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Papers by Nishisipa Panda

Research Square (Research Square), Apr 18, 2024

BMC women's health, Feb 26, 2024

Background Menstruation is a major physiological change in a woman's life, but lack of knowledge,... more Background Menstruation is a major physiological change in a woman's life, but lack of knowledge, poor practices, socio-cultural barriers, poor access to products and their improper disposal have significant consequences on health, dignity and well-being of women and adolescent girls. Objectives This study aimed to assess the knowledge and practices related to menstrual health and hygiene amongst females of 10-49 years of age; explore the experiences and challenges of women during menstruation; and identify the key predictors of healthy menstrual health and hygiene. Methods Using a cross-sectional study design, we adopted a mixed methods approach for data collection. For quantitative household survey, a total of 921 respondents were selected from three districts of Odisha. Qualitative findings through focus group discussions and in-depth interviews supplemented the survey findings and helped to identify the barriers affecting good menstrual practices. Epi data version 2.5 and R 4.2.2 was used for data entry and data analysis, respectively. Descriptive statistics was used to calculate proportion, mean and standard deviation; Chi square test was used to measure the association between categorical variables. Bivariate and multivariate logistics analyses were done to identify predictors of healthy menstrual health and hygiene. For qualitative data analysis, thematic analysis approach was adopted using software Atlas.ti 8. Results For 74.3% respondents, mothers were the primary source of information; about 61% respondents were using sanitary pad. The mean age at menarche was 12.9 years and almost 46% of respondents did not receive any information about menstruation before menarche. Lower age and education up to higher secondary level or above had statistically significant associations with the knowledge about menstruation. Age, caste, respondent's education, mother's education, sanitation facility, availability of water, accessibility and affordability for sanitary pads were found to be strongly associated with good menstrual hygiene practices.

Background- Menstruation is a major physiological change in a woman's life, but lack of knowl... more Background- Menstruation is a major physiological change in a woman's life, but lack of knowledge, poor practices, socio-cultural barriers, poor access to products and their improper disposal have significant consequences on health, dignity and well-being of women and adolescent girls. Objectives-This study aimed to assess the knowledge and practices related to menstrual health and hygiene amongst females of 10-49 years of age; explore the experiences and challenges of women during menstruation; and identify the key predictors of healthy menstrual health and hygiene. Methods- Using a cross-sectional study design, we adopted a mixed methods approach for data collection. For quantitative household survey, a total of 921 respondents were selected from three districts of Odisha. Qualitative findings through focus group discussions and in-depth interviews supplemented the survey findings and helped to identify the barriers affecting good menstrual practices. Epi data version 2.5 and ...

Frontiers in Public Health

BackgroundPoor menstrual hygiene management (MHM) is linked to adverse health, and quality of lif... more BackgroundPoor menstrual hygiene management (MHM) is linked to adverse health, and quality of life, particularly during emergencies. Although in recent times increased emphasis is being laid upon MHM during humanitarian crises—pandemics, disasters and conflicts, the essential components of complete MHM during an emergency are not clearly spelt out. We conducted a systematic review to examine, analyse and describe the existing evidence related to the challenges experienced by women and girls in practicing MHM during humanitarian crises and / or public health emergencies.MethodsWe followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 guidelines and registered in PROSPERO (CRD42022328636). We searched online repositories: PubMed, Embase, and PsycINFO for articles published between January 2000 and April 2022. For presenting key findings, we used the descriptive statistics and thematic analysis approach.ResultsWe identified a total of 1,078 published artic...

Clinical Epidemiology and Global Health

Introduction: Menstrual cup (MC) is the least popular alternative for Menstrual Hygiene Managemen... more Introduction: Menstrual cup (MC) is the least popular alternative for Menstrual Hygiene Management (MHM) among the reproductive age group women in India. While studies across the globe have shown its usefulness over the conventional sanitary pads, there is a dearth of studies on use and satisfaction status among the MC users from Low-and Middle-Income Countries. Our study intends to explore the experiences and challenges encountered by the MC users. Method: A qualitative explorative study among 26 MC users was carried out telephonically using an In-Depth Interview Guide (IDI). The interviews were audio-recorded followed by transcription and translation. Data were analysed using thematic analysis method. MAXQDA (VERBI Software, Berlin, Germany) software was used for analysis. Result: The age of participants ranged 25-37 years with a mean age of 29.6 (±0.91) years and their average duration of MC use was 2.4 (±0.34) years. MCs were found to be more economical, safe, convenient, and environment friendly compared to sanitary pads. The motivation to use MC was ingrained with the detrimental experiences of using sanitary pad. However, MC users had concerns about the lack of easy accessibility to cups, availability of appropriate size cup and support system for guidance and awareness. Conclusion: MC is an effective and convenient period product that has potential to be an alternate method for MHM. However, it needs more awareness, promotion for wider use leveraging existing platforms. Future research is recommended to study the socio-cultural aspect about the acceptability of MC in rural India.

