Maternal and Adolescent Factors Associated with Menstrual Hygiene of Girls in Senior Secondary Schools in Lagos, Nigeria

Tajudeen Olusegun Rasheed, Wasiu Adebowale Afolabi


Background:  Menstrual hygiene has not received proper attention deserved among adolescent girls in Nigeria. Unhygienic prac­tices during menstruation can increase the vul­nerability to reproductive tract infections, pel­vic inflammatory diseases, and associated com­plications. This study was conducted to assess­ment maternal and female adolescent factors associated with the menstrual hygiene of the female adolescent surveyed.

Subjects and Method: A quantitative and cross-sectional study was collected in October 2018, using structured questionnaires with vali­dity and reliability established through pilot study. The target population N= 300 is the female students (female adolescent) aged 10-19 years old attending the selected Senior Second­ary School (SSS1- SSS3) classes in Lagos, Nige­ria. The sample size was determined and a sys­tematic random sampling technique was used to select the participants. Hypotheses were tested using Chi-square and a multiple logistic regression.

Results: The findings revealed that female adolescent who uses sanitary pad and not tissue paper or cotton cloth were 3.3 times more likely to practice good menstrual hygiene (OR= 3.31, 95% CI= 2.31 to 9.38, p= 0.010). Similarly, female adolescent who received information on menstrual hygiene from their mothers’ prior the onset of menstruation were 11.9 time more likely to practice good menstrual hygiene (OR= 11.93, 95% CI= 2.94 to 56.80, p= 0.002). The participants menstrual hygiene status shows that n=210, 70.0% indicated good menstrual hygiene practices, while n=90, 30.0% indicated poor menstrual hygiene practice.

Conclusion: The intrinsic factors of the female adolescent and support received from their mother prior the onset of menstruation have the potential to improve female adolescent reproductive health and wellbeing. Youth Hygiene Initiative is recommended to provide good milieu for the female adolescent to interact and learn more about their health in school and at home.

Keywords: maternal, female adolescent, menstrual hygiene, practices, secondary school, Nigeria

Correspondence: Tajudeen Olusegun Rasheed. Department of Health, Safety & Environment Studies, Training & Research Institute, Economic and Financial Crimes Commission Academy, Karu, Abuja, Nigeria. Email: or Phone: +234-803-800-7373.


Journal of Maternal and Child Health (2021), 06(01): 35-45



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