Adolescent Health and Menstrual Well-Being: Insights from School Students in West Bengal, India
Abstract
India has 253 million adolescents aged 10–19 years, representing nearly 21% of its population. The health and well-being of this group have a significant influence on the nation’s morbidity, mortality, and demographic trends. Menstrual health remains a critical issue, as studies have reported that one in four schoolgirls in India miss classes during menstruation due to inadequate gender-sensitive toilets and limited access to sanitary products (Liverpool School of Tropical Medicine & UNICEF, 2014–15). This study aimed to examine menstrual health management practices and awareness among adolescent schoolgirls, while also assessing school-level water, sanitation, and hygiene (WASH) facilities in two districts of West Bengal, India. A cross-sectional survey was conducted in February 2025 among 160 students enrolled in classes IX and X in Jhargram and Purba Medinipur districts of West Bengal, India. Data were collected using a structured interview schedule. The majority of participants reported using sanitary napkins (70.2%), while 16% used cloth and 10% reported using menstrual cups. More than half of the respondents (51%) indicated the absence of sanitary pad vending machines in their schools, and 61% stated that they had never observed any sanitary product disposal facilities. Despite growing awareness and the gradual adoption of modern menstrual products, significant infrastructural gaps persist in school WASH facilities. Strengthening menstrual health management interventions at the school level is crucial for promoting adolescent health, educational continuity, and gender equity.
Downloads
References
Benshaul-Tolonen, A., Aguilar-Gomez, S., Hines, M. L., Tolani, M. R., Gitau, T., & Phillips-Howard, P. A. (2019). Period teasing, stigma and knowledge: A survey of adolescent boys and girls in Northern Tanzania. PLOS ONE, 14(10), e0223456. https://doi.org/10.1371/journal.pone.0223456
Bhattacharya, S., Sarkar, P., & Basu, S. (2020). Menstrual hygiene management among school-going adolescent girls in rural India: An explorative study. Journal of Family Medicine and Primary Care, 9(2), 777–782. https://doi.org/10.4103/jfmpc.jfmpc_978_19
Boumehras, Z. (2024). A Comparative Study of Family Education practices as perceived by students: A sample of secondary school students with working and non-working mothers - A field study at El-Hadj Allal Ben Bitour High School in Metlili, Ghardaia Province. Journal of Science and Knowledge Horizons, 4(2), 620-639. https:// doi.org/10.34118/jskp.v4i02.4067
Budhathoki, S. S., Bhattachan, M., Castro-Sánchez, E., Sagtani, R. A., Rayamajhi, R. B., Rai, P., & Sharma, G. (2018). Menstrual hygiene management among women and adolescent girls in the aftermath of the earthquake in Nepal. BMC Women’s Health, 18, 33. https://doi.org/10.1186/s12905-018-0527-y
Caruso, B. A., Cooper, H. L., Haardörfer, R., Yount, K. M., Routray, P., Torondel, B., & Clasen, T. (2017). The association between women’s sanitation experiences and mental health: A cross-sectional study in Rural, Odisha, India. SSM – Population Health, 3, 257–266. https://doi.org/10.1016/j.ssmph.2017.01.005
Caruso, B. A., et al. (2021). Understanding and defining sanitation insecurity: Women’s gendered experiences of urination, defecation and menstruation. BMJ Global Health, 6(1), e004186. https://doi.org/10.1136/bmjgh-2020-004186
Chandra-Mouli, V., & Patel, S. V. (2017). Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries. Reproductive Health, 14, 30. https://doi.org/10.1186/s12978-017-0293-6
Chauhan, M., & Kala, P. (2021). Menstrual hygiene practices and problems faced by adolescent girls: A cross-sectional school-based study. International Journal of Community Medicine and Public Health, 8(1), 410–416. https://doi.org/10.18203/2394-6040.ijcmph20205636
Das, P., Baker, K. K., Dutta, A., Swain, T., Sahoo, S., Das, B. S., ... & Torondel, B. (2015). Menstrual hygiene practices, WASH access and the risk of urogenital infection in women from Odisha, India. PLOS ONE, 10(6), e0130777. https://doi.org/10.1371/journal.pone.0130777
El-Gilany, A. H., Badawi, K., & El-Fedawy, S. (2018). Menstrual hygiene among adolescent schoolgirls in Mansoura, Egypt. Reproductive Health Matters, 23(46), 78–89. https://doi.org/10.1016/j.rhm.2015.06.006
Fakhri, M., Hamzehgardeshi, Z., Hajikhani Golchin, N. A., & Komili, A. (2012). Promoting menstrual health among Persian adolescent girls from low socioeconomic backgrounds: A quasi-experimental study. BMC Public Health, 12, 193. https://doi.org/10.1186/1471-2458-12-193
Garg, S., & Anand, T. (2015). Menstruation related myths in India: Strategies for combating it. Journal of Family Medicine and Primary Care, 4(2), 184–186. https://doi.org/10.4103/2249-4863.154627
