Send to

Choose Destination
Lancet. 2018 Feb 21;391 Suppl 2:S10. doi: 10.1016/S0140-6736(18)30376-3. Epub 2018 Feb 21.

Knowledge and self-care practices in adolescent girls living in Nablus district during menstruation: a cross-sectional study.

Author information

Ministry of Health, Ramallah, occupied Palestinian territory. Electronic address:
Makassed Hospital, Jerusalem.
Hebron Governmental Hospital, Hebron, occupied Palestinian territory.
Jericho Governmental Hospital, Jericho, occupied Palestinian territory.



Menstruation is a natural phenomenon that occurs throughout the reproductive life of every woman. The aim of this study was to explore knowledge and self-care practices among Palestinian adolescent girls during their menstrual period. Reproductive health issues in adolescent girls is an important but neglected area of Palestinian research.


For this cross-sectional study we recruited girls from grades seven, eight, and nine in the three biggest schools for girls in Nablus district. Participants were given a self-administered questionnaire that included questions about diet habits, daily activity, medication usage, and social norms related to the menstrual period. Data were analysed using SPSS version 17. The study protocol was approved ethically by Ibn Sina College for Health Sciences board. Verbal informed consent was obtained from the participants.


100 girls completed the questionnaire. 68 (68%) respondents referred to their mothers as the main source of information about dealing with menstrual periods. 52 (52%) respondents believed that salty food affects adversely on their health during the menstrual period, and 85 (85%) answered that showering is important during menstruation and that no harm comes from touching things during menstruation. 38 (38%) girls did not change food quality or quantity during menstruation, and 36 (36%) girls often take hot herbal drinks to relieve menstrual pain, whereas 63 (63%) girls reported use of analgesics. 94 (94%) respondents had a proper way of disposing of dirty pads. 45 (45%) girls said they used school toilets, 70 (70%) mentioned the availability of private doors, and 60 (60%) reported the availability of soap and water.


Self-care practices during menstruation could be improved in adolescent Palestinian girls by establishing comprehensive puberty education programmes in schools and providing appropriate sanitation conditions in school toilets.



Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center