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Menarche is often considered as a significant milestone in the life of a woman. However, in developing countries like India, menstruation is still recognized as a taboo which prevents adolescent girls from getting appropriate scientific knowledge related to physiology of menstruation and menstrual hygiene from her society or surroundings. Lack of formal education and poor socioeconomic condition leads to inappropriate practices of menstrual hygiene with adverse outcomes. A community based cross-sectional comparative study was undertaken among 160 rural and urban women aged 10-60 yrs with the help of a pre-designed, semi structured schedule to assess and compare the menarcheal knowledge and practices associated with menstrual hygiene. The mean age at menarche was found to be higher in rural women than their urban counterpart across all age groups. A definite trend of menarcheal age shifting was also observed. Significantly higher number (52%) of urban women had knowledge about menstruation before menarche and exhibited much better awareness, which seems to be related to a better socio-economic condition and higher level of formal education. The use of sanitary napkins was significantly higher in urban women (72%) whereas majority of rural women (61.8%) still use old clothes as absorbent. Awareness about menstruation and menstrual hygiene can be improved if we acknowledge the issue from the core and act so that women in their menstruating years get proper health education and have better access to low-cost sanitary napkins.

Pre Menarcheal Knowledge and Some Socio- Behavioral Variables: A Community Based Comparative Study on Bengali Women