Menstruation and the Cycle of Poverty: A Cluster Quasi-Randomised Control Trial of Sanitary Pad and Puberty Education Provision in Uganda
Publication Date
December 21, 2016
Authors
Paul Montgomery, Julie Hennegan, Catherine Dolan, Maryalice Wu, et al
Volume
11
Issue
12
Pages
e0166122
DOI
https://dx.plos.org/10.1371/journal.pone.0166122
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0166122
Scopus
85007374259
Mendeley
http://www.mendeley.com/research/menstruation-cycle-poverty-cluster-quasirandomised-control-trial-sanitary-pad-puberty-education-prov
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Mendeley | Further Information

{"title"=>"Menstruation and the cycle of poverty: A cluster quasi-randomised control trial of sanitary pad and puberty education provision in uganda", "type"=>"journal", "authors"=>[{"first_name"=>"Paul", "last_name"=>"Montgomery", "scopus_author_id"=>"56906660700"}, {"first_name"=>"Julie", "last_name"=>"Hennegan", "scopus_author_id"=>"55804797900"}, {"first_name"=>"Catherine", "last_name"=>"Dolan", "scopus_author_id"=>"7005212973"}, {"first_name"=>"Maryalice", "last_name"=>"Wu", "scopus_author_id"=>"57192211801"}, {"first_name"=>"Laurel", "last_name"=>"Steinfield", "scopus_author_id"=>"56185523900"}, {"first_name"=>"Linda", "last_name"=>"Scott", "scopus_author_id"=>"35088815900"}], "year"=>2016, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-85007374259", "sgr"=>"85007374259", "pui"=>"613879909", "isbn"=>"0305735616", "pmid"=>"28002415", "doi"=>"10.1371/journal.pone.0166122"}, "id"=>"1a189971-b6d6-31d4-8ab5-3b4a354b28c9", "abstract"=>"BACKGROUND: Poor menstrual knowledge and access to sanitary products have been proposed as barriers to menstrual health and school attendance. In response, interventions targeting these needs have seen increasing implementation in public and private sectors. However, there has been limited assessment of their effectiveness. OBJECTIVES: Assess the impact of providing reusable sanitary pads and puberty education on girls' school attendance and psychosocial wellbeing outcomes. METHODS: A cluster quasi-randomised controlled trial was conducted across 8 schools, including 1124 girls, in rural Uganda. Schools were allocated to one of four conditions: the provision of puberty education alone; reusable sanitary pads alone; puberty education and reusable sanitary pads; and a control (no intervention). The primary outcome was school attendance. Secondary outcomes reflected psychosocial wellbeing. RESULTS: At follow-up, school attendance had worsened for girls across all conditions. Per-protocol analysis revealed that this decline was significantly greater for those in the control condition d = 0.52 (95%CI 0.26-0.77), with those in control schools having a 17.1% (95%CI: 8.7-25.5) greater drop in attendance than those in any intervention school. There were no differences between the intervention conditions. High rates of school drop-out and transfer meant the trial suffered from substantial participant drop-out. Intention-to-treat analyses using two different imputation strategies were consistent with the main results, with mean differences of 5.2% attendance in best-case and 24.5% in worst-case imputations. Results were robust to adjustments for clustering. There was no impact of the interventions on girls' self-reported shame or insecurity during menstruation. CONCLUSION: Results of the trial support the hypothesised positive impact of providing sanitary pads or puberty education for girls' school attendance in a developing country context. Findings must be interpreted with caution in light of poor participant retention, intervention fidelity, and the attendance measures used. TRIAL REGISTRATION: Pan African Clinical Trials Registry PACTR201503001044408.", "link"=>"http://www.mendeley.com/research/menstruation-cycle-poverty-cluster-quasirandomised-control-trial-sanitary-pad-puberty-education-prov", "reader_count"=>64, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>4, "Librarian"=>2, "Researcher"=>8, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>6, "Student > Master"=>14, "Other"=>5, "Student > Bachelor"=>12, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>4, "Librarian"=>2, "Researcher"=>8, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>6, "Student > Master"=>14, "Other"=>5, "Student > Bachelor"=>12, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Philosophy"=>1, "Arts and Humanities"=>1, "Business, Management and Accounting"=>1, "Computer Science"=>2, "Economics, Econometrics and Finance"=>3, "Engineering"=>2, "Environmental Science"=>3, "Nursing and Health Professions"=>8, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>11, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>6, "Social Sciences"=>19, "Immunology and Microbiology"=>1, "Agricultural and Biological Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>11}, "Social Sciences"=>{"Social Sciences"=>19}, "Psychology"=>{"Psychology"=>6}, "Unspecified"=>{"Unspecified"=>3}, "Environmental Science"=>{"Environmental Science"=>3}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Engineering"=>{"Engineering"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>3}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Computer Science"=>{"Computer Science"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>8}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Philosophy"=>{"Philosophy"=>1}}, "group_count"=>3}

Scopus | Further Information

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