Uncovering the challenges to menstrual hygiene management in schools in Mali

Murat Sahin, Murat Sahin; Victoria Trinies, Victoria Trinies; Bethany Caruso, Bethany Caruso; Assitan Sogoré, Assitan Sogoré; Jérémie Toubkiss, Jérémie Toubkiss; Matthew Freeman, Matthew Freeman

doi:10.3362/1756-3488.2015.004

Cited by 44Menstrual Health and DisordersSchool Health and Nursing EducationAdolescent Sexual and Reproductive Health

Uncovering the challenges to menstrual hygiene management in schools in Mali

Murat Sahin, Murat Sahin, Victoria Trinies, Victoria Trinies, Bethany Caruso, Bethany Caruso, Assitan Sogoré, Assitan Sogoré, Jérémie Toubkiss, Jérémie Toubkiss, Matthew Freeman, Matthew Freeman·2015·Waterlines

DOI 10.3362/1756-3488.2015.004

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Abstract

There is limited information on girls' menstrual hygiene practices and experiences at school in francophone sub-Saharan Africa. We conducted qualitative research to determine the challenges faced by school-aged girls in Mali, a culturally diverse and largely Muslim country. Research activities were conducted in eight urban and rural schools across the Sikasso and Koulikoro regions, including in-depth interviews with 26 girls and key informant interviews with 14 teachers and school directors. Results describe girls' practices for managing menstruation at school, their support systems and information channels, and their voiced recommendations for school WASH and education improvements.

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Some studies reported that girls who did not receive any information about menstruation before menarche were more stigmatised about menstruation, contributing to a culture of shame among them.
“Some studies reported that girls who did not receive any information about menstruation before menarche were more stigmatised about menstruation contributing to a culture of shame among them.40–42”
From Menstrual hygiene management among Bangladeshi adolescent schoolgirls and risk factors affecting school absence: results from a cross-sectional survey (2017) · cites this paper as [42]
Many researchers have explored girls' fear and confusion at menarche due to insufficient information and preparation.
“Many researchers have explored girls’ fear and confusion at menarche due to insufficient information and preparation [4, 12, 21, 23, 67, 69].”
From ’It’s like a burden on the head’: Redefining adequate menstrual hygiene management throughout women’s varied life stages in Odisha, India. (2019) · cites this paper as [69]
When girls can manage menstruation at school in supportive environments, they are less likely to be absent and can concentrate better in class, potentially improving their educational experience.
“When girls can manage menstruation at school in supportive environments, they report that they are less likely to be absent and can concentrate better in class, potentially improving their educational experience [1–4].”
From Physical, social, and political inequities constraining girls’ menstrual management at schools in informal settlements of Nairobi, Kenya. (2017) · cites this paper as [4]
Beliefs that menarche indicated sexual initiation prompted girls to hide their status for fear of punishment, reported in studies from Ethiopia, Ghana, and Mali.
“Beliefs that menarche indicated sexual initiation prompted girls to hide their status for fear of punishment, reported in studies from Ethiopia [89, 100], Ghana [88], and Mali [95].”
From Women’s and girls’ experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis (2019) · cites this paper as [95]

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Additional file 2 of Earning pocket money and girls’ menstrual hygiene management in Ethiopia: a systematic review and meta-analysis
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Additional file 1 of Earning pocket money and girls’ menstrual hygiene management in Ethiopia: a systematic review and meta-analysis
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Authors: Murat Sahin, M. S., Victoria Trinies, V. T., Bethany Caruso, B. C., Assitan Sogoré, A. S., Jérémie Toubkiss, J. T., & Matthew Freeman, M. F.
Venue: Waterlines
Publisher: Practical Action Publishing
Published: 2015-01-01
Volume: 34
Issue: 1
Pages: 31-40
ISSN: 0262-8104 (ISSN-L)
1756-3488
DOI: 10.3362/1756-3488.2015.004
OpenAlex: W2145692191
Cited by: 44
References: 18
Citations by year: 2026: 3 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 11 · 2021: 4 · 2020: 7 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 2
FWCI: 3.57
Type: journal article
Language: en
Open access: closed
Locations: Waterlines (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
Keywords: menstrual hygiene management, school girls, school sanitation, menstrual health, information channels, school hygiene education, Mali, Islamic culture

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Uncovering the challenges to menstrual hygiene management in schools in Mali

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