The Relationship between Household Sanitation and Women’s Experience of Menstrual Hygiene: Findings from a Cross-Sectional Survey in Kaduna State, Nigeria
Global efforts to improve sanitation have emphasized the needs of women and girls. Managing menstruation is one such need, yet there is scarce research capturing current practices. This study investigated the relationships between household sanitation and women’s experience of menstrual ma...
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doaj-2976b9658f534b68aa936f925e23b1922020-11-24T21:44:59ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012018-05-0115590510.3390/ijerph15050905ijerph15050905The Relationship between Household Sanitation and Women’s Experience of Menstrual Hygiene: Findings from a Cross-Sectional Survey in Kaduna State, NigeriaJulie Hennegan0Linnea Zimmerman1Alexandra K. Shannon2Natalie G. Exum3Funmilola OlaOlorun4Elizabeth Omoluabi5Kellogg J. Schwab6The Water Institute, Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe, Baltimore, MD 21205, USADepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe, Baltimore, MD 21205, USADepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe, Baltimore, MD 21205, USAThe Water Institute, Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe, Baltimore, MD 21205, USADepartment of Community Medicine, College of Medicine, University of Ibadan, Queen Elizabeth Road, University College Hospital, Ibadan 200284, NigeriaCenter for Research Evaluation Resources and Development, 17 Ajanaku Estate, Ile-Ife 220005, NigeriaThe Water Institute, Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe, Baltimore, MD 21205, USAGlobal efforts to improve sanitation have emphasized the needs of women and girls. Managing menstruation is one such need, yet there is scarce research capturing current practices. This study investigated the relationships between household sanitation and women’s experience of menstrual management. Secondary analyses were undertaken on data from 1994 women and girls collected through the Performance Monitoring and Accountability 2020 survey in Kaduna, Nigeria. In multivariable models, women had higher odds of using the main household sanitation facility for menstrual management when they had access to a basic (OR = 1.76 95%CI 1.26–2.46) or limited (OR = 1.63 95%CI 1.08–2.48) sanitation facility, compared to an unimproved facility. Women with no household sanitation facility had higher odds of using their sleeping area (OR = 3.56 95%CI 2.50–5.06) or having no facility for menstrual management (OR = 9.86 95%CI 5.76–16.87) than women with an unimproved sanitation facility. Menstrual management locations were associated with ratings of their characteristics. Safely managed or basic sanitation facilities were not rated more favorably than unimproved facilities in privacy (OR = 1.02 95%CI 0.70–1.48), safety (OR = 1.45 95%CI 0.98–2.15), access to a lock (OR = 0.93 95%CI 0.62–1.37), or soap and water (OR = 1.04 95%CI 0.70–1.56). Women using their sleeping area had more favorable perceptions of their environment. Findings suggest household sanitation influences women’s choices for menstrual management, but that existing indicators for improvement are not sensitive to menstrual needs.http://www.mdpi.com/1660-4601/15/5/905menstrual hygienesanitationwomen’s healthmenstrual healthcross-sectional survey |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Julie Hennegan Linnea Zimmerman Alexandra K. Shannon Natalie G. Exum Funmilola OlaOlorun Elizabeth Omoluabi Kellogg J. Schwab |
spellingShingle |
Julie Hennegan Linnea Zimmerman Alexandra K. Shannon Natalie G. Exum Funmilola OlaOlorun Elizabeth Omoluabi Kellogg J. Schwab The Relationship between Household Sanitation and Women’s Experience of Menstrual Hygiene: Findings from a Cross-Sectional Survey in Kaduna State, Nigeria International Journal of Environmental Research and Public Health menstrual hygiene sanitation women’s health menstrual health cross-sectional survey |
author_facet |
Julie Hennegan Linnea Zimmerman Alexandra K. Shannon Natalie G. Exum Funmilola OlaOlorun Elizabeth Omoluabi Kellogg J. Schwab |
author_sort |
Julie Hennegan |
title |
The Relationship between Household Sanitation and Women’s Experience of Menstrual Hygiene: Findings from a Cross-Sectional Survey in Kaduna State, Nigeria |
title_short |
The Relationship between Household Sanitation and Women’s Experience of Menstrual Hygiene: Findings from a Cross-Sectional Survey in Kaduna State, Nigeria |
title_full |
The Relationship between Household Sanitation and Women’s Experience of Menstrual Hygiene: Findings from a Cross-Sectional Survey in Kaduna State, Nigeria |
title_fullStr |
The Relationship between Household Sanitation and Women’s Experience of Menstrual Hygiene: Findings from a Cross-Sectional Survey in Kaduna State, Nigeria |
title_full_unstemmed |
The Relationship between Household Sanitation and Women’s Experience of Menstrual Hygiene: Findings from a Cross-Sectional Survey in Kaduna State, Nigeria |
title_sort |
relationship between household sanitation and women’s experience of menstrual hygiene: findings from a cross-sectional survey in kaduna state, nigeria |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2018-05-01 |
description |
Global efforts to improve sanitation have emphasized the needs of women and girls. Managing menstruation is one such need, yet there is scarce research capturing current practices. This study investigated the relationships between household sanitation and women’s experience of menstrual management. Secondary analyses were undertaken on data from 1994 women and girls collected through the Performance Monitoring and Accountability 2020 survey in Kaduna, Nigeria. In multivariable models, women had higher odds of using the main household sanitation facility for menstrual management when they had access to a basic (OR = 1.76 95%CI 1.26–2.46) or limited (OR = 1.63 95%CI 1.08–2.48) sanitation facility, compared to an unimproved facility. Women with no household sanitation facility had higher odds of using their sleeping area (OR = 3.56 95%CI 2.50–5.06) or having no facility for menstrual management (OR = 9.86 95%CI 5.76–16.87) than women with an unimproved sanitation facility. Menstrual management locations were associated with ratings of their characteristics. Safely managed or basic sanitation facilities were not rated more favorably than unimproved facilities in privacy (OR = 1.02 95%CI 0.70–1.48), safety (OR = 1.45 95%CI 0.98–2.15), access to a lock (OR = 0.93 95%CI 0.62–1.37), or soap and water (OR = 1.04 95%CI 0.70–1.56). Women using their sleeping area had more favorable perceptions of their environment. Findings suggest household sanitation influences women’s choices for menstrual management, but that existing indicators for improvement are not sensitive to menstrual needs. |
topic |
menstrual hygiene sanitation women’s health menstrual health cross-sectional survey |
url |
http://www.mdpi.com/1660-4601/15/5/905 |
work_keys_str_mv |
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