this ppt is describe about menstrual hygiene management for disabled adolescent girls

1. A study on practices and challenges faced by mothers of
disabled adolescent girls regarding menstrual hygiene

2. About organization
 Rajasthan Mahila Kalyan Mandal Sanstha (RMKM) is a voluntary
Organization inspired by community development strategies of
Mahatma Gandhi which strives to improve lives of rural poor and
disabled. It all began in July 1975, when a devastating flood hit the
city of Ajmer in Rajasthan.
 RMKM was established by Mr.Sagar Mal Kaushik, a railway employee to
provide relief to the distressed families and assist these families by
mobilizing the relief materials like food grains, cloths etc. from his
neighbors.
 RMKM registered as a voluntary non-profit organization under the
Rajasthan Societies Registration act 1958 in 4th September 1987.

3. Vision
Mission
Objective

4. Introduction
 Girls with intellectual disability usually go through puberty at the
same time as those without disabilities. here, I understand about
level of mother to faced her daughters challenges to manage
menses.
 In many societies and culture, menstruation is considered as unclean
phenomenon. Since, it is associated with girls reproductive system,
there is a taboo to talk on this issue.
 Girls with intellectual disabilities may take longer to learn the skills
required for menstrual management. Problems may reflect a lack of
understanding of the practical steps required or appropriate social
behaviors.

5. Review of literature
 Dongre et al,(2007) Conducted a study with an aim to study the
effect of a community-based health education intervention on
awareness and behavior change of rural adolescent girls regarding
their management of menstrual hygiene.
 Taker et al(2011) conducted a study with an aim to assess the
knowledge and the practices of menstrual hygiene among rural and
urban school going adolescent girls.
 Jane Tracy(2016) conducted a study with an aim Girls with
intellectual disability usually go through puberty at the same time
as those without disabilities and understanding her practices against
menstruation.

6. Need for the study
 This study has the purpose of identifying the intellectual
disabled adolescent girls for menstrual practices and
challenges faced by their mother .
 It is an attempt to own-understanding the differences
among the disabled and non-disabled adolescent girls
practices and their challenges about menstruation
hygiene.
 As we understand that there are many myths about
menstruation and Problems may reflect a lack of
understanding about menstrual hygiene of the practical
steps required or appropriate social behaviors.

7. Operational definitions
 Menstrual Hygiene
According to the World Health Organization (WHO), "Hygiene refers to
conditions and practices that help to maintain health and prevent the spread
of diseases.
 Intellectual disability (ID),
also known as general learning disability, and mental retardation (MR),is a
generalized neurodevelopment disorder characterized by significantly
impaired intellectual and adaptive functioning.
 Adolescence
(from Latin adolescere, meaning 'to grow up') is a transitional stage
of physical and psychological development that generally occurs during the
period from puberty to legal adulthood (age of majority). Adolescence is
usually associated with the teenage years, but its physical, psychological or
cultural expressions may begin earlier and end later.

8. Work accomplished
A study about practices and challenges faced by
mothers of disabled adolescent girls regarding
menstrual hygiene.
For analysis, collecting the data for the study through
framed a self- structured questionnaire .
For data collection, trainee went to different areas of
Ajmer and analysis major findings of problems.
Conducted social awareness programme for major
findings with different individual mother.
 Social awareness programme is conducted to
fulfilled different issues about mother faced with her
daughters who are disabled.

9. Hypothesis
Mother who having daughters with intellectual disability are
facing challenges during her menstruation cycle
Intellectual disabled girls are not able to fulfilled her basic
requirement and take longer time to learn the skills required
for menstrual management.
With the time period of menstruation mothers are able or not
able to take care her for hygiene practices and may be not
understanding about her feelings during menses.

10. Methodology
Research Design:
For the present study researcher will
use a Descriptive Research design.
Since this study aims to describe the
phenomena which is occurring.

11. Sampling
 Universe of the study :
Ajmer district
 Area of data collection:
Rural area and Urban area in Ajmer Dist.
 Sampling frame:
Inclusion criteria Exclusion criteria
mother of disabled adolescent
girls in the age group of 12 to
18 years
Not have attained menarche
 disabled adolescent girls
who have attained menarche at
least 2 years
 Not agree to participate and
haven't joined with R.M.K.M.

12.  Sample size:
There are 20 mothers who having daughters
with intellectual disability will be taken for the
sample size to the study. Out of this 6 girls are
in minu school, 14 are community based
rehabilitation undertaken by R.M.K.M.

