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Physical, Social, and Political Inequities Constraining Girls' Menstrual Management at Schools in Informal Settlements of Nairobi, Kenya.
Girod, Candace; Ellis, Anna; Andes, Karen L; Freeman, Matthew C; Caruso, Bethany A.
Afiliação
  • Girod C; Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
  • Ellis A; Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
  • Andes KL; Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
  • Freeman MC; Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
  • Caruso BA; Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. bcaruso@emory.edu.
J Urban Health ; 94(6): 835-846, 2017 Dec.
Article em En | MEDLINE | ID: mdl-28875308
Access to adequate water and sanitation is limited in informal settlements, contributing to girls' challenges managing menstruation at school, especially when they cannot access materials to absorb menstrual blood and appropriate facilities for hygiene. This study documents differences between girls' experience of menstruation at public schools (where the Kenyan government provides menstrual pads) and private schools (where pads are not provided) in two informal settlements of Nairobi, Kenya. Results showed that supply chains to public schools were not reliable, and equitable pad provision was not assured. Girls in private schools struggled to access pads because they were not provided. Sanitation facilities were physically available, but Muslim girls were unable to practice ablution due to the design of toilets in our study schools. Girls experienced fear and anxiety due to harassment from male peers and had incomplete information about menstruation from teachers. Findings suggest that practitioners and policy-makers should acknowledge the diversity of school populations and monitor programs to ensure efforts do not contribute to inequity.
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Texto completo: 1 Temas: ECOS / Aspectos_gerais / Equidade_desigualdade Bases de dados: MEDLINE Assunto principal: Instituições Acadêmicas / Fatores Socioeconômicos / Saneamento / Conhecimentos, Atitudes e Prática em Saúde / Produtos de Higiene Menstrual Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adolescent / Child / Female / Humans País/Região como assunto: Africa Idioma: En Revista: J Urban Health Assunto da revista: MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Temas: ECOS / Aspectos_gerais / Equidade_desigualdade Bases de dados: MEDLINE Assunto principal: Instituições Acadêmicas / Fatores Socioeconômicos / Saneamento / Conhecimentos, Atitudes e Prática em Saúde / Produtos de Higiene Menstrual Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adolescent / Child / Female / Humans País/Região como assunto: Africa Idioma: En Revista: J Urban Health Assunto da revista: MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos