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A qualitative study exploring menstruation experiences and practices among adolescent girls living in the nakivale refugee settlement, Uganda.
Int. J. Environ. Res. Public Health 17:6613 (2020)
Background: Girls in low- and lower-middle income countries face challenges in menstrual health management (MHM), which impact their health and schooling. This might be exacerbated by refugee conditions. This study aimed at describing menstruation practices and experiences of adolescent girls in Nakivale refugee settlement in Southwestern Uganda. (2)Methods: We conducted a qualitative study from March to May 2018 and we intentionally selected participants to broadly represent different age groups and countries of origin. We conducted 28 semistructured interviews and two focus group discussions. Data were transcribed and translated into English. Analysis included data familiarization, manual coding, generation and refining of themes. (3)Results: Main findings included: (a) challenging social context with negative experiences during migration, family separation and scarcity of resources for livelihood within the settlement; (b) unfavorable menstruation experiences, including unpreparedness for menarche and lack of knowledge, limitations in activity and leisure, pain, school absenteeism and psychosocial effects; (c) menstrual practices, including use of unsuitable alternatives for MHM and poor health-seeking behavior. (4)Conclusions: A multipronged approach to MHM management is crucial, including comprehensive sexual education, enhancement of parent-adolescent communication, health sector partnership and support from NGOs to meet the tailored needs of adolescent girls.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Refugee ; Adolescent ; Menstruation ; Sexual And Reproductive Health ; Migration ; Uganda ; Africa; Management
ISSN (print) / ISBN
1661-7827
e-ISSN
1660-4601
Quellenangaben
Volume: 17,
Issue: 18,
Article Number: 6613
Publisher
MDPI
Publishing Place
Basel, Switzerland
Non-patent literature
Publications
Reviewing status
Peer reviewed
Institute(s)
Institute of Epidemiology II (EPI2)
Grants
Micro Research Fund, Canada
Medical Faculty of Ludwig Maximilian University of Munich (LMU), Germany
Friedrich-Baur-Stiftung
Medical Faculty of Ludwig Maximilian University of Munich (LMU), Germany
Friedrich-Baur-Stiftung