Menstrual Hygiene and Safe Male Circumcision Promotion in Ugandan Schools (MENISCUS)

乌干达学校的经期卫生和安全男性包皮环切推广 (MENISCUS)

基本信息

批准号：
MC_PC_14098
负责人：
Helen Weiss
金额：
$ 19.08万
依托单位：
London School of Hygiene & Tropical Medicine
依托单位国家：
英国
项目类别：
Intramural
财政年份：
2015
资助国家：
英国
起止时间：
2015 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=MC_PC_14098
关键词：
Menstrual Hygiene Safe Male Circumcision

项目摘要

Menstrual hygiene interventions may improve girls’ school attendance.1-3 A systematic review 4identified 7 intervention studies of menstrual hygiene education; one also included provision ofa menstrual cup. These studies had major methodological limitations, but were generallyencouraging. A more recent small Ghanaian study5 reported 10% higher attendance after 5months both in girls receiving puberty education only and those receiving puberty educationplus sanitary pads, relative to controls. Some menstrual hygiene practices (e.g. using leavesand rags) can cause intra-vaginal infections.4 Girls’ school attendance is associated with earningpotential, improved maternal and child survival and reduced HIV infection.6 This research inUgandan schoolgirls will prepare for a cluster-randomised trial (CRT) of the impact of pubertyand menstrual hygiene education and of providing sanitary pads on school absenteeism.Male circumcision reduces men’s risk of HIV acquisition,7 yet circumcision prevalence inUganda remains low (~25%).8 We will use an innovative, single-session, football-basedintervention (“Make the Cut”) to promote voluntary medical male circumcision (VMMC) uptakein schoolboys.9 A small CRT of this intervention in Zimbabwean football teams showed anencouraging impact on uptake of circumcision (adjusted OR=9.16; 95%CI:0.88-95.1;p=0.06).We propose evaluating a locally-modified version of this intervention in 14-16 year-old boysattending the same classes as girls in the menstrual hygiene trial. This will enhance researchcost-effectiveness while deflecting criticisms of favouritism or stigmatisation of girls in the trial.This research will i) refine the interventions (menstrual hygiene education and providingdisposable pads; the “Make the Cut” VMMC promotion); ii) define the trial’s most suitabletarget school year group(s); assess school attendance and girls’ self-reported sanitary hygienepreferences, and boys’ circumcision prevalence in this setting; iii) develop closer links withstudy schools and sanitary pad manufacturers, and iv) validate self-administered vaginal swabcollection and laboratory test procedures.

经期卫生干预措施可提高女孩的入学率。1-3 一项系统回顾 4 确定了 7 项经期卫生教育干预研究；其中一项研究还包括提供月经杯，但总体上令人鼓舞。加纳的研究5报告称，与对照组相比，仅接受青春期教育的女孩和接受青春期教育加卫生巾的女孩在 5 个月后的出勤率提高了 10%。（例如使用树叶和抹布）可能会导致阴道内感染。4 女童上学与收入潜力、孕产妇和儿童生存率的提高以及艾滋病毒感染率的降低有关。6 这项针对乌干达女学生的研究将为整群随机试验 (CRT) 做准备青春期和经期卫生教育以及提供卫生巾对学校缺勤的影响。男性包皮环切术可降低男性感染艾滋病毒的风险，7但乌干达的包皮环切术流行率仍然很低(~25%).8 我们将采用创新的、单次的、基于足球的干预措施（“Make the Cut”）来促进男学生自愿进行男性包皮环切术 (VMMC)。9 这种干预措施在津巴布韦足球中的一个小型 CRT团队对包皮环切术的采用表现出令人鼓舞的影响（调整后 OR=9.16；95%CI：0.88-95.1；p=0.06）。我们建议评估该干预措施的本地修改版本是在 14-16 岁男孩中与女孩参加经期卫生试验，这将提高研究成本效益，同时转移对试验中对女孩偏袒或污名化的批评。这项研究将 i)完善干预措施（月经卫生教育和提供一次性卫生巾；“Make the Cut”VMMC 促销）； ii) 确定试验最合适的目标学年组；评估学校出勤率；女孩自我报告的卫生偏好和男孩在这种情况下的包皮环切率； iii) 与学习学校和卫生巾制造商建立更密切的联系，以及 iv) 验证自我管理的阴道拭子采集和实验室测试程序。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda.

DOI：
10.1371/journal.pone.0185929
发表时间：
2017
期刊：
PloS one
影响因子：
3.7
作者：
Miiro G;DeCelles J;Rutakumwa R;Nakiyingi-Miiro J;Muzira P;Ssembajjwe W;Musoke S;Gibson LJ;Hershow RB;Francis S;Torondel B;Ross DA;Weiss HA;MENISCUS project
通讯作者：
MENISCUS project

Menstrual health and school absenteeism among adolescent girls in Uganda (MENISCUS): a feasibility study.

DOI：
10.1186/s12905-017-0502-z
发表时间：
2018-01-03
期刊：
BMC women's health
影响因子：
0
作者：
Miiro G;Rutakumwa R;Nakiyingi-Miiro J;Nakuya K;Musoke S;Namakula J;Francis S;Torondel B;Gibson LJ;Ross DA;Weiss HA
通讯作者：
Weiss HA

Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda

以足球为基础推广自愿医疗男性包皮环切术：针对乌干达中学生的混合方法可行性研究