Drivers and challenges to use of menstrual cups among schoolgirls in rural Uganda: a qualitative study
Maria Hyttel, Camilla Faldt Thomsen, Bianca Luff, Halvor Storrusten, Viola Nilah Nyakato, Marianne Tellier
Is the menstrual cup a potential solution to address the challenges surrounding menstrual health and management (MHM) for girls and women in low-income contexts? This qualitative study assessed the drivers and challenges for acceptability of the menstrual cup (MC) among schoolgirls in rural Uganda. The study included 36 schoolgirls aged 13–17 recruited from a school-based controlled trial of MCs with 194 participants. After 4 months, 12 follow-up interviews and four focus group discussions were held with study participants After an initial learning curve the findings indicate that MCs are acceptable among schoolgirls in rural Uganda and suggest that the MC can be an acceptable, sustainable, and environmentally friendly MHM method for girls and women in similar contexts. Most (34 out of 36) participants overcame initial challenges mastering the techniques for insertion and removal and adapted to MC use. The main challenge for following the guidelines for hygienic use was finding equipment to boil the cup for disinfection. Major drivers for acceptability were creating trust in the MC and peer support as well as increased comfort, independence, and mobility due to reduced leakage compared with previous MHM methods, especially when in school.Abboud, S., Jemmott L.S. and Sommers M.S. (2015) ‘We are Arabs: the embodiment of virginity through Arab and Arab American women’s lived experiences’, Sexuality & Culture 19(4): 715–36 <http://dx.doi.org/10.1007/s12119-015-9286-1>.
Adinma, E.D. and Adinma, J.I.B. (2008) ‘Perceptions and practices on menstruation amongst Nigerian secondary school girls’, African Journal of Reproductive Health 12(1), 74–83.
Beksinska, M.E., Smit, J., Greener, R., Todd, C.S., Lee, M.T., Maphumulo, R.M. and Hoffmann, V. (2015) ‘Acceptability and performance of the menstrual cup in South Africa: a randomized crossover trial comparing the menstrual cup to tampons or sanitary pads’, Journal of Women’s Health 24(2): 151 <http://dx.doi.org/10.1089/jwh.2014.5021>.
Boosey, R., Prestwich, G. and Deave, T. (2014) ‘Menstrual hygiene management amongst schoolgirls in the Rukungiri district of Uganda and the impact on their education: a cross-sectional study’, Pan African Medical Journal 19: 1 <http://dx.doi.org/10.11604/pamj.2014.19.253.5313>.
Buckley, T. and Gottlieb, A. (1988) Blood Magic: The Anthropology of Menstruation, Berkeley, CA: University of California Press.
Crichton, J., Okal, J., Kabiru, C.W. and Zulu, E.M. (2012) ‘Emotional and psychosocial aspects of menstrual poverty in resource-poor settings: a qualitative study of the experiences of adolescent girls in an informal settlement in Nairobi’, Health Care for Women International 34(10): 891–916 <http://dx.doi.org/10.1080/07399332.2012.740112>.
Grant, M., Lloyd, C. and Mensch, B. (2013) ‘Menstruation and school absenteeism: evidence from rural Malawi’, Comparative Education Review 57(2): 260–84 <http://dx.doi.org/10.1086/669121>.
Howard, C., Rose, C., Trouton, K., Stamm, H., Marentette, D., Kirkpatrick, N., Karalic, S., Fernandez, R. and Paget, J. (2011) ‘FLOW (finding lasting options for women): multicentre randomized controlled trial comparing tampons with menstrual cups’, Canadian Family Physician Médecin de Famille Canadien 57(6): 208–15.
Hyttel, M., Rasanathan, J.J.K., Tellier, M. and Taremwa, W. (2012) ‘Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda’, Reproductive Health Matters 20(40): 148–157 <http://dx.doi.org/10.1016/S0968-8080(12)40654-1>.
Mason, L., Laserson, K.F., Oruko, K., Nyothach, E., Alexander, K.T., Odhiambo, F.O., Eleveld, A., Isy, E., Ngere, I., Omoto, J., Mohammed, A., Vulul, J. and Philips-Howard, P.A. (2015) ‘Adolescent schoolgirls’ experiences of menstrual cups and pads in rural western Kenya: a qualitative study’, Waterlines 34(1): 15–30 <http://dx.doi.org/10.3362/1756-3488.2015.003>.
