Knowledge, Attitude, Practice and its associated factors on menstrual hygiene among high school students of North Wollo Zone, Ethiopia, 2019: A cross-sectional study

Knowledge, Attitude, Practice and its associated factors on menstrual hygiene among high school students of North Wollo Zone, Ethiopia, 2019: A cross-sectional study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Help Center Sign In Submit a Preprint Cite Share Download PDF Research article Knowledge, Attitude, Practice and its associated factors on menstrual hygiene among high school students of North Wollo Zone, Ethiopia, 2019: A cross-sectional study Getnet Gedefaw, Fentanesh Endalew, Bitewsh Azmeraw, Bethelhem Walelign, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.2.14907/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Introduction Menstruation is the physiologic manifestation of cyclic uterine bleeding due to shedding and proliferation of the endometrium following invisible action and interplay of hormones mainly through the hypothalamus-pituitary-ovarian axis. Lack of proper menstrual hygiene predisposes women to different infectious and chronic obstetric and gynecological problems. Therefore, this study aimed to assess knowledge, attitude, practice and its associated factors of menstrual hygiene among high school students in North Wollo Zone, Woldia, Ethiopia. Methods A Facility based cross-sectional study was implemented from October 1-December 10, 2018. The data was collected using structured, pretested questioners among female high school students. Systematic random sampling technique was implemented. Data was entered and analyzed through Epi data 3.1 and SPSS respectively. Results This study revealed that 365(89.2%), 200(48.9%) and 196(47.9%) of the study participants have good knowledge, good practice and good attitude about menstrual hygiene respectively. Being grade 10 students [AOR=3.96, 95% CI =2.0-7.8], and having good practice of menstrual hygiene (AOR=2.52, 95% CI= 1.26-5) had positive association with menstrual hygiene knowledge. Maternal education level (AOR=1.86, 95% CI=1.18-2.9), being grade 10 students (AOR =2.3, 95% CI=1.48-3.56) were associated factors for practicing menstrual hygiene. Being grade 10 students (AOR=1.9, 95% CI=1.2-2.8), age ≥18 years (AOR=1.67, 95% CI=1.09-2.55) were statistically and positively associated with the attitude of menstrual hygiene. Conclusion This study revealed that the knowledge of the study participants towards menstrual hygiene was high whereas attitude and practice regarding menstrual hygiene was low. Being grade 10 students and having good practice were the associated factors of knowledge. Higher level maternal of education, being grade 10 students and having good knowledge towards menstrual hygiene were the identified associated factors for practicing of menstrual hygiene. Being grade 10 students and age ≥18 were statistically and positively associated with the attitude of menstrual hygiene. Therefore, creating awareness to reproductive health groups, educating their families and parents can change their poor practicing and attitude of menstrual hygiene. Maternal & Fetal Medicine Menstrual hygiene knowledge high school students Ethiopia Introduction Menstrual hygiene is personal hygiene during menstrual flow. It includes bathing once a day, changing clothes regularly, and changing pads at least two- four times per day (1, 2). In developing country menstrual hygiene is a problem for adolescent girls, particularly when attending schools (3). During menstruation, girls have been facing both practical and strategic gender problems. These have negative impacts for their personal lives and development opportunities: absent from their work and mobility, increased stress, early marriage, early and premature childbirth, and higher infant mortality, obstetric fistula, complicated labor and potential vaginal and uterine infections resulting in the worst condition in infertility (4). Reproductive age women who had not well hygienic practices are also prone to infertility. The management of menstruation presents significant challenges for women in lower income countries like Ethiopia. The effect of poor menstrual hygiene management, however, remains unclear even though menstrual hygiene management can affect the reproductive tract with unclear route of transmission (5). Menstrual hygiene is an issue that is insufficiently acknowledged and has not received adequate attention in the reproductive health as well as water, sanitation, and hygiene (WASH) sectors in developing countries (6, 7). Giving health education for adolescent girls helps to develop the knowledge of adult’s menstrual hygiene through their life. Menstrual hygiene is an issue that every woman of reproductive age is faced with in Ethiopia (8). Lack of knowledge and poor personal hygienic practices during menstruation can lead to various gynecological problems in the reproductive life of girls. Therefore to manage menstrual complications, essential reproductive health services and youth friendly services should be well addressed including access to water and sanitation (9, 10). There is also a need for both men and women to have a greater awareness of good menstrual hygiene practices (11). Menstrual hygiene is one of the reproductive health components which are not addressed in Ethiopia. This study critically addresses an issue that faces every woman in every society in the world with the aim of providing viable information for managing menstrual hygiene in girls and women. Studies are too limited in Ethiopia regarding knowledge, practice, and attitude towards menstrual hygiene. Therefore, this study helps to identify gaps relevant to attitude, practices, environmental, social and health factors and challenges of menstrual hygiene among high school students. Methods Study setting Woldia is the capital city of North Wollo zone, Amhara region which is situated 521 km from Addis Ababa, the capital city of Ethiopia. Woldia town has a total population of 75,496 with 38,167 male and 37,279 female in 2008. Woldia town has one preparatory school and three high schools (selam, millinium, and woldia general high school). The town has four rural and three urban kebelle. In these high schools, there are about 7,027 (3217 in Woldia high school, 1500 in Wergiesa high school and 2310) in Mekiet high school. Study design An institution-based cross-sectional study was implemented from October 1- December 10, 2018 Source population All female students in the selected North wollo high schools Study population Female students who have had menarche in selected high schools during the data collection time were included Sample size determination and sampling procedure The sample size was determined by using Epi info 7software Stat Cal with the assumptions of single population proportion formula. The actual sample size is calculated using single population proportion formula. d 2 (0.05) 2 Where: - n = minimum sample size required for the study Z = standard normal distribution (Z = 1.96) with confidence interval of 95% P = knowledge of girls on menstrual hygiene in Ethiopia (p = 51.36%) [17]. d = is a tolerable margin of error (d = 0.05) The final sample size was come up by adding a non-response rate of 10% to the sample size from 384. Therefore, the final sample size for this study was 423. The systematic random sampling technique was applied. The study was carried out among high school students in North Wollo Zone, Amhara Region. North Wollo zone has a total of fifteen Woredas. We have been selected high schools by using a proportional sample allocation system. Among the fifteen woredas, three of them were selected by using the lottery method. These are Woldia, Mekiet and Habru woredas