Sanitation challenges and menstrual hygiene management among female adolescents in an Islamic Boarding School: A qualitative case study
DOI:
https://doi.org/10.12928/jcp.v8i2.15693Keywords:
Female adolescent, Islamic boarding schools, Personal hygiene, Sanitation facilitiesAbstract
Poor menstrual hygiene practices can increase the risk of reproductive tract infections among female adolescents. Adequate water, sanitation, and hygiene (WASH) facilities are essential to safe menstrual hygiene management (MHM), particularly in Islamic boarding schools, where students live communally, follow structured daily routines, and share sanitation facilities. This study explored how sanitation facilities influence menstrual hygiene management practices among female adolescents living in an Islamic boarding school in Jayapura, Indonesia. A qualitative case study was conducted between October and December 2024. Participants included seven female students as key informants and one teacher as a supporting informant. Data were collected through in-depth interviews and direct observations and analyzed using thematic analysis. Although access to clean water was generally adequate, the number of toilets was insufficient for the student population, resulting in long waiting times and limited privacy. The distance between dormitories and sanitation facilities also discouraged students from changing menstrual pads as frequently as recommended, with many reporting changing pads only two to three times per day. These environmental constraints negatively influenced menstrual hygiene practices, and many increase the risk of adverse reproductive health outcomes. The findings demonstrate that inadequate sanitation infrastructure is an important barrier to effective MHM in Islamic boarding schools. Strengthening WASH facilities, particularly by improving the availability, accessibility, and privacy of sanitation facilities, should be prioritized to support healthy menstrual hygiene practices among adolescent girls.
References
UNICEF. Manajemen Kebersihan Menstruasi Dan Pencegahan Perkawinan Anak [Internet]. Pimpinan Pus. Muslimat NU UNICEF. Indonesia: UNICEF; 2020. https://www.pma2020.org/sites/default/files/IDR2-MHM brief-v1-Bahasa Indonesian-2017-05-03.pdf
Kemendikbud R. Panduan Manajemen Kebersihan Menstruasi Bagi Guru dan Orang Tua [Internet]. Jakarta: Kementerian Pendidikan dan Kebudayaan RI; 2017. https://www.unicef.org/indonesia/sites/unicef.org.indonesia/files/2019-05/MHM Guidance for Teacher and Parents-PMRC-Recommendation.pdf
Demmu YM, Shifera GM, Ayana GM, Adare D, Yazew B. Menstrual hygiene management and associated factors among adolescent school girls in gursum district , Eastern Ethiopia : Institution-based a cross-sectional study. BMC Womens Health. 2023;6:1–7. https://doi.org/10.1186/s12905-023-02461-6
Arifin Y, Aprianty E, Wiguna W. Faktor-Faktor Yang Berhubungan Dengan Tindakan Personal Hygiene Saat Mentruasi Pada Remaja Putri. J Kesehat Mercusuar [Internet]. 2023;6:73–80. https://doi.org/10.36984/jkm.v6i2.419
WHO. Progress On Drinking Water , Sanitation And Hygiene In Schools 2015-2023 Special Focus On Menstrual Health [Internet]. New York; 2023. https://www.who.int/news/item/28-05-2024-global-report-reveals-major-gaps-in-menstrual-health-and-hygiene-in-schools
Kemendikdasmen. Profil Sanitasi Sekolah Menengah Atas Tahun 2022 [Internet]. Tangerang Selatan; 2022. https://data.kemendikdasmen.go.id/publikasi/p/pauddasmen-buku-analisis/sanitasi-sekolah-menengah-atas-sma-tahun-2022