Oche, M., Umar, A.S., Gana, G.J. and Ango, J.T. (2012) ‘Menstrual health: the unmet needs of adolescent girls in Sokoto, Nigeria’, Scientific Research and Essays 7(3): 410–8.
Oster, E. and Thornton, R. (2011) ‘Menstruation, sanitary products and school attendance: evidence from a randomized evaluation’, American Economic Journal: Applied Economics 3: 91–100 <http://dx.doi.org/10.1257/app.3.1.91>.
Oster, E. and Thornton, R. (2012) ‘Determinants of technology adoption: peer effects in menstrual cup up-take’, Journal of the European Economic Association 10: 1263–93 <http://dx.doi.org/10.1111/j.1542-4774.2012.01090.x>.
Ruby Cup (no date) ‘Why you should switch to Menstrual Cups’ [website] <www.ruby-cup.com/menstrual-cups/> [accessed 8 August 2016].
Sommer, M. (2009) ‘Ideologies on sexuality, menstruation and risk: girls’ experiences of puberty and schooling in northern Tanzania’, Culture, Health and Sexuality 11(4): 383 <http://dx.doi.org/10.1080/13691050902722372>.
Sommer, M. (2010) ‘Where the education system and women’s bodies collide: the social and health impact of girls’ experiences of menstruation and schooling in Tanzania’, Journal of Adolescence 33(4): 521 <http://dx.doi.org/10.1016/j.adolescence.2009.03.008>.
Sommer, M. (2013) ‘Structural factors influencing menstruating school girls’ health and well-being in Tanzania’, Compare: A Journal of Comparative and International Education 43(3): 323 <http://dx.doi.org/10.1080/03057925.2012.693280>.
Tegegne, T.K. and Sisay, M.M. (2014) ‘Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia’, BMC Public Health 14: 1118 <http://dx.doi.org/10.1186/1471-2458-14-1118>.
Trinies, V., Caruso, B.A., Sogoré, A., Toubkiss, J. and Freeman, M.C. (2015) ‘Uncovering the challenges to menstrual hygiene management in schools in Mali’, Waterlines 34(1): 31 <http://dx.doi.org/10.3362/1756-3488.2015.004>.
Abboud, S., Jemmott L.S. and Sommers M.S. (2015) ‘We are Arabs: the embodiment of virginity through Arab and Arab American women’s lived experiences’, Sexuality & Culture 19(4): 715–36 <http://dx.doi.org/10.1007/s12119-015-9286-1>.
Adinma, E.D. and Adinma, J.I.B. (2008) ‘Perceptions and practices on menstruation amongst Nigerian secondary school girls’, African Journal of Reproductive Health 12(1), 74–83.
Beksinska, M.E., Smit, J., Greener, R., Todd, C.S., Lee, M.T., Maphumulo, R.M. and Hoffmann, V. (2015) ‘Acceptability and performance of the menstrual cup in South Africa: a randomized crossover trial comparing the menstrual cup to tampons or sanitary pads’, Journal of Women’s Health 24(2): 151 <http://dx.doi.org/10.1089/jwh.2014.5021>.
Boosey, R., Prestwich, G. and Deave, T. (2014) ‘Menstrual hygiene management amongst schoolgirls in the Rukungiri district of Uganda and the impact on their education: a cross-sectional study’, Pan African Medical Journal 19: 1 <http://dx.doi.org/10.11604/pamj.2014.19.253.5313>.
Buckley, T. and Gottlieb, A. (1988) Blood Magic: The Anthropology of Menstruation, Berkeley, CA: University of California Press.
Crichton, J., Okal, J., Kabiru, C.W. and Zulu, E.M. (2012) ‘Emotional and psychosocial aspects of menstrual poverty in resource-poor settings: a qualitative study of the experiences of adolescent girls in an informal settlement in Nairobi’, Health Care for Women International 34(10): 891–916 <http://dx.doi.org/10.1080/07399332.2012.740112>.
Grant, M., Lloyd, C. and Mensch, B. (2013) ‘Menstruation and school absenteeism: evidence from rural Malawi’, Comparative Education Review 57(2): 260–84 <http://dx.doi.org/10.1086/669121>.
