Psychological, Informational, and Material Factors Impacting Girls’ Menstruation-related School Absenteeism in Rural Tanzania

  • Michelle R. Eades-Baird Empire State University
  • Dan Nyaronga Empire State University
Keywords: Menstrual Hygiene Management (MHM), Menstrual Pads, Menstruation Preparation, School Absenteeism, WASH Facilities
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Abstract

Girls’ education remains a significant challenge in sub-Saharan Africa as it is estimated that 1 in 10 adolescent girls miss school during their menstrual cycle. In Tanzania, girls must attend school regularly to be sufficiently prepared for the National Examinations that serve as gatekeepers to higher education levels and advanced careers. Our current study focuses on contextual factors that limit Tanzanian girls’ school attendance during menstruation (ADM). Using descriptive and inferential statistical techniques and survey data from post-menarche adolescent girls (N = 610) in the Mara region of Tanzania, the findings revealed that psychological, physiological, informational, and material factors increase the likelihood of girls’ school absenteeism during menstruation. The results from this study indicate that generalized anxiety, depression, worry about menstruation, menstruation preparation, and menstrual pad material have a direct impact on ADM. The findings from this study have implications for educational policy and school leadership

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References

Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6): 893–897. https://doi.org/10.1037//0022-006x.56.6.893

Boyle, G. J. (1997). Effects of menstrual cycle moods and symptoms on academic performance: A study of senior secondary school students. British Journal of Educational Psychology, 67(1): 37- 49. https://doi.org/10.1111/j.2044-8279.1997.tb01225.x

Chinyama, J., Chipungu, J., Rudd, C., Mwale, M., Verstraete, L., Sikamo, C., Mutale, W., Chilengi, R., & Sharma, A. (2019). Menstrual hygiene management in rural schools of Zambia: A descriptive study of knowledge, experiences and challenges faced by schoolgirls. BMC Public Health, 19(1): 16. https://doi.org/10.1186/s12889-018-6360-2

Crankshaw, T. L., Strauss, M., & Gumede, B. (2020). Menstrual health management and schooling experience amongst female learners in Gauteng, South Africa: A mixed method study. Reproductive Health, 17(1): 48. https://doi.org/10.1186/s12978-020-0896-1

Dolan, C. S., Ryus, C. R., Dopson, S., Montgomery, P., & Scott, L. (2014). A blind spot in girls’ education: Menarche and its webs of exclusion in Ghana. Journal of International Development, 26(5): 643-657. https://doi.org/10.1002/jid.2917

Edet, O. B., Bassey, P. E. M., Esienumoh, E. E., & Ndep, A. O. (2022). Missing school during period: Perspectives of adolescent schoolgirls in Cross River State, Nigeria. The Pan African Medical Journal, 42(65). https://doi.org/10.11604/pamj.2022.42.65.28244.

Fennie, T., Moletsane, M., & Padmanabhanunni, A. (2021). Adolescents’ experiences of menarche and menstruation in disadvantaged schools in South Africa: A qualitative exploration. Health Education, 121(4): 408–419. https://doi.org/10.1108/HE-12-2020-0122

Fennie, T., Moletsane, M., & Padmanabhanunni, A. (2022). Adolescent girls’ perceptions and cultural beliefs about menstruation and menstrual practices: A scoping review. African Journal of Reproductive Health, 26(2): 88–105. https://doi.org/10.29063/ajrh2022/v26i2.-9

Foster, J., & Montgomery, P. (2021). A study of environmentally friendly menstrual absorbents in the context of social change for adolescent girls in low- and middle-income countries. International Journal of Environmental Research and Public Health, 18: 9766-9774. https://doi.org/10.3390/ijerph18189766

Grant, M., Lloyd, C., & Mensch, B. (2013). Menstruation and school absenteeism: Evidence from Rural Malawi. Comparative Education Review, 57(2): 260–284. https://doi.org/10.-1086/669121

Guya, E., Mayo, A. W., & Kimwaga, R. (2014). Menstrual hygiene management in secondary schools in Tanzania. International Journal of Science and Technology, I (1): 27-39.

Hennegan, J., Dolan. C., Wu, M., Scott, L., & Montgomery, P. (2016). Measuring the prevalence and impact of poor menstrual hygiene management: A quantitative survey of schoolgirls in rural Uganda. BMJ Open, 6(12). https://doi.org/10.1136/bmjopen-2016-012596

Hennegan, Julie, Alexandra K. Shannon, Jennifer Rubli, Kellogg J. Schwab, & G. J. Melendez-Torres. (2019). Women’s and Girls’ Experiences of Menstruation in Low- and Middle-Income Countries: A Systematic Review and Qualitative Metasynthesis. PLoS Medicine 16(5): e1002803. https://doi.org/10.1371/journal.pmed.1002803

Jewitt, S., & Ryley, H. (2014). It’s a girl thing: Menstruation, school attendance, spatial mobility and wider gender inequalities in Kenya. Geoforum, 56: 137– 147. https://doi.org/10.1016-/j.geoforum.2014.07.006

Kansiime, C., Hytti, L., Nalugya, R., Nakuya, K., Namirembe, P., Nakalema, S., Neema, S., Tanton, C., Alezuyo, C., Namuli Musoke, S., Torondel, B., Francis, S. C., Ross, D. A., Bonell, C., Seeley, J., & Weiss, H. A. (2020). Menstrual health intervention and school attendance in Uganda (MENISCUS-2): A pilot intervention study. BMJ Open, 10(2). https://doi.org/10.1136/bmjopen-2019-031182

Koenig, H. G., & Bussing, A. (2010). The Duke University religion index (DUREL): A five-item measure for use in epidemiological studies. Religions, 1, 78- 85. http://dx.doi.org/10.3390/rel1010078

Korir, E., Okwarea, F., Okumbe, G. (2018). Menstrual hygiene management practices among primary school girls from a pastoralist community in Kenya: A cross-sectional survey. The Pan African Medical Journal, 31(222). https://doi.org/10.11604/pamj.2018.31.222.13521

Kumbeni, M. T., Otupiri, E & Ziba, F. A. (2020). Menstrual hygiene among adolescent girls in junior high schools in rural northern Ghana. The Pan African Medical Journal, 37(190). https://doi.org/10.11604/pamj.2020.37.190.19015

Kumbeni, M. T., Ziba, F. A., Apenkwa, J., & Otupiri, E. (2021). Prevalence and factors associated with menstruation-related school absenteeism among adolescent girls in rural northern Ghana. BMC Women’s Health, 21, 279. https://doi.org/10.1186/s12905-021-01418-x

Mason, L., Nyothach, E., Alexander, K., Odhiambo, F. O., Eleveld, A., Vulule, J., Rheingans, R., Laserson, K. F., Mohammed, A., & Phillips-Howard, P. A. (2013). ‘We keep it secret so no one should know’ - A qualitative study to explore young schoolgirls attitudes and experiences with menstruation in rural Western Kenya. PloS One, 8(11). https://doi.org/-10.1371/journal.pone.0079132

Miiro, G., Rutakumwa, R., Nakiyingi-Miiro, J., Nakuya, K., Musoke, S., Namakula, J., Francis, S., Torondel, B., Gibson, L., Ross, D., & Weiss, H.A. (2018). Menstrual health and school absenteeism among adolescent girls in Uganda (MENISCUS): A feasibility study. BMC Women’s Health, 18(4). https://doi.org/-10.1186/s12905-017-0502-z

Mohammad, S., Larsen-Reindorf, R. E., & Awal, I. (2020). Menstrual hygiene management and school absenteeism among adolescents in Ghana: Results from a school-based cross-sectional study in a rural community. International Journal of Reproductive Medicine, 2000. https://doi.org/10.1155/2020/6872491

Okello, E., Rubli, J., Torondel, B., Makata, K., Ayieko, P., Kapiga, S., Greco, G., & Renju, J. (2022). Co-development and piloting of a menstrual, sexual and reproductive health intervention to improve social and psychological outcomes among secondary schoolgirls in Northern Tanzania: The PASS MHW study protocol. BMJ Open, 12(2). https://doi.or-g/10.1136/bmjopen-2021-054860

