Evidence map›Paper›PMID 39775536›Full record

ArticlePloS one2025

Effectiveness of menstrual hygiene management training to enhance knowledge, attitude, and practice among adolescents in Sindhupalchowk, Nepal.

Swastika Shrestha, Saki Thapa, Bikram Bucha, Safal Kunwar, Bigyan Subedi, Aishwarya Rani Singh, Durga Datta Chapagain, Raghu Dhital, Maxine Caws

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Improving internal medicine resident proficiency in non-invasive positive pressure ventilation and oxygen modalities through simulation training.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2026
    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

9 authors.

Swastika ShresthaBirat Nepal Medical Trust (BNMT), Lazimpat, Kathmandu, Nepal.ORCID 0000-0001-7291-538X
Saki ThapaBirat Nepal Medical Trust (BNMT), Lazimpat, Kathmandu, Nepal.
Bikram BuchaKarolinska Institute, Stockholm, Sweden.ORCID 0009-0007-7218-6237
Safal KunwarBirat Nepal Medical Trust (BNMT), Lazimpat, Kathmandu, Nepal.
Bigyan SubediBirat Nepal Medical Trust (BNMT), Lazimpat, Kathmandu, Nepal.
Aishwarya Rani SinghPutali Nepal, Kathmandu, Nepal.
Durga Datta ChapagainYonsei University, Seoul, South Korea.ORCID 0009-0008-1522-1996
Raghu DhitalBirat Nepal Medical Trust (BNMT), Lazimpat, Kathmandu, Nepal.
Maxine CawsBirat Nepal Medical Trust (BNMT), Lazimpat, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMenstrual Health (MH) knowledge, attitude and practice (KAP) are highly affected by access to information regarding menstruation. Despite being included in the school curriculum, Sexual and Reproductive Health (SRH) education is often not delivered in practice. School-based educational interventions have been shown to be effective in promoting MH.

methodsA school-based study was conducted in Indrawati rural municipality of Sindhupalchowk district in Nepal. 427 participants (175 boys and 252 girls), aged 11-13, completed a questionnaire evaluating MH KAP before receiving a structured training module on MH provided by experienced trainers from Putali Nepal using the Menstrupedia tool. The questionnaire was repeated one month after the training. Pre and post intervention scores were compared to determine the effect of the intervention. Focus group discussions were also conducted to understand the perceptions of participants toward SRH teaching. Association of independent socio-demographic with dependent variables knowledge and attitude towards menstrual health were analyzed using MANOVA test. The Wilcoxon signed-rank test was used to compare the median outcome of the pre and post-test attitude and knowledge. The maximum possible score was 6 for MH knowledge. The total attitude score ranged 14 to 70.

resultsThe median knowledge score increased by 1 point (p = <0.001) and the median attitude score by 5 points (p = <0.001), one month after delivery of the intervention. Higher knowledge scores were significantly associated with Hindu religion, female gender, higher father's literacy, and mothers in an informal occupation on multivariate analysis. Higher attitude scores were significantly associated with Hindu religion while lower attitude scores were associated with a mother in an informal occupation.

conclusionThe Menstrupedia comic educational intervention improved knowledge and attitude towards menstruation among Nepali adolescents. A scale-up of the Menstrupedia based intervention would significantly change knowledge and attitude towards menstruation in Nepali adolescents.

Indexed as

Health Knowledge, Attitudes, PracticeHygieneMenstruationAdolescentChildFemaleHealth EducationHumansMaleNepalSurveys and Questionnaires

Identifiers

PMID39775536
PMCPMC11706381

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LicenceCC BY
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Registered trials

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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.