Knowledge and Attitudes Toward Menstrual Hygiene Among School Girls: A Cross-Sectional Study in Two Secondary Schools in Delta State, Nigeria

Author's Information:

Ogbolu, Nneka Christabel

Department of Public and Community Health, College of Medical and Health Sciences, Novena University, Ogume, Delta State, Nigeria. ORCID: 0009-0003-5015-1667

Agbasimiere, Lydia Ifeoma

Department of Public and Community Health, College of Medical and Health Sciences, Novena University, Ogume, Delta State, Nigeria. 

Okwelum, Anthonia Onyenibe

Southern Delta University, Ozoro, Delta State, Nigeria. 

Ojide, Alex Chukwunoyelum

University of Greater Manchester, Bolton, United Kingdom. 

Okololise, Loveth Onuwa

Department of Public and Community Health, College of Medical and Health Sciences, Novena University, Ogume, Delta State, Nigeria. 

Vol 2 No 9 (2025):Volume 02 Issue 09 September 2025

Page No.: 105-111

Abstract:

Introduction: Menstruation is a normal occurrence that is vital to teenage girls' health and development, but in low- and middle-income environments, there are still many misconceptions, a lack of knowledge, and negative attitude. 

Methods: Using a descriptive cross-sectional design, the knowledge and attitudes of menstrual hygiene among school girls in two secondary schools in Amai and Ezionum, Delta State, Nigeria, were evaluated in this study. A multistage stratified random sample procedure was used to select 401 respondents. SPSS version 23.0 was used to analyze the data, which were gathered via a structured self-administered questionnaire. Descriptive statistics compiled sociodemographic traits, knowledge, and attitudes while at a significance threshold of p < 0.05, chi-square tests looked at associations between variables. 

Results: Of those surveyed, 53.6% were between the ages of 15 and 19, and 46.4% were between the ages of 10 and 14. While 48.4% of respondents exhibited good knowledge of menstrual hygiene, 51.6% showed poor knowledge overall. With 71.3% of respondents having negative attitudes on menstrual hygiene, the most common information sources were mothers (37.7%) and school teachers (34.2%). Both age and class level were substantially associated with knowledge (p = 0.000), with older pupils and those in senior classes showing higher knowledge.

Conclusion: To encourage good menstrual hygiene, early school-based health education and parental involvement are required.

KeyWords:

Menstrual hygiene, Knowledge, Attitude, Secondary school girls, Reproductive health

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