Knowledge, Attitude, and Practice on Menstrual Hygiene Management among Deaf Adolescents of Dhaulagiri Deaf Residential Secondary School, Baglung, Nepal

Abstract

Menstrual hygiene management (MHM) remains an under-addressed component of adolescent health, with deaf adolescents facing distinct challenges due to their marginalized status. This study explores the Knowledge, Attitude and Practices and challenges of MHM among deaf adolescents at Dhaulagiri Deaf Residential Secondary School in Baglung, Nepal. A mixed-methods approach was employed, with 81 adolescents from grades 6 to 10 participating. The research utilized a de facto census method. Data was collected through a self-administered structured questionnaire and in-depth interviews with 15 adolescents across various grades. The major findings revealed that 83% of respondents recognized menstruation as a natural process, while 20% had poor knowledge, including 12% who believed it to be a disease. Attitudinally, 69% considered menstrual blood impure, reflecting deep-rooted cultural beliefs, and 40% faced restrictions from religious spaces and kitchens during menstruation. In terms of hygiene practices, 100% washed their hands after changing pads, and 97% cleaned their genitals frequently. Furthermore, 67% struggled to access menstrual hygiene information in sign language, and 74% reported school absenteeism during menstruation at least once, showcasing the depth of the issue. In conclusion, this study underscores the importance of inclusive menstrual health education, enhanced infrastructure, and targeted policy interventions to support deaf adolescents in managing menstruation with dignity and ease.