ArticleReproductive health2025
Effects of a comprehensive menstrual and sexual reproductive health intervention on RTI symptoms among adolescent girls in the Mwanza region: a mixed-methods analysis.
Article in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundPoor menstrual hygiene management (MHM) has been implicated in increasing RTI symptoms. The Partnering to Support Schools to Promote Good Menstrual Health and Well-being (PASS MHW) intervention was designed to address menstrual-related challenges among schoolgirls. However, no comprehensive analysis has evaluated its impact on menstrual management practices or its potential influence on reducing reproductive tract infection (RTI) symptoms.
objectiveThis study examined the effects of a comprehensive Menstrual and Sexual Reproductive Health (MSRH) intervention on reproductive tract infection (RTI) symptoms among adolescent girls and aimed to identify the key predictors of these changes. METHODOLOGY: This was a mixed-methods secondary analysis of the PASS MHW project that involved surveys from 424 secondary school girls to assess changes in RTI symptoms and menstrual hygiene practices. In addition, 20 in-depth interviews were conducted with subsamples of girls referred for RTI treatment to assess their experience with health care services.
resultsThere was a significant postintervention increase in the proportion of schoolgirls using hygienic menstrual products, increasing from 32 to 77% (p = 0.001). RTI symptoms presented mixed outcomes: thick, white, clumped discharge decreased from 33 to 26% (p = 0.026), while fish-smelling discharge increased from 6 to 16% (p = 0.001), with urban participants experiencing a significant increase (OR = 2.15, 95% CI: 1.31-3.52, p = 0.002. Among older adolescents, there was an increase in genital symptoms, including itching, sores, and rash, particularly redness or irritation, although adjusted analysis indicated a lower likelihood compared to younger adolescent (OR = 0.67, 95% CI: 0.46-0.98, p = 0.039). Referral services encounter barriers, including poor service quality, financial limitations, stigma, and issues related to obtaining consent.
conclusionThe PASS MHW intervention improved the use of hygienic menstrual products but had mixed effects on RTI symptoms. Some symptoms decreased, whereas others increased, especially among urban participants and younger adolescents. Barriers in referral services, including quality, cost, stigma, and consent issues, remain challenges.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.