Howard, C., Rose, C., Trouton, K., Stamm, H., Marentette, D., Kirkpatrick, N., Karalic, S., Fernandez, R. and Paget, J. (2011) ‘FLOW (finding lasting options for women): multicentre randomized controlled trial comparing tampons with menstrual cups’, Canadian Family Physician Médecin de Famille Canadien 57(6): 208–15.
Hyttel, M., Rasanathan, J.J.K., Tellier, M. and Taremwa, W. (2012) ‘Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda’, Reproductive Health Matters 20(40): 148–157 <http://dx.doi.org/10.1016/S0968-8080(12)40654-1>.
Mason, L., Laserson, K.F., Oruko, K., Nyothach, E., Alexander, K.T., Odhiambo, F.O., Eleveld, A., Isy, E., Ngere, I., Omoto, J., Mohammed, A., Vulul, J. and Philips-Howard, P.A. (2015) ‘Adolescent schoolgirls’ experiences of menstrual cups and pads in rural western Kenya: a qualitative study’, Waterlines 34(1): 15–30 <http://dx.doi.org/10.3362/1756-3488.2015.003>.
Oche, M., Umar, A.S., Gana, G.J. and Ango, J.T. (2012) ‘Menstrual health: the unmet needs of adolescent girls in Sokoto, Nigeria’, Scientific Research and Essays 7(3): 410–8.
Oster, E. and Thornton, R. (2011) ‘Menstruation, sanitary products and school attendance: evidence from a randomized evaluation’, American Economic Journal: Applied Economics 3: 91–100 <http://dx.doi.org/10.1257/app.3.1.91>.
Oster, E. and Thornton, R. (2012) ‘Determinants of technology adoption: peer effects in menstrual cup up-take’, Journal of the European Economic Association 10: 1263–93 <http://dx.doi.org/10.1111/j.1542-4774.2012.01090.x>.
Ruby Cup (no date) ‘Why you should switch to Menstrual Cups’ [website] <www.ruby-cup.com/menstrual-cups/> [accessed 8 August 2016].
Sommer, M. (2009) ‘Ideologies on sexuality, menstruation and risk: girls’ experiences of puberty and schooling in northern Tanzania’, Culture, Health and Sexuality 11(4): 383 <http://dx.doi.org/10.1080/13691050902722372>.
Sommer, M. (2010) ‘Where the education system and women’s bodies collide: the social and health impact of girls’ experiences of menstruation and schooling in Tanzania’, Journal of Adolescence 33(4): 521 <http://dx.doi.org/10.1016/j.adolescence.2009.03.008>.
Sommer, M. (2013) ‘Structural factors influencing menstruating school girls’ health and well-being in Tanzania’, Compare: A Journal of Comparative and International Education 43(3): 323 <http://dx.doi.org/10.1080/03057925.2012.693280>.
Tegegne, T.K. and Sisay, M.M. (2014) ‘Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia’, BMC Public Health 14: 1118 <http://dx.doi.org/10.1186/1471-2458-14-1118>.
Trinies, V., Caruso, B.A., Sogoré, A., Toubkiss, J. and Freeman, M.C. (2015) ‘Uncovering the challenges to menstrual hygiene management in schools in Mali’, Waterlines 34(1): 31 <http://dx.doi.org/10.3362/1756-3488.2015.004>.
Abboud, S., Jemmott L.S. and Sommers M.S. (2015) ‘We are Arabs: the embodiment of virginity through Arab and Arab American women’s lived experiences’, Sexuality & Culture 19(4): 715–36 <http://dx.doi.org/10.1007/s12119-015-9286-1>.
Adinma, E.D. and Adinma, J.I.B. (2008) ‘Perceptions and practices on menstruation amongst Nigerian secondary school girls’, African Journal of Reproductive Health 12(1), 74–83.
Beksinska, M.E., Smit, J., Greener, R., Todd, C.S., Lee, M.T., Maphumulo, R.M. and Hoffmann, V. (2015) ‘Acceptability and performance of the menstrual cup in South Africa: a randomized crossover trial comparing the menstrual cup to tampons or sanitary pads’, Journal of Women’s Health 24(2): 151 <http://dx.doi.org/10.1089/jwh.2014.5021>.
Boosey, R., Prestwich, G. and Deave, T. (2014) ‘Menstrual hygiene management amongst schoolgirls in the Rukungiri district of Uganda and the impact on their education: a cross-sectional study’, Pan African Medical Journal 19: 1 <http://dx.doi.org/10.11604/pamj.2014.19.253.5313>.