Devi J, Jamali A. Review of Menstrual Hygiene Management Practices Among Adolescent Girls : Challenges , Health Implications , and Future Directions. J Adv Sch Res Allied Educ [Internet]. 2024;21. https://doi.org/10.29070/3c6e0s15
Palgunadi NPGS, Wesnawa IGAIKS. I Bring Home My Used Menstrual Pad: Water, Sanitation, Hygiene, and Menstrual Hygiene Management in Middle Schools with Limited Sanitation Access. Edunity [Internet]. 2024;3:1052–63. https://doi.org/10.57096/edunity.v3i11.330
Pratama AW. School-based Interventions of Menstrual Hygiene Management in Indonesia : Systematic Literature Review. Res Sq [Internet]. 2025;1–12. https://doi.org/10.21203/rs.3.rs-7238223/v1
Wihdaturrahmah, Chuemchit M. Determinants of Menstrual Hygiene Among Adolescent School Girls in Indonesia. Int J Women’s Heal [Internet]. 2023;943–54. https://doi.org/10.2147/IJWH.S400224
Bahtiar H, Nasir NM. Determinan Praktik Kebersihan Menstruasi Santriwati Pondok Pesantren di Sulawesi Selatan. J Relig Public Heal [Internet]. 2023;5:104–16. https://doi.org/10.15408/jrph.v5i2.37112
Febria D, Dhilon DA, Parasandy A, Rahmawati R. Hubungan Sanitasi Lingkungan Dengan Gejala Pruritus Vulvae Pada Santriwati. Indones J Sci [Internet]. 2024;1:14–9. https://doi.org/10.31004/science.v1i1.7
Hasan M, Hassan N, Mita MH, Zahara FT. Menstrual hygiene practices and school absenteeism among adolescent girls in Bangladesh : A cross-sectional study. Pupulation Med [Internet]. 2021;1–8. https://doi.org/10.18332/popmed/133641
Sambo, Joy, Sikopo Nyambe TY. A qualitative study on menstrual health and hygiene management among adolescent schoolgirls in peri-urban Lusaka , Zambia. J Water, Sanit Hyg Dev [Internet]. 2024;14:15–26. https://doi.org/10.2166/washdev.2024.069
Schmitt ML, Wood OR, Clatworthy D, Rashid SF, Sommer M. Innovative strategies for providing menstruation-supportive water , sanitation and hygiene ( WASH ) facilities : learning from refugee camps in Cox’s Bazar, Bangladesh. BMC Public Health [Internet]. Conflict and Health; 2021;15:1–12. https://doi.org/10.1186/s13031-021-00346-9
Pakpahan M, Siregar D, Susilawaty A, Mustar T, Ramdany R, Sianturi EIME, et al. Promosi Kesehatan dan Perilaku Kesehatan [Internet]. 1st ed. Watrianthos R, editor. Yayasan Kita Menulis; 2021. https://repositori.uin-alauddin.ac.id/19791/1/2021_Book Chapter_Promosi Kesehatan dan Perilaku Kesehatan.pdf
Adane Y, Ambelu A, Azage, Muluken YM. Assessment of the barriers towards menstrual hygiene management: evidence from a qualitative study among school communities: lessons from Bahir Dar city in northwest Ethiopia. Front Reprod Heal [Internet]. 2024; https://doi.org/10.3389/frph.2024.1445862
Sentoogo A, Id S, Id DN, Kansiime C, Bakanoma R, Tanton C, et al. PLOS GLOBAL PUBLIC HEALTH Understanding the social and physical menstrual health environment of secondary schools in Uganda : A qualitative methods study. PLOS Glob Public Heal [Internet]. 2023;1–19. https://doi.org/10.1371/journal.pgph.0002665
Misniarti, Haryani S. Studi Kualitatif Praktik Kesehatan Selama Menstruasi Pada Siswi MTS 01 Pondok Pesantren Darussalam. J Keperawatan Raflesia [Internet]. 2021;3:1–12. https://doi.org/10.33088/jkr.v3i1.619
Pertiwi WE, Nasiatin T. Prevalence and Factors Associated With Personal Hygiene Practice Among Students at Boarding School in Indonesia. Malaysian J Med Heal Sci [Internet]. 2022;18:310–6. https://medic.upm.edu.my/upload/dokumen/2023010416573849_2022_0958.pdf
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