Publication:

Menstrual health and hygiene practices in higher educational institutions: a case study of female students in Dibrugarh, Assam, India

Background Menstruation health and hygiene management (MHM) remains a critical public health concern in educational institutions, particularly in developing countries where sanitation infrastructure and awareness vary widely. Though it is a natural biological process, however, many face significant menstrual problems, including dysmenorrhea, irregular periods, and menorrhagia, which can affect their physical and emotional well-being.

Methods This cross-sectional study examines menstrual health practices, hygiene satisfaction and sanitation infrastructure among female students of Dibrugarh, Assam, India. A total of 218 students (177 postgraduate, 41 undergraduate) participated using a structured questionnaires distributed both in person and via online forms. Simple random sampling was employed. Descriptive statistics and correlation analysis were performed using Jamovi software.

Results The majority 73.39% reported regular, while 95% relied on sanitary pads, indicating low adoption of sustainable alternatives such as menstrual cups (7.3%). Approximately 64% of respondents avoided campus toilets during menstruation, primarily due to poor hygiene and lack of sanitation facilities.

Conclusions Although 79% reported reliable access to running water facilities, dissatisfaction with washroom cleanliness remained high. Disposal practices showed moderate hygiene infrastructure, sanitation awareness, waste management practices in educational institutions. The findings suggest the need for policy interventions including improved sanitation infrastructure, increased awareness programs and sustainable menstrual waste management systems.