Buckley, T. and Gottlieb, A. (1988) Blood Magic: The Anthropology of Menstruation, Berkeley, CA: University of California Press.
Crichton, J., Okal, J., Kabiru, C.W. and Zulu, E.M. (2012) ‘Emotional and psychosocial aspects of menstrual poverty in resource-poor settings: a qualitative study of the experiences of adolescent girls in an informal settlement in Nairobi’, Health Care for Women International 34(10): 891–916 <http://dx.doi.org/10.1080/07399332.2012.740112>.
Grant, M., Lloyd, C. and Mensch, B. (2013) ‘Menstruation and school absenteeism: evidence from rural Malawi’, Comparative Education Review 57(2): 260–84 <http://dx.doi.org/10.1086/669121>.
Howard, C., Rose, C., Trouton, K., Stamm, H., Marentette, D., Kirkpatrick, N., Karalic, S., Fernandez, R. and Paget, J. (2011) ‘FLOW (finding lasting options for women): multicentre randomized controlled trial comparing tampons with menstrual cups’, Canadian Family Physician Médecin de Famille Canadien 57(6): 208–15.
Hyttel, M., Rasanathan, J.J.K., Tellier, M. and Taremwa, W. (2012) ‘Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda’, Reproductive Health Matters 20(40): 148–157 <http://dx.doi.org/10.1016/S0968-8080(12)40654-1>.
Mason, L., Laserson, K.F., Oruko, K., Nyothach, E., Alexander, K.T., Odhiambo, F.O., Eleveld, A., Isy, E., Ngere, I., Omoto, J., Mohammed, A., Vulul, J. and Philips-Howard, P.A. (2015) ‘Adolescent schoolgirls’ experiences of menstrual cups and pads in rural western Kenya: a qualitative study’, Waterlines 34(1): 15–30 <http://dx.doi.org/10.3362/1756-3488.2015.003>.
Oche, M., Umar, A.S., Gana, G.J. and Ango, J.T. (2012) ‘Menstrual health: the unmet needs of adolescent girls in Sokoto, Nigeria’, Scientific Research and Essays 7(3): 410–8.
Oster, E. and Thornton, R. (2011) ‘Menstruation, sanitary products and school attendance: evidence from a randomized evaluation’, American Economic Journal: Applied Economics 3: 91–100 <http://dx.doi.org/10.1257/app.3.1.91>.
Oster, E. and Thornton, R. (2012) ‘Determinants of technology adoption: peer effects in menstrual cup up-take’, Journal of the European Economic Association 10: 1263–93 <http://dx.doi.org/10.1111/j.1542-4774.2012.01090.x>.
Ruby Cup (no date) ‘Why you should switch to Menstrual Cups’ [website] <www.ruby-cup.com/menstrual-cups/> [accessed 8 August 2016].
Sommer, M. (2009) ‘Ideologies on sexuality, menstruation and risk: girls’ experiences of puberty and schooling in northern Tanzania’, Culture, Health and Sexuality 11(4): 383 <http://dx.doi.org/10.1080/13691050902722372>.
Sommer, M. (2010) ‘Where the education system and women’s bodies collide: the social and health impact of girls’ experiences of menstruation and schooling in Tanzania’, Journal of Adolescence 33(4): 521 <http://dx.doi.org/10.1016/j.adolescence.2009.03.008>.
Sommer, M. (2013) ‘Structural factors influencing menstruating school girls’ health and well-being in Tanzania’, Compare: A Journal of Comparative and International Education 43(3): 323 <http://dx.doi.org/10.1080/03057925.2012.693280>.
Tegegne, T.K. and Sisay, M.M. (2014) ‘Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia’, BMC Public Health 14: 1118 <http://dx.doi.org/10.1186/1471-2458-14-1118>.
Trinies, V., Caruso, B.A., Sogoré, A., Toubkiss, J. and Freeman, M.C. (2015) ‘Uncovering the challenges to menstrual hygiene management in schools in Mali’, Waterlines 34(1): 31 <http://dx.doi.org/10.3362/1756-3488.2015.004>.
Abboud, S., Jemmott L.S. and Sommers M.S. (2015) ‘We are Arabs: the embodiment of virginity through Arab and Arab American women’s lived experiences’, Sexuality & Culture 19(4): 715–36 <http://dx.doi.org/10.1007/s12119-015-9286-1>.