Research Square (Research Square), Apr 18, 2024

BMC women's health, Feb 26, 2024

Background Menstruation is a major physiological change in a woman's life, but lack of knowledge,... more Background Menstruation is a major physiological change in a woman's life, but lack of knowledge, poor practices, socio-cultural barriers, poor access to products and their improper disposal have significant consequences on health, dignity and well-being of women and adolescent girls. Objectives This study aimed to assess the knowledge and practices related to menstrual health and hygiene amongst females of 10-49 years of age; explore the experiences and challenges of women during menstruation; and identify the key predictors of healthy menstrual health and hygiene. Methods Using a cross-sectional study design, we adopted a mixed methods approach for data collection. For quantitative household survey, a total of 921 respondents were selected from three districts of Odisha. Qualitative findings through focus group discussions and in-depth interviews supplemented the survey findings and helped to identify the barriers affecting good menstrual practices. Epi data version 2.5 and R 4.2.2 was used for data entry and data analysis, respectively. Descriptive statistics was used to calculate proportion, mean and standard deviation; Chi square test was used to measure the association between categorical variables. Bivariate and multivariate logistics analyses were done to identify predictors of healthy menstrual health and hygiene. For qualitative data analysis, thematic analysis approach was adopted using software Atlas.ti 8. Results For 74.3% respondents, mothers were the primary source of information; about 61% respondents were using sanitary pad. The mean age at menarche was 12.9 years and almost 46% of respondents did not receive any information about menstruation before menarche. Lower age and education up to higher secondary level or above had statistically significant associations with the knowledge about menstruation. Age, caste, respondent's education, mother's education, sanitation facility, availability of water, accessibility and affordability for sanitary pads were found to be strongly associated with good menstrual hygiene practices.

Background- Menstruation is a major physiological change in a woman's life, but lack of knowl... more Background- Menstruation is a major physiological change in a woman's life, but lack of knowledge, poor practices, socio-cultural barriers, poor access to products and their improper disposal have significant consequences on health, dignity and well-being of women and adolescent girls. Objectives-This study aimed to assess the knowledge and practices related to menstrual health and hygiene amongst females of 10-49 years of age; explore the experiences and challenges of women during menstruation; and identify the key predictors of healthy menstrual health and hygiene. Methods- Using a cross-sectional study design, we adopted a mixed methods approach for data collection. For quantitative household survey, a total of 921 respondents were selected from three districts of Odisha. Qualitative findings through focus group discussions and in-depth interviews supplemented the survey findings and helped to identify the barriers affecting good menstrual practices. Epi data version 2.5 and ...

Frontiers in Public Health

BackgroundPoor menstrual hygiene management (MHM) is linked to adverse health, and quality of lif... more BackgroundPoor menstrual hygiene management (MHM) is linked to adverse health, and quality of life, particularly during emergencies. Although in recent times increased emphasis is being laid upon MHM during humanitarian crises—pandemics, disasters and conflicts, the essential components of complete MHM during an emergency are not clearly spelt out. We conducted a systematic review to examine, analyse and describe the existing evidence related to the challenges experienced by women and girls in practicing MHM during humanitarian crises and / or public health emergencies.MethodsWe followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 guidelines and registered in PROSPERO (CRD42022328636). We searched online repositories: PubMed, Embase, and PsycINFO for articles published between January 2000 and April 2022. For presenting key findings, we used the descriptive statistics and thematic analysis approach.ResultsWe identified a total of 1,078 published artic...

Clinical Epidemiology and Global Health

Introduction: Menstrual cup (MC) is the least popular alternative for Menstrual Hygiene Managemen... more Introduction: Menstrual cup (MC) is the least popular alternative for Menstrual Hygiene Management (MHM) among the reproductive age group women in India. While studies across the globe have shown its usefulness over the conventional sanitary pads, there is a dearth of studies on use and satisfaction status among the MC users from Low-and Middle-Income Countries. Our study intends to explore the experiences and challenges encountered by the MC users. Method: A qualitative explorative study among 26 MC users was carried out telephonically using an In-Depth Interview Guide (IDI). The interviews were audio-recorded followed by transcription and translation. Data were analysed using thematic analysis method. MAXQDA (VERBI Software, Berlin, Germany) software was used for analysis. Result: The age of participants ranged 25-37 years with a mean age of 29.6 (±0.91) years and their average duration of MC use was 2.4 (±0.34) years. MCs were found to be more economical, safe, convenient, and environment friendly compared to sanitary pads. The motivation to use MC was ingrained with the detrimental experiences of using sanitary pad. However, MC users had concerns about the lack of easy accessibility to cups, availability of appropriate size cup and support system for guidance and awareness. Conclusion: MC is an effective and convenient period product that has potential to be an alternate method for MHM. However, it needs more awareness, promotion for wider use leveraging existing platforms. Future research is recommended to study the socio-cultural aspect about the acceptability of MC in rural India.