Role of Academic Institutions in Promoting Menstrual Hygiene Management among School Girls in Lofa County, Liberia. Evidence from a Mixed-method Survey in Senior High Schools in Voinjama City

This study explores the role of academic institutions in promoting menstrual hygiene management (MHM) among school girls in Lofa County, Liberia, focusing on senior high schools in Voinjama City. A mixed-method survey was conducted to assess knowledge, access to menstrual products, sanitation facilities, and the impact of MHM on school attendance. The findings reveal that 66.1% of respondents were informed about menstruation before their first period, with family being the primary source. While 70.4% of girls received menstrual health education in schools, a significant 29.6% did not, indicating the need for more inclusive programs. Regarding menstrual products, 71.8% of girls use disposable sanitary pads, though nearly half (47.7%) consider them unaffordable. The study also highlights deficiencies in school sanitation facilities, with only 42.1% of girls reporting access to clean and private facilities, and just 28.3% having proper disposal mechanisms for used products. Nearly half (47.9%) of the girls miss school due to menstruation, missing an average of 2.5 days per month. Qualitative findings emphasize the demand for sanitary pads and improved facilities, as well as the need for government intervention. The lack of formal MHM policies in schools, coupled with limited teacher training and resources, further complicates effective MHM. The study concludes that while some progress has been made, significant gaps remain, necessitating enhanced efforts from schools, government, and communities to ensure comprehensive MHM for all girls, ultimately improving their education and well-being.