Parkes, J. & Heslop, J; (2013) Stop violence against girls at school: A cross-country analysis of change in Ghana, Kenya and Mozambique. University College London. Accessed on October 14, 202024 at: https://discovery.ucl.ac.uk/id/eprint/10023454/

Radloff, L.S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3). https://doi.org/10.1177/014662167700100306

Shah, V., Phillips-Howard, P., Hennegan, J., Cavill, S., Sonko, B., Sinjanka, E., Camara Trawally, N., Kanteh, A., Mendy, F., Bah, A. B., Saar, M., Ross, I., Schmidt, W., & Torondel, B. (2022a). Puberty health intervention to improve menstrual health and school attendance among adolescent girls in the Gambia: Study methodology of a cluster-randomized controlled trial in rural Gambia (MEGAMBO TRIAL). Emerging Themes in Epidemiology, 19(1), 1–6. https://doi.org/10.1186/s12982-022-00114-x

Shah, V., Nabwera, H., Sonko, B., Bajo, F., Faal, F., Saidykhan, M., Jallow, Y., Keita, O., Schmidt, W.-P., & Torondel, B. (2022b). Effects of menstrual health and hygiene on school absenteeism and drop-out among adolescent girls in rural Gambia. International Journal of Environmental Research and Public Health, 19(6). https://doi.org/10.3390/ijerph19063337

Shehadeh, J. H., & Hamdan-Mansour, A. M. (2018). Prevalence and association of premenstrual syndrome and premenstrual dysphoric disorder with academic performance among female university students. Perspectives in Psychiatric Care, 54(2): 176-184. https://doi.-org/10.1111/ppc.12219

Sommer, M., Caruso, B. A., Sahin, M., Calderon, T., Cavill, S., Mahon, T., & Phillips-Howard, P. A. (2016). A time for global action: Addressing girls’ menstrual hygiene management needs in schools. PLoS Medicine, 13(2). https://doi.org/10.1371/journal.pmed.1001962

Sommer, M., & Sahin, M. (2013). Overcoming the taboo: Advancing the global agenda for menstrual hygiene management for schoolgirls. American Journal of Public Health, 103(9): 1556–1559. https://doi.org/10.2105/AJPH.2013.301374

Tanton, C., Nakuya, K., Kansiime, C., Hytti, L., Torondel, B., Francis, S. C., Namirembe, P., Nakalema, S., Nalugya, R., Musoke, S. N., Neema, S., Ross, D. A., Bonell, C., Seeley, J., & Weiss, H. A. (2021). Menstrual characteristics, menstrual anxiety and school attendance among adolescents in Uganda: A longitudinal study. BMC Women’s Health, 21(1). https://doi.org/10.1186/s12905-021-01544-6

United Nations Educational, Scientific, and Cultural Organization (UNESCO). (2015). EFA Global Monitoring Report.

van Iersel, K. C., Kiesner, J., Pastore, M., & Scholte, R. H. J. (2016). The impact of menstrual cycle-related physical symptoms on daily activities and psychological wellness among adolescent girls. Journal of Adolescence, 49(1): 81–90. https://doi.org/10.1016/j.adolesc-ence.2016.03.007

Vashisht, A., Pathak, R., Agarwalla, R., Patavegar, B. N., & Panda, M. (2018). School absenteeism during menstruation amongst adolescent girls in Delhi, India. Journal of Family and Community Medicine, 25(3): 163-168. https://doi.org/10.4103/jfcm.JFCM_161_17

White, L. R. (2013). The function of ethnicity, income level, and menstrual taboos in postmenarcheal adolescents’ understanding of menarche and menstruation. Sex Roles, 68(1-2): 65–76. https://doi.org/10.1007/s11199-012-0166-y

Zimet, G.D., Dahlem, N.W., Zimet, S.G. & Farley, G.K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52: 30-41.

Published
23 October, 2024
How to Cite
Eades-Baird, M., & Nyaronga, D. (2024). Psychological, Informational, and Material Factors Impacting Girls’ Menstruation-related School Absenteeism in Rural Tanzania. East African Journal of Education Studies, 7(4), 386-398. https://doi.org/10.37284/eajes.7.4.2330