Adinma, E.D. and Adinma, J.I.B. (2008) ‘Perceptions and practices on menstruation amongst Nigerian secondary school girls’, African Journal of Reproductive Health 12(1), 74–83.
Beksinska, M.E., Smit, J., Greener, R., Todd, C.S., Lee, M.T., Maphumulo, R.M. and Hoffmann, V. (2015) ‘Acceptability and performance of the menstrual cup in South Africa: a randomized crossover trial comparing the menstrual cup to tampons or sanitary pads’, Journal of Women’s Health 24(2): 151 <http://dx.doi.org/10.1089/jwh.2014.5021>.
Boosey, R., Prestwich, G. and Deave, T. (2014) ‘Menstrual hygiene management amongst schoolgirls in the Rukungiri district of Uganda and the impact on their education: a cross-sectional study’, Pan African Medical Journal 19: 1 <http://dx.doi.org/10.11604/pamj.2014.19.253.5313>.
Buckley, T. and Gottlieb, A. (1988) Blood Magic: The Anthropology of Menstruation, Berkeley, CA: University of California Press.
Crichton, J., Okal, J., Kabiru, C.W. and Zulu, E.M. (2012) ‘Emotional and psychosocial aspects of menstrual poverty in resource-poor settings: a qualitative study of the experiences of adolescent girls in an informal settlement in Nairobi’, Health Care for Women International 34(10): 891–916 <http://dx.doi.org/10.1080/07399332.2012.740112>.
Grant, M., Lloyd, C. and Mensch, B. (2013) ‘Menstruation and school absenteeism: evidence from rural Malawi’, Comparative Education Review 57(2): 260–84 <http://dx.doi.org/10.1086/669121>.
Howard, C., Rose, C., Trouton, K., Stamm, H., Marentette, D., Kirkpatrick, N., Karalic, S., Fernandez, R. and Paget, J. (2011) ‘FLOW (finding lasting options for women): multicentre randomized controlled trial comparing tampons with menstrual cups’, Canadian Family Physician Médecin de Famille Canadien 57(6): 208–15.
Hyttel, M., Rasanathan, J.J.K., Tellier, M. and Taremwa, W. (2012) ‘Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda’, Reproductive Health Matters 20(40): 148–157 <http://dx.doi.org/10.1016/S0968-8080(12)40654-1>.
Mason, L., Laserson, K.F., Oruko, K., Nyothach, E., Alexander, K.T., Odhiambo, F.O., Eleveld, A., Isy, E., Ngere, I., Omoto, J., Mohammed, A., Vulul, J. and Philips-Howard, P.A. (2015) ‘Adolescent schoolgirls’ experiences of menstrual cups and pads in rural western Kenya: a qualitative study’, Waterlines 34(1): 15–30 <http://dx.doi.org/10.3362/1756-3488.2015.003>.
Oche, M., Umar, A.S., Gana, G.J. and Ango, J.T. (2012) ‘Menstrual health: the unmet needs of adolescent girls in Sokoto, Nigeria’, Scientific Research and Essays 7(3): 410–8.
Oster, E. and Thornton, R. (2011) ‘Menstruation, sanitary products and school attendance: evidence from a randomized evaluation’, American Economic Journal: Applied Economics 3: 91–100 <http://dx.doi.org/10.1257/app.3.1.91>.
Oster, E. and Thornton, R. (2012) ‘Determinants of technology adoption: peer effects in menstrual cup up-take’, Journal of the European Economic Association 10: 1263–93 <http://dx.doi.org/10.1111/j.1542-4774.2012.01090.x>.
Ruby Cup (no date) ‘Why you should switch to Menstrual Cups’ [website] <www.ruby-cup.com/menstrual-cups/> [accessed 8 August 2016].
Sommer, M. (2009) ‘Ideologies on sexuality, menstruation and risk: girls’ experiences of puberty and schooling in northern Tanzania’, Culture, Health and Sexuality 11(4): 383 <http://dx.doi.org/10.1080/13691050902722372>.
Sommer, M. (2010) ‘Where the education system and women’s bodies collide: the social and health impact of girls’ experiences of menstruation and schooling in Tanzania’, Journal of Adolescence 33(4): 521 <http://dx.doi.org/10.1016/j.adolescence.2009.03.008>.