Hennegan, J., & Montgomery, P. (2016). Do menstrual hygiene management interventions improve education and psychosocial outcomes for women and girls in low and middle income countries? A systematic review. PLoS ONE, 11(2), e0146985. https://doi.org/10.1371/journal.pone.0146985
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), e012596. https://doi.org/10.1136/bmjopen-2016-012596
Hennegan, J., et al. (2022). Menstrual health: A definition for policy, practice, and research. Sexual and Reproductive Health Matters, 30(1), 2099217. https://doi.org/10.1080/26410397.2022.2099217
House, S., Mahon, T., & Cavill, S. (2012). Menstrual hygiene matters: A resource for improving menstrual hygiene around the world. Reproductive Health Matters, 21(41), 257–259. https://doi.org/10.1016/S0968-8080(13)41652-2
Hulland, K. R., Chase, R. P., Caruso, B. A., Swain, R., Biswal, B., Sahoo, K. C., ... & Clasen, T. (2015). Sanitation, stress, and life stage: A systematic data collection study among women in Odisha, India. PLoS ONE, 10(11), e0141883. https://doi.org/10.1371/journal.pone.0141883
Juyal, R., Kandpal, S. D., Semwal, J., & Negi, K. S. (2017). Practices of menstrual hygiene among adolescent girls in a district of Uttarakhand. Indian Journal of Community Health, 29(1), 124–128. https://doi.org/10.4103/ijph.IJPH_216_16
Karmoush. M, & Bahri, S. (2024). Contents of health education in primary education curricula according to the basic dimensions of health education. Journal of Science and Knowledge Horizons, 4(1), 117-140.
Kumar, A., & Srivastava, K. (2015). Cultural and social practices regarding menstruation among adolescent girls. Social Work in Public Health, 30(5), 410–416. https://doi.org/10.1080/19371918.2014.994064
Mazouzi, N. & Mazouzi, R. (2024). Helth awareness in light of educational level and family income (A field study on a sample of middle school students). Journal of Science and Knowledge Horizons, 4(2), 410-427. https://doi.org/10.34118/jskp.v4i02.4052
McMahon, S. A., Winch, P. J., Caruso, B. A., Obure, A. F., Ogutu, E. A., Ochari, I. A., & Rheingans, R. D. (2011). The girl with her period is the one to hang her head: Reflections on menstrual management among schoolgirls in rural Kenya. BMC International Health and Human Rights, 11, 7. https://doi.org/10.1186/1472-698X-11-7
Ministry of Education, Government of India. (2022). UDISE+ 2021-22: School Education in India. New Delhi.
Mohammed, S., Larsen-Reindorf, R., & Awal, I. (2020). Menstrual hygiene management and education: A survey of adolescents in Ghana. Journal of Public Health, 28(6), 583–592. https://doi.org/10.1007/s10389-019-01077-y
Narayan, K. A., Srinivasa, D. K., Pelto, P. J., & Veerammal, S. (2001). Puberty rituals, reproductive knowledge and health of adolescent schoolgirls in South India. Asia-Pacific Population Journal, 16(2), 225–238. https://doi.org/10.18356/ea4bffcb-en
Rajagopal, S., & Mathur, K. (2017). ‘Breaking the silence around menstruation’: Experiences of adolescent girls in an urban setting in India. Gender & Development, 25(2), 303–317. https://doi.org/10.1080/13552074.2017.1335453
Ramaiya, A., & Malhotra, A. (2021). WASH and menstrual hygiene management in schools: Evidence from South Asia. International Journal of Environmental Health Research, 31(5), 571–584. https://doi.org/10.1080/09603123.2019.1703250
Rani, R., & Sharma, U. (2022). Awareness and practices regarding menstrual hygiene among adolescent girls: A cross-sectional study. Indian Journal of Public Health Research & Development, 13(2), 98–104. https://doi.org/10.37506/ijphrd.v13i2.18635
Sahoo, K. C., Hulland, K. R., Caruso, B. A., Swain, R., Freeman, M. C., Panigrahi, P., & Dreibelbis, R. (2015). Sanitation-related psychosocial stress: A grounded theory study of women across the life-course in Odisha, India. Social Science & Medicine, 139, 80–89. https://doi.org/10.1016/j.socscimed.2015.06.031
Sommer, M., et al. (2016). A comparison of menstruation and education experiences of girls in Tanzania, Ghana, Cambodia, and Ethiopia. Compare: A Journal of Comparative and International Education, 46(4), 595–617. https://doi.org/10.1080/03057925.2015.1047755
UNESCO. (2021). Progress on drinking water, sanitation and hygiene in schools 2000–2020: Special focus on COVID-19. Paris.
UNICEF. (2023). Adolescent demographics: India profile. New York.
Van Eijk, A. M., Sivakami, M., Thakkar, M. B., Bauman, A., Laserson, K. F., Coates, S., & Phillips-Howard, P. A. (2016). Menstrual hygiene management among adolescent girls in India: A systematic review and meta-analysis. BMJ Open, 6(3), e010290. https://doi.org/10.1136/bmjopen-2015-010290

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.