FACTORS AFFECTING SCHOOL ABSENCE AMONG SCHOOLGIRLS IN SOUTH TANGERANG, INDONESIA

  • Hoirun Nisa Department of Public Health Faculty of Health Sciences Universitas Islam Negeri Syarif Hidayatullah Jakarta
Keywords: Menstruation, Menarche, Knowledge, School absence

Abstract

Abstrak
Latar belakang: Remaja perempuan sering memiliki pengetahuan yang kurang mengenai kesehatan reproduksi termasuk menstruasi, dan masalah menstruasi dapat mempengaruhi kehadiran siswi di sekolah. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan ketidakhadiran siswi sekolah dasar selama masa menstruasi.
Metode: Penelitian cross-sectional dilakukan di sembilan sekolah dasar di Kota Tangerang Selatan. Informasi yang dikumpulkan antara lain karakteristik demografi, umur menarche, durasi menstruasi, dismenore, pengetahuan, dan sumber informasi mengenai menstruasi dari remaja siswi. Partisipan terdiri dari 133 siswi yang telah mengalami menstruasi. Uji chi-square dan regresi logistik digunakan dalam data analisis.
Hasil: Frekuensi siswi yang tidak masuk sekolah saat menstruasi cukup tinggi (19%). Rata-rata ketidakhadiran sebanyak 2,4 hari setiap siklus menstruasi, dan alasan utama ketidakhadiran di sekolah antara lain takut tembus (69%), rasa sakit/tidak nyaman (62%), dan ejekan dari siswa laki-laki (19%). Pengetahuan yang buruk tentang menstruasi (AOR = 5,24; 95% CI = 1,69-16,30) dan dismenore (AOR = 6,05; 95% CI = 1,32-27,69) mempunyai hubungan positif yang signifikan dengan ketidakhadiran di sekolah (p<0,05), sementara pendidikan ibu secara signifikan dapat mencegah ketidakhadiran siswi pada masa menstruasi (p<0,05).
Kesimpulan: Faktor-faktor yang mempengaruhi ketidakhadiran siswi di sekolah adalah pengetahuan tentang menstruasi, dismenore, dan status pendidikan ibu. Penelitian ini menunjukkan bahwa memberikan pengetahuan dan manajemen menstruasi dapat bermanfaat dalam mengurangi ketidakhadiran siswi akibat menstruasi di sekolah.

Kata kunci: menstruasi, menarche, pengetahuan, ketidakhadiran di sekolah

Abstract
Background: Adolescent girls often have limited knowledge regarding reproductive health including menstruation, and challenges associated with menstruation may affect girls’ school attendance. This study aimed to examine factors associated with school absence during menstruation among schoolgirls.
Method: A cross-sectional study was conducted in nine elementary schools in the South Tangerang City. The information included the schoolgirls’ demographic background, menarche age, duration of menstrual, dysmenorrhea, knowledge about menstruation, and source of information related to menstruation. Participants were 133 schoolgirls who had experienced first menstruation. Chi-square test and logistic regression were used for data analysis.
Results: The frequency of schoolgirls who missed school during menstruation was slightly high (19%). Absentee schoolgirls missed an average of 2.4 days each menstrual cycle, and main reasons for school absence were fear of leakage (69%), pain/discomfort (62%), and boys ridiculed (19%). Poor knowledge about menstruation (AOR = 5.24; 95 % CI = 1.69-16.30) and dysmenorrhea (AOR = 6.05; 95% CI: 1.32-27.69) revealed significant positive association with school absence during menstruation (p<0.05), while mother’s education had significantly prevented the schoolgirls from school absence during menstruation (p<0.05).
Conclusion: Factors affecting school absence of schoolgirls included knowledge of menstruation, dysmenorrhea, and mother’s education status. The findings suggest that providing knowledge and menstrual management could benefit on reducing school absenteeism among schoolgirls due to menarche at school.

