Sanitary Pad Interventions for Girls' Education in Ghana: A Pilot Study |
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| Authors: | Paul Montgomery Caitlin R Ryus Catherine S Dolan Sue Dopson Linda M Scott |
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| Institution: | 1. Centre for Evidence Based Intervention, University of Oxford, Oxford, Oxfordshire, United Kingdom.; 2. Said Business School, University of Oxford, Oxford, Oxfordshire, United Kingdom.; Tehran University of Medical Sciences, Islamic Republic of Iran, |
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| Abstract: | BackgroundIncreased education of girls in developing contexts is associated with a number of important positive health, social, and economic outcomes for a community. The event of menarche tends to coincide with girls'' transitions from primary to secondary education and may constitute a barrier for continued school attendance and performance. Following the MRC Framework for Complex Interventions, a pilot controlled study was conducted in Ghana to assess the role of sanitary pads in girls'' education.MethodsA sample of 120 schoolgirls between the ages of 12 and 18 from four villages in Ghana participated in a non-randomized trial of sanitary pad provision with education. The trial had three levels of treatment: provision of pads with puberty education; puberty education alone; or control (no pads or education). The primary outcome was school attendance.ResultsAfter 3 months, providing pads with education significantly improved attendance among participants, (lambda 0.824, F = 3.760, p<.001). After 5 months, puberty education alone improved attendance to a similar level (M = 91.26, SD = 7.82) as sites where pads were provided with puberty education (Rural M = 89.74, SD = 9.34; Periurban M = 90.54, SD = 17.37), all of which were higher than control (M = 84.48, SD = 12.39). The total improvement through pads with education intervention after 5 months was a 9% increase in attendance. After 3 months, providing pads with education significantly improved attendance among participants. The changes in attendance at the end of the trial, after 5 months, were found to be significant by site over time. With puberty education alone resulting in a similar attendance level.ConclusionThis pilot study demonstrated promising results of a low-cost, rapid-return intervention for girls'' education in a developing context. Given the considerable development needs of poorer countries and the potential of young women there, these results suggest that a large-scale cluster randomized trial is warranted.Trial RegistrationPan African Clinical Trials Registry PACTR201202000361337 |
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