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Hennegan, Julie, Caruso, Bethany, Zulaika, Garazi, Torondel, Belen, Haver, Jacquelyn, Phillips-Howard, Penelope 
ORCID: https://orcid.org/0000-0003-1018-116X, Valdez, Jonathan, Okwaro, Neville, Gruer, Caitlin, Mahon, Therese and Sommer, Marni
(2023)
'Indicators for National and Global Monitoring of Girls’ Menstrual Health and Hygiene: Development of a Priority Shortlist'. Journal of Adolescent Health, Vol 73, Issue 6, pp. 992-1001.
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Abstract
Purpose:
Despite the importance of menstrual health and hygiene (MHH) for adolescent girls’ health, education, and gender equality, few countries monitor MHH. MHH needs remain underprioritized, and progress achieved through policies, programs, or investments go unmeasured.
This article reports the systematic development of an indicators shortlist to monitor adolescent girls’ MHH at national and global levels across low- and middle-income countries.
Methods:
A core group of MHH researchers and practitioners collaborated with stakeholders from three countries with demonstrated commitment to monitoring MHH (Bangladesh, Kenya,
Philippines), measures experts, and a global advisory group. The approach included: (I) define domains for monitoring MHH, (II) review and map existing indicators and measures, (III) iteratively shortlist indicators through appraising quality, feasibility, and stakeholder input, and (IV) refine the shortlist and develop guidance for use.
Results:
The shortlist comprises 21 indicators across seven domains covering: menstrual materials; water, sanitation, and hygiene (WASH) facilities; knowledge; discomforts and disorders; supportive social environments; menstrual health impacts; and policies. Indicators are accompanied by measures that have been tested or are expected to provide reliable data, alongside justification for their selection and guidance for use.
Conclusion:
The shortlisted indicators reflect the multi-sectoral collaboration necessary for ensuring girls' MHH. Uptake requires integration into monitoring systems at national and global levels. Future work remains to evaluate the performance of the indicators over time and to support their widespread use. Governments and stakeholders can use these indicators to track progress of programs and policies, monitor unmet MHH needs, identify disparities, and set targets for improvement.
| Item Type: | Article |
|---|---|
| Subjects: | QT Physiology > Physiology. Hygiene > QT 180 Physiology. General hygiene WS Pediatrics > By Age Groups > WS 460 Adolescence (General) |
| Faculty: Department: | Clinical Sciences & International Health > Clinical Sciences Department Clinical Sciences & International Health > International Public Health Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1016/j.jadohealth.2023.07.017 |
| Depositing User: | Jane Rawlinson |
| Date Deposited: | 10 Oct 2023 15:16 |
| Last Modified: | 16 Jan 2024 13:58 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/22895 |
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