Evidence map›Paper›PMID 29225941›Full record

ReviewBMJ global health2017

Beyond menstrual hygiene: addressing vaginal bleeding throughout the life course in low and middle-income countries.

Marni Sommer, Penelope A Phillips-Howard, Therese Mahon, Sasha Zients, Meredith Jones, Bethany A Caruso

Open access · goldAbstract readReview
In one paragraph

Review in BMJ global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. "Frontiers in global women's health · 2026
    Article
  4. Review
  5. Article
  6. Adolescent menstrual health must go beyond pads.BMJ (Clinical research ed.) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Menstrual health: a definition for policy, practice, and research.Sexual and reproductive health matters · 2021
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Marni SommerMailman School of Public Health, Columbia University, New York, New York, USA.
Penelope A Phillips-HowardLiverpool School of Tropical Medicine, Liverpool, UK.
Therese MahonWaterAid, London, UK.
Sasha ZientsMailman School of Public Health, Columbia University, New York, New York, USA.
Meredith JonesMailman School of Public Health, Columbia University, New York, New York, USA.
Bethany A CarusoRollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Columbia University · USEmory University · USLiverpool School of Tropical Medicine · GBWaterAid · GB

Funding

Medical Research Council MR/N006046/1
6 · The paper itself

Abstract

Girls and women experience numerous types of vaginal bleeding. These include healthy reproductive processes, such as menstruation and bleeding after childbirth, but also bleeding related to health conditions, such as fibroids or cancer. In most societies, the management of menstruation is handled covertly, something girls are often instructed about at menarche. The management of other vaginal bleeding is often similarly discreet, although behaviours are not well documented. In many societies, cultural taboos frequently hinder open discussion around vaginal bleeding, restricting information and early access to healthcare. Additionally, the limited availability of clean, accessible water and sanitation facilities in many low and middle-income countries augments the challenges girls and women face in conducting daily activities while managing vaginal bleeding, including participating in school or work, going to the market or fetching water. This paper aims to highlight the key vaginal bleeding experiences throughout a woman's life course and the intersection of these bleeding experiences with their access to adequate water and sanitation facilities, information and education sources, and supplies. The aim is to address the silence around girls and women's vaginal bleeding and their related social, physical and clinical management needs across the life course; and highlight critical gaps that require attention in research, practice and policy around this neglected topic of health and gender equality.

Indexed as

environmental healthhealth education and promotionhygienematernal health

Identifiers

PMID29225941
PMCPMC5717954
OpenAlexW2739829725

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.