing Fact Sheet as Prevention Massage for Vulnrable Women. IOSR J Nurs Health Sci. 2015; 4(6): 55-64.
[2]	J.Barathalakshmi, P. K. Govindarajan, N.Ethirajan, A. John William Felix. Knowledge and Practice of Menstrual Hygiene among School Going Adolescent Girls. Natl J Res Community Med. 2014; 2(3): 138-42.
[3]	Bahram A, Hamid B, Zohre T. Prevalence of bacterial vaginosis and impact of genital hygiene practices in non-pregnant women in zanjan, iran. Oman Med J. 2009 Oct; 24(4): 288-93.
[4]	Upashe SP, Tekelab T, Mekonnen J. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC Womens Health. 2015 Dec; 15(1): 84.
[5]	Das P, Baker KK, Dutta A, Swain T, Sahoo S, Das BS, et al. Menstrual Hygiene Practices, WASH Access and the Risk of Urogenital Infection in Women from Odisha, India. PLOS ONE. 2015 Jun 30; 10(6): e0130777.
[6]	Sumarah S, Widyasih H. Effect of Vaginal Hygiene Module to Attitudes and Behavior of Pathological Vaginal Discharge Prevention Among Female Adolescents in Slemanregency, Yogyakarta, Indonesia. J Fam Reprod Health. 2017 Jun; 11(2): 104-9.
[7]	Hacialioğlu N, Nazik E, Kiliç M. A descriptive study of douching practices in Turkish women. Int J Nurs Pract. 2009 Apr; 15(2): 57-64.
[8]	Menstrual hygiene management in indonesia: understanding practices, determinants and impacts among adolescent school girls. Burnet Institute, SurveyMETER, WaterAid Australia, Aliansi Rem aja Independen; 2015.
[9]	Karahan N. Development of a Genital Hygiene Behavior Scale: Validity and Reliability Study. Istanb Med J. 2017; 18: 157-62.
[10]	Suhasini K, Chandra M. Factors Influencing Menstrual Hygiene Practice Among Late Adolescent Girls in an Urban Area of Belgaum. Ann Community Health. 2017 Jan 1; 4(4): 20-24-24.
[11]	Sapkota D, Sharma D, Pokharel HP, Budhathoki SS, Khanal VK. Knowledge and practices regarding menstruation among school going adolescents of rural Nepal. J Kathmandu Med Coll. 2013; 2(3): 122-8.
[12]	McClelland RS, Lavreys L, Hassan WM, Mandaliya K, Ndinya-Achola JO, Baeten JM. Vaginal washing and increased risk of HIV-1 acquisition among African women: a 10-year prospective study. AIDS Lond Engl. 2006 Jan 9; 20(2): 269-73.
[13]	Yaşar BN, Terzioglu F, Koç G. Knowledge and Practices of Genital Hygiene: Visual-Disabled Women Sample. In Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi; 2017.
[14]	Myer L, Denny L, de Souza M, Wright TC, Kuhn L. Distinguishing the temporal association between women’s intravaginal practices and risk of human immunodeficiency virus infection: a prospective study of South African women. Am J Epidemiol. 2006 Mar 15; 163(6): 552-60.
[15]	Derya Adibelli, Nur Ozlem Kilinc, Yasam Kemal Akpak DK. Genital hygiene behaviors and associated factors in women living in rural areas of Turkey. 2016; 2(August 2014): 210-4.
[16]	Varghese S, Kour G, Chacko J, Rathi J, Dhar T. Knowledge, attitude and practices of women towards vaginal discharge. Int J Adv Med. 4(1): 188-91.
[17]	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 Fam Reprod Health. 2011; 5(4): 117-24.
[18]	Upadhayay A, Shah SK, Thapa DK, T.s S, Ghimire R, Dahal HR. Knowledge, Attitude and Practice of Family Planning Method Among Married Women of Reproductive Age Group in Earth Quake Displaced Population of Sindupalchok Disrtict, Nepal. Am J Public Health Res. 2017 Jan 18; 5(1): 1-5.
[19]	Crann SE, Cunningham S, Albert A, Money DM, O’Doherty KC. Vaginal health and hygiene practices and product use in Canada: a national cross-sectional survey. BMC Womens Health. 2018 23; 18(1): 52.
[20]	Ameade EPK, Garti HA. Relationship between Female University Students’ Knowledge on Menstruation and Their Menstrual Hygiene Practices: A Study in Tamale, Ghana. Adv Prev Med. 2016; 2016: 1056235.
[21]	Omidvar S, Begum K. Factors influencing hygienic practices during menses among girls from south India- A cross sectional study. Int J Collab Res Intern Med Public Health. 2010; 2(12): 411-23.
[22]	Bano R, Sabhan FAA. Study of Knowledge and Practice of University Females Regarding Reproductive Health and Hygiene in Hail, Saudi Arabia. Int J Women’s Health Reprod Sci. 2015; 3(1): 31-9.
[23]	Egedus VL, Morales Ortega J, Alfaro Obando A. Knowledge, perceptions, and practices with respect to the prevention of dengue in a mid-Pacific coastal village of Costa Rica. Rev Biol Trop. 2014 Sep; 62(3): 859-67.