Sommer, M. (2013) ‘Structural factors influencing menstruating school girls’ health and well-being in Tanzania’, Compare: A Journal of Comparative and International Education 43(3): 323 <http://dx.doi.org/10.1080/03057925.2012.693280>.
Tegegne, T.K. and Sisay, M.M. (2014) ‘Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia’, BMC Public Health 14: 1118 <http://dx.doi.org/10.1186/1471-2458-14-1118>.
Trinies, V., Caruso, B.A., Sogoré, A., Toubkiss, J. and Freeman, M.C. (2015) ‘Uncovering the challenges to menstrual hygiene management in schools in Mali’, Waterlines 34(1): 31 <http://dx.doi.org/10.3362/1756-3488.2015.004>.
How do women and girls experience menstrual health interventions in low- and middle-income countries? Insights from a systematic review and qualitative metasynthesis
Shannon, Alexandra K.
Melendez-Torres, G.J.
Hennegan, Julie
Culture, Health & Sexuality, Vol. 23 (2021), Iss. 5 P.624
https://doi.org/10.1080/13691058.2020.1718758 [Citations: 17]Addressing plastic pollution through green consumption: Predicting intentions to use menstrual cups in the Philippines
Valentin, Alvin Patrick M.
Hechanova, Ma Regina M.
Journal of Retailing and Consumer Services, Vol. 71 (2023), Iss. P.103204
https://doi.org/10.1016/j.jretconser.2022.103204 [Citations: 0]‘You don’t have to sleep with a man to get how to survive’: Girl’s perceptions of an intervention study aimed at improving sexual and reproductive health and schooling outcomes
Mason, Linda
Zulaika, Garazi
van Eijk, Anna Maria
Fwaya, Eunice
Obor, David
Phillips-Howard, Penelope
Nyothach, Elizabeth
Palermo, Tia M.
PLOS Global Public Health, Vol. 2 (2022), Iss. 10 P.e0000987
https://doi.org/10.1371/journal.pgph.0000987 [Citations: 0]Is menstrual cup a sustainable and safe alternative in menstrual hygiene management? A qualitative exploratory study based on user's experience in India
Patel, Kripalini
Dwivedy, Subhralaxmi
Panda, Nishisipa
Swain, Swagatika
Pati, Sanghamitra
Palo, Subrata Kumar
Clinical Epidemiology and Global Health, Vol. 20 (2023), Iss. P.101212
https://doi.org/10.1016/j.cegh.2022.101212 [Citations: 0]Acceptability and safety of the menstrual cups among Iranian women: a cross-sectional study
Gharacheh, Maryam
Ranjbar, Fahimeh
Hajinasab, Negar
Haghani, Shima
BMC Women's Health, Vol. 21 (2021), Iss. 1
https://doi.org/10.1186/s12905-021-01259-8 [Citations: 10]Üreme Çağındaki Kadınların Menstrüel Kap Kullanımına İlişkin Bilgi ve Tutumları
KİLCİ ERCİYAS, Şeyma
CİRBAN EKREM, Ebru
KALAYCI, Melike
ŞAHİN, Nazire Aslı
AYDOĞMUŞ, Ayşe
Medical Journal of Western Black Sea, Vol. 6 (2022), Iss. 1 P.115
https://doi.org/10.29058/mjwbs.1023079 [Citations: 0]Menstrual cup use, leakage, acceptability, safety, and availability: a systematic review and meta-analysis
van Eijk, Anna Maria
Zulaika, Garazi
Lenchner, Madeline
Mason, Linda
Sivakami, Muthusamy
Nyothach, Elizabeth
Unger, Holger
Laserson, Kayla
Phillips-Howard, Penelope A
The Lancet Public Health, Vol. 4 (2019), Iss. 8 P.e376
https://doi.org/10.1016/S2468-2667(19)30111-2 [Citations: 68]Acceptability and feasibility of using vaginal menstrual cups among schoolgirls in rural Nepal: a qualitative pilot study
Pokhrel, Diksha
Bhattarai, Sabina
Emgård, Malin
von Schickfus, Michael
Forsberg, Birger C.
