Influence and Involvement of Teachers in Menstrual Hygiene Management of Female Secondary School Students in Kogi State, Nigeria

Menstrual hygiene management (MHM) remains a significant public health and educational issue, particularly in low- and middle-income countries. This study explores the influence and involvement of teachers in the menstrual hygiene management of female secondary school students in Kogi State, Nigeria. A descriptive cross-sectional design was employed, with a sample of 300 teachers from both public and private secondary schools selected through a multi-stage sampling method. Data were collected via structured questionnaires and focus group discussions, and analyzed using SPSS version 26. Findings indicate a generally high level of knowledge about menstruation among teachers, with 95.7% agreeing that girls should be educated before menarche. However, persistent myths remain, including beliefs that menstruation is a disease or that it signifies readiness for marriage. Moreover, 65% of teachers were found to demonstrate poor MHM practices, and qualitative findings revealed low levels of teacher involvement, especially among male teachers. Cultural taboos, lack of training, and gender norms were identified as major barriers to effective teacher engagement in MHM. Statistical analysis showed no significant relationship between teachers’ knowledge and their practices (p > 0.05), suggesting that awareness alone does not translate into supportive behavior. The study concludes that systemic changes, including teacher training, infrastructural improvements, and policy reforms, are needed to improve MHM in schools. It recommends multi-level interventions to equip teachers with the knowledge, skills, and institutional support required to promote menstrual dignity among adolescent girls.

Menstrual Hygiene Management, Teachers’ Involvement, Menstruation, Adolescents, Secondary Schools

1. Alam, M., Islam, M. T., & Rahman, M. M. (2022). Myths and beliefs surrounding menstruation in South Asia: A cultural barrier to menstrual hygiene. International Journal of Public Health Research, 10(1), 45–52. [Google Scholar] [Crossref]

2. Anee, S., Roy, A., & Banu, R. (2020). Addressing menstrual hygiene among adolescent girls: Need for education and empowerment. Journal of Reproductive Health, 18(3), 150–158. [Google Scholar] [Crossref]

3. Betsu, S., Ayalew, T., & Demissie, H. (2024). Traditional menstrual practices and hygiene challenges among schoolgirls in Ethiopia. African Journal of Reproductive Health, 28(1), 102–110. [Google Scholar] [Crossref]

4. Chandra-Mouli, V., & Patel, S. V. (2017). Mapping the knowledge and understanding of menarche, menstrual hygiene, and reproductive health among adolescent girls in low-income settings. Reproductive Health, 14(30), 1–9. [Google Scholar] [Crossref]

5. Chidya, R. C. G., Mulwafu, W., & Mpakati-Gama, E. (2019). Menstrual hygiene management in schools in Malawi: A neglected issue. Waterlines, 38(3), 248–263. [Google Scholar] [Crossref]

6. Davies, J., Moxey, L., & DaSilva, C. (2018). Understanding the hormonal basis of menstruation in adolescent girls. Pediatric Health, 10(2), 113–120. [Google Scholar] [Crossref]

7. Davis, J., MacIntyre, A., & Odagiri, M. (2018). Menstrual hygiene management and school absenteeism among adolescent girls in low-income settings: A systematic review. PLOS ONE, 13(2), e0191326. [Google Scholar] [Crossref]

8. Ene, A., Okeke, N., & Ibrahim, H. (2024). Cultural perspectives and teacher attitudes on menstrual hygiene education in Nigeria. Nigerian Journal of Health Education, 22(1), 66–75. [Google Scholar] [Crossref]

9. Erekaha, S. C., Okoro, E. O., & Oduola, O. (2023). Implementing menstrual hygiene education in Nigerian schools: Lessons from pilot programs. Global Health Promotion, 30(1), 89–95. [Google Scholar] [Crossref]

10. Ezeonu, C. T., Umeh, A. N., & Agha, N. C. (2022). Knowledge and misconceptions of menstruation among school teachers in Southeast Nigeria. BMC Women's Health, 22(187), 1–10. [Google Scholar] [Crossref]