Keywords: menstruation, menarche, knowledge, school absence

References

1. Symonds, E.M. and L.M. Symonds, Essential Obstetrics and Gynecology. 2004, UK: Churchill Livingstone.
2. Alam, M.U., et al., Menstrual hygiene management among Bangladeshi adolescent schoolgirls and risk factors affecting school absence: results from a cross-sectional survey. BMJ Open, 2017. 7(7): p. e015508.
3. Boosey, R., G. Prestwich, and T. Deave, Menstrual hygiene management amongst schoolgirls in the Rukungiri district of Uganda and the impact on their education: a cross-sectional study. Pan Afr Med J, 2014. 19: p. 253.
4. Davis, J., et al., Menstrual hygiene management and school absenteeism among adolescent students in Indonesia: evidence from a cross-sectional school-based survey. Trop Med Int Health, 2018.
5. Jothy, K. and S. KalaiselvI, Is menstrual hygiene and management an issue for the rural adolescent school girls?. Elixir International Journal, 2012. 44: p. 7223-7228.
6. McMahon, S.A., et al., 'The girl with her period is the one to hang her head' Reflections on menstrual management among schoolgirls in rural Kenya. BMC Int Health Hum Rights, 2011. 11: p. 7.
7. Keogh, S.C., et al., Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: Case studies of Ghana, Kenya, Peru and Guatemala. PLoS One, 2018. 13(7): p. e0200513.
8. Ningsih, E.D. and T.S. Yulianti, The Correlation Knowledgeable About Mentrual With the Anxiety Level on Young Teenage Girl Class VII At SMP Tarakanita Solo Baru Sukoharjo. Indonesian Journal on Medical Science, 2016. 3(1).
9. Nugraheni, S.A., et al., Knowledge and attitudes of elementary students about reproductive health (preliminary study on elementary school in Brebes district, Central Java, Indonesia). International Journal of Community Medicine and Public Health, 2018. 5(4): p. 1298-1303.
10. Susanto, T., et al., Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent. Epidemiol Health, 2016. 38: p. e2016041.
11. Chandra-Mouli, V. and S.V. Patel, Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries. Reprod Health, 2017. 14(1): p. 30.
12. Anand, E., J. Singh, and S. Unisa, Menstrual hygiene practices and its association with reproductive tract infections and abnormal vaginal discharge among women in India. Sex Reprod Healthc, 2015. 6(4): p. 249-54.
13. Hennegan, J., et al., Measuring the prevalence and impact of poor menstrual hygiene management: a quantitative survey of schoolgirls in rural Uganda. BMJ Open, 2016. 6(12): p. e012596.
14. UNESCO, Puberty education and menstrual hygiene management. 2014; Available from: http://unesdoc.unesco.org/images/0022/002267/226792e.pdf-puberty.
15. Miiro, G., et al., Menstrual health and school absenteeism among adolescent girls in Uganda (MENISCUS): a feasibility study. BMC Womens Health, 2018. 18(1): p. 4.
16. Tegegne, T.K. and M.M. Sisay, Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia. BMC Public Health, 2014. 14: p. 1118.
17. Nations, U., Sustainable Development Knowledge Platform. Sustainable development goals, 2015. 2015.
18. Gultie, T., D. Hailu, and Y. Workineh, Age of menarche and knowledge about menstrual hygiene management among adolescent school girls in Amhara province, Ethiopia: implication to health care workers & school teachers. PLoS One, 2014. 9(9): p. e108644.
19. Upashe, S.P., T. Tekelab, and J. Mekonnen, Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC Womens Health, 2015. 15: p. 84.
20. Burnet Institute, Menstrual hygiene management in Indonesia: Understanding practices, determinants and impacts among adolescent schoolgirls, 2015.
21. Oster, E. and R. Thornton, Menstruation, sanitary products, and school attendance: evidence from a randomized evaluation. Am Econ J Appl Econ, 2011. 3: p. 91-100.
22. Crawford, M., L.M. Menger, and M.R. Kaufman, 'This is a natural process': managing menstrual stigma in Nepal. Cult Health Sex, 2014. 16(4): p. 426-39.
23. Haque, S.E., et al., The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh. BMJ Open, 2014. 4(7): p. e004607.
24. Montgomery, P., et al., Sanitary pad interventions for girls' education in Ghana: a pilot study. PLoS One, 2012. 7(10): p. e48274.
25. Bernardi, M., et al., Dysmenorrhea and related disorders. F1000Res, 2017. 6: p. 1645.
26. Abdelmoty, H.I., et al., Menstrual patterns and disorders among secondary school adolescents in Egypt. A cross-sectional survey. BMC Womens Health, 2015. 15: p. 70.
27. Nwankwo, T.O., U.U. Aniebue, and P.N. Aniebue, Menstrual disorders in adolescent school girls in Enugu, Nigeria. J Pediatr Adolesc Gynecol, 2010. 23(6): p. 358-63.
Published
2020-07-29
How to Cite
1.
Nisa H. FACTORS AFFECTING SCHOOL ABSENCE AMONG SCHOOLGIRLS IN SOUTH TANGERANG, INDONESIA. kespro [Internet]. 29Jul.2020 [cited 3Aug.2020];11(1):1 -9. Available from: http://ejournal2.litbang.kemkes.go.id/index.php/kespro/article/view/1497