Evidence map›Paper›PMID 42566458›Full record

ArticlePloS one2026

Factors affecting menstrual hygiene among women living in slum areas of Budanilakantha Municipality, Kathmandu.

Bijaya Laxmi Niraula, Akshaya Acharya, Manoj Phuyal, Baburam Marasini, Puspa Acharya

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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Bijaya Laxmi NiraulaDepartment of Public Health, Nobel College, Pokhara University, Kathmandu, Nepal.
Akshaya AcharyaCentral Department of Public Health, Institute of Medicine, Kathmandu, Nepal.ORCID 0009-0002-0298-4333
Manoj PhuyalDepartment of Public Health, Nobel College, Pokhara University, Kathmandu, Nepal.
Baburam MarasiniDepartment of Public Health, Nobel College, Pokhara University, Kathmandu, Nepal.
Puspa AcharyaDepartment of Public Health, Nepalese Army Institute of Health Science, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMenstruation is often stigmatized and poorly managed in low-income settings like Nepal, leading to health and social challenges. Women in urban slums face additional barriers due to poverty and limited sanitation. This study explores factors affecting menstrual hygiene practices among women in Budanilakantha slums to inform targeted interventions.

methodsA cross-sectional study was conducted among 247 women aged 18-49 years in slum areas of Budanilakantha Municipality, Nepal. Participants were selected using systematic random sampling. Data were collected via a pretested questionnaire and analysed with chi-square tests. Ethical approval was obtained from Nobel College, Pokhara University.

resultsAmong the 247 women surveyed, 53.8% used sanitary pads and 42.9% used reusable cloth materials (traditionally used fabric pieces) during menstruation. Most participants reported using soap and water for handwashing (66.8%) and external genital cleaning (82.6%), whereas only 38.9% bathed daily during menstruation. Nearly all participants (95.1%) experienced menstrual restrictions, and 57.1% reported being perceived as impure. Statistically significant associations were observed between menstrual hygiene-related awareness and both education and monthly income, while handwashing practice was significantly associated with ethnicity, occupation, and monthly income. These findings suggest that socio-economic conditions and cultural norms are key determinants of menstrual hygiene practices among women living in slum areas.

conclusionsMenstrual hygiene practices in Budanilakantha slum areas are influenced by socio-economic status, cultural taboos, and limited infrastructure. Although basic hygiene is practiced by many, cultural stigma and gaps in hygiene behaviours persist. Comprehensive interventions addressing education, water, sanitation and hygiene infrastructure, and social norms are essential to improve menstrual health and dignity among marginalized women.

Indexed as

HygieneMenstruationPoverty AreasAdolescentAdultCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMiddle AgedNepalSurveys and QuestionnairesYoung Adult

Identifiers

PMID42566458
PMCPMC13450778

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LicenceCC BY
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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.