11. George, A. (2018). Menstrual health as a public health issue. Lancet Public Health, 3(4), e179. [Google Scholar] [Crossref]

12. Girod, C., Ellis, A., & Andes, K. (2022). Bridging the knowledge-practice gap in menstrual health: Challenges for teachers in low-resource schools. International Journal of Adolescent Health, 14(1), 20–29. [Google Scholar] [Crossref]

13. Hasan, T., Ahmed, S., & Rahman, M. (2021). The biology of puberty and menstruation in adolescent girls. Journal of Child and Adolescent Health, 16(2), 113–120. [Google Scholar] [Crossref]

14. Kansiime, C., Hytti, A., Nalugya, R., & Sommer, M. (2022). Barriers to school-based menstrual health programs in Sub-Saharan Africa. International Journal of Educational Development, 88, 102521. [Google Scholar] [Crossref]

15. Mahfuz, T., Chowdhury, M., & Ferdous, J. (2021). A historical analysis of menstrual hygiene practices and stigma. Asian Journal of Social Health, 6(1), 15–23. [Google Scholar] [Crossref]

16. Mohammed, S., Adamu, A., & Musa, U. (2023). Menstrual knowledge among adolescents in Northern Nigeria: A systematic review. Nigerian Journal of Reproductive and Maternal Health, 9(1), 20–31. [Google Scholar] [Crossref]

17. Nnennaya, C., Adebola, O., & Nwafor, J. (2021). Menstrual hygiene management among schoolgirls in Nigeria: Challenges and solutions. Health Education Research, 36(4), 312–320. [Google Scholar] [Crossref]

18. Onubogu, G. C., Eze, R., & Akunne, C. (2024). Evaluating menstrual hygiene policy implementation in Nigerian secondary schools. African Journal of Policy and Education, 15(1), 70–82. [Google Scholar] [Crossref]

20.   [Google Scholar] [Crossref]

21. Oyewole, R. A., Okonkwo, K., & Salawu, H. (2023). Teachers’ perceptions of menstruation and support for adolescent girls in Nigeria. West African Journal of Education, 43(2), 123–137. [Google Scholar] [Crossref]

22. Shenkman, L., Mlambo, T., & Arku, G. (2023). Access to menstrual hygiene materials and infrastructure in African schools: A gender equity analysis. Journal of African Development, 25(1), 55–72. [Google Scholar] [Crossref]

23. Sonowal, T., Boro, R., & Das, M. (2021). Impact of poor menstrual hygiene on adolescent girls in rural India. Asian Journal of Public Health, 8(2), 89–95. [Google Scholar] [Crossref]

24. Sommer, M., Schmitt, M. L., & Clatworthy, D. (2021). Menstrual hygiene management in schools: Beyond the basics. Reproductive Health Matters, 29(1), 132–140. [Google Scholar] [Crossref]

25. Tegegne, T. K., & Sisay, M. M. (2014). Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia. BMC Public Health, 14(1), 1118. [Google Scholar] [Crossref]

26. The American College of Obstetricians and Gynecologists. (2015). Menstruation in girls and adolescents: Using the menstrual cycle as a vital sign. Obstetrics & Gynecology, 126(6), e143–e146. [Google Scholar] [Crossref]

27. UNESCO. (2014). Puberty education & menstrual hygiene management. United Nations Educational, Scientific and Cultural Organization. [Google Scholar] [Crossref]

28. UNESCO. (2022). Progress on menstrual health in schools: A review of policies and practices in LMICs. Paris: UNESCO Publishing. [Google Scholar] [Crossref]

29. VanLeeuwen, C., & Torondel, B. (2022). Empowering educators in menstrual hygiene education: A call for inclusive policies. Global Health Action, 15(1), 2063504. [Google Scholar] [Crossref]

30. Zheng, L. (2022). Menstruation myths and stigma: A global review. International Journal of Feminist Studies, 13(1), 45–60. [Google Scholar] [Crossref]

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