Biermann, Olivia
Reproductive Health, Vol. 18 (2021), Iss. 1
https://doi.org/10.1186/s12978-020-01036-0 [Citations: 11]Confidence to manage menstruation among university students in Australia: Evidence from a cross-sectional survey
Munro, Alana K
Keep, Melanie
Hunter, Erin C
Hossain, Syeda Z
Women's Health, Vol. 18 (2022), Iss. P.174550652110706
https://doi.org/10.1177/17455065211070666 [Citations: 1]Effectiveness of a menstrual health education program on psychological well-being and behavioral change among adolescent girls in rural Uganda
Yang, Yi-Ting
Chen, Duan-Rung
Journal of Public Health in Africa, Vol. 14 (2023), Iss. 3
https://doi.org/10.4081/jphia.2023.1971 [Citations: 0]The Palgrave Handbook of Critical Menstruation Studies
Practice Note: Menstrual Health Management in Humanitarian Settings
Tellier, Marianne
Farley, Alex
Jahangir, Andisheh
Nakalema, Shamirah
Nalunga, Diana
Tellier, Siri
2020
https://doi.org/10.1007/978-981-15-0614-7_45 [Citations: 2]Study of Adaptability and Efficacy of Menstrual Cups in Managing Menstrual Health and Hygiene: A Descriptive Longitudinal Study
Singh, Ritu
Agarwal, Mukta
Sinha, Sudwita
Chaudhary, Neha
Sinha, Hemali H
Anant, Monika
(2022)
https://doi.org/10.7759/cureus.29690 [Citations: 0]The influence of the menstrual cup on female pelvic floor muscles variables: a prospective case series
Schevchenco, Bruna
Brandão, Sofia
Gomes Timbó, Paula
Tonon da Luz, Soraia Cristina
da Silva Honório, Gesilani Júlia
Da Roza, Thuane
Women & Health, Vol. 63 (2023), Iss. 1 P.35
https://doi.org/10.1080/03630242.2022.2155901 [Citations: 0]Sustainable menstrual products: a classic or a fad?
Ahuja, Prerna
Singh, Navjit
(2022)
https://doi.org/10.1108/IJHRH-05-2022-0038 [Citations: 0]A Multidisciplinary Approach to Obstetric Fistula in Africa
Therapeutic Management of Obstetric Fistula: Learning from Implementation of Insertable Devices to Improve the Health and Well-being of Women and Girls in Low- and Middle-Income Countries
Ryan, Nessa
Kurth, Ann E.
2022
https://doi.org/10.1007/978-3-031-06314-5_22 [Citations: 0]In Vitro Study to Assess Effective Cleaning Techniques for Removing Staphylococcus aureus from Menstrual Cups
Wunsch, Nadine
Green, Stefan J.
Adam, Sebastian
Hampton, Janie
Phillips-Howard, Penelope A.
Mehta, Supriya D.
International Journal of Environmental Research and Public Health, Vol. 19 (2022), Iss. 3 P.1450
https://doi.org/10.3390/ijerph19031450 [Citations: 0]Use of menstrual cups among school girls: longitudinal observations nested in a randomised controlled feasibility study in rural western Kenya
van Eijk, Anna Maria
Laserson, Kayla F.
Nyothach, Elizabeth
Oruko, Kelvin
Omoto, Jackton
Mason, Linda
Alexander, Kelly
Oduor, Clifford
Mohammed, Aisha
Eleveld, Alie
Ngere, Isaac
Obor, David
Vulule, John
Phillips-Howard, Penelope A.
Reproductive Health, Vol. 15 (2018), Iss. 1
https://doi.org/10.1186/s12978-018-0582-8 [Citations: 16]Integration of a menstrual health intervention in a community-based sexual and reproductive health service for young people in Zimbabwe: a qualitative acceptability study
Tembo, Mandikudza
Renju, Jenny
Weiss, Helen A.
Dauya, Ethel
Gweshe, Nancy
Ndlovu, Precious
Nzombe, Portia
Chikwari, Chido Dziva
Mavodza, Constancia Vimbayi
Mackworth-Young, Constance R. S.
A. Ferrand, Rashida
Francis, Suzanna C.
BMC Health Services Research, Vol. 22 (2022), Iss. 1
https://doi.org/10.1186/s12913-022-07818-5 [Citations: 0]- A call to action: organizational, professional, and personal change for gender transformative WASH programming
- Transgender-inclusive sanitation: insights from South Asia
- Providing municipal faecal sludge management services: lessons from Bangladesh
- Adolescent schoolgirls' experiences of menstrual cups and pads in rural western Kenya: a qualitative study
- Global assessment of grant-funded, market-based sanitation development projects
Browse our other journals
