LAUSR

Background Women in rural settings particularly in schools suffer more from stigma and lack of services and facilities during menstruation. However, the issue has not received proper attention from school water sanitation and hygiene programs. And this study was aimed to identify knowledge and practice of menstrual hygiene, and associated factors. Method Institution based cross-sectional study was employed among 441 school girls in Mekidela city. EpiData Version 4.6 and the Statistical Package for the Social Sciences Version 25.0 were used for data entry and analysis, respectively. Bivariable and multivariable logistic regression was employed to identify factors associated with the outcome variables. Variables with a p-value<0.25 in the bivariable analysis were a candidate for multivariable logistic regression and p-value<0.05 in the multivariable analysis was used to declare significant association. Results Of the respondents, 64.9% reported good knowledge of menstrual hygiene management. In multivariable analysis; grade level (grade 11 & 12) [adjusted odds ratio (AOR) = 2.23, 95% C.I (1.19–4.16)], age ≥ 19 years [AOR = 3.45, 95% C.I (1.78–6.69)], residence [AOR = 1.90, 95% C.I: (1.12–3.23)], know sanitary pads [AOR = 2.67, 95% CI: (1.19–6.00)] and learned about menstrual hygiene [AOR = 1.71, 95% CI: (1.02–2.87)] found to be associated with knowledge. About 62.4% have good menstrual hygiene practices. Knowledge on menstrual hygiene [AOR = 1.73, 95% C.I (1.07–2.80)], know about reproductive tract/sexually transmitted infections [AOR = 2.46, 95% CI: (1.37–4.43)], having private shower [AOR = 2.04, 95% C.I 2.04(1.24–3.37)] and residence [AOR = 3.76, 95% C.I:(2.18–6.51)] were factors associated with practice. Conclusion Overall nearly two-third of respondents had good knowledge and good practice of menstrual hygiene management. Factors significantly associated with their knowledge included age, grade level, residence, learning on menstrual hygiene, and knowledge of sanitary pads. Residence, knowledge on menstrual hygiene, know about sexually transmitted infections and having a private shower were found to be associated with practice of menstrual hygiene management. In general, our finding indicates that menstrual hygiene was unsatisfactory among adolescent school girls and more should be done on the factors identified.