13. Data collection
Methods of data collection:
Questionnaire method for data collection
Tools of data collection:
Self Structured Questionnaire

14. Analysis and findings
Responses(
age)
Frequently Percentage
%
12 5 25
13 8 40
14 4 20
15 3 15
Duration of disabled
girls attainted their
first menstruation
Analysis -The above table is all about menstruation related details with respect
to disabled adolescent girls.25% girls attained menarche at the age of 12 while
40% got their first periods at the age of 13. Around 20% attained menarche at
the age of 14 and while 15% started their menses age of 15.
Findings – the findings about disabled adolescent girls started their menses
age 12 to 15, her physical development is normal compare with the non-
disabled girls.

15. Responses Frequently Percentage
%
Understand
ing
6 30
Little much 13 65
Not at all 1 5
Are your child able
to understand
about menstruation
Analysis- out of 20 girls 30% are able to understand about their
menstruation cycle and hygiene. While 65% are little much
understand about their menses and 5% are not understanding at
all.
Findings- intellectual disability adolescent girls not that much
able to clear understanding about their menses, their mother are
doing all hygiene practices and faced the challenges

16. Responses Frequently Percentage%
yes 10 50
no 9 45
Sometimes 1 5
Does your daughter
change sanitary napkin
or cloth by herself
Analysis- For the disabled girls that 50% are able for changing her sanitary
napkins herself and rest of 45% are not able to do and 5% are doing
sometimes.
Findings- disabled adolescent girls are not able to do her hygiene care and
not able to change her sanitary napkin. But in some case trainee found 50%
are doing for her experiences specially who are under age between 15 to 18.

17. Responses Frequently Percentage%
Yes 9 45
No 5 25
Sometimes 6 30
Are you troubled your
routine work due to your
daughter menstruation
Analysis- 45% mothers are saying yes she have troubled in
doing daily routine work, while 25% are saying not and rest
30% say sometime it happened.
Findings- mothers are having troubled to do work in daily
basis, some mothers says she not able to do job because her
daughters disability.

18. Response Frequently Percentage
%
yes 15 75
No 5 25
Mother are believing
religious aspects for her
daughter in menstruation
time
Analysis- 75% mothers are believing religious aspects for her
daughter in menstrual time, while 25% are not followed it.
Finding- Mothers are followed her religious perspective for her childhood,
so she followed same thing for her daughters in menstrual time.
Mother are believing that when menstruation time are coming she not
allowed to go in kitchen, any workshop places.

19. Awareness training
 Trainee conducted awareness training programme in R.M.K.M.
panchsheel office, training will conducted while using
audio/visual method, showing model for hygiene practices.
Disability
Puberty
stage
Menstruation
hygiene
management
Myths
Major topics assessing for training

20. Some glimpses….

21. Major Observation
 Trainee observed that 70% mothers are not aware about her daughters
disability, they didn’t take initiative about her hygiene practices,
mostly mothers beliefs that her daughters not able to do anything.
 Mothers who are caring for her disabled daughters very uncondianaliy
but when her daughter have first menses 75% out of 21 are fear about
her, she think about their practices during menstruation cycle.
 During her daughters menses 70% mother are not allowing or sending
her school, the reason behind is such as blood on clothing, pads put in
inappropriate places, economic problems, her daughter not able to
self-care, the reactions of school staff and safety aspects.
 During menses 60% are using sanitary napkin for her daughter and while
40% mother are using clothes. Behind the reason of using clothes she
haven't money to purchase sanitary napkin and some says she didn’t
knowing about sanitary napkin and her uses.

22. Limitations
 Transportation (while collecting data collection)
 when trainee conducted awareness programme
mothers are not coming to attained the session.
 Language barrier(some places)

23. References
 Dongre, A. R., Deshmukh, P. R., & Gag, B. S. (2007).
The effect of community-based health education
intervention on management of menstrual hygiene
among rural Indian adolescent girls. World health &
population, 9(3), 48-54.
 Thakre, S. B., Thakre, S. S., Reddy, M., Rathi, N.,
Pathak, K., & Ughade, S. (2011). Menstrual hygiene:
knowledge and practice among adolescent school girls of
Saoner, Nagpur district. Journal of Clinical and
Diagnostic Research, 5(5), 1027-1033.
 Ali, T. S., & Rizvi, S. N. (2010). Menstrual knowledge
and practices of female adolescents in urban Karachi,
Pakistan. Journal of adolescence, 33(4), 531-541.

24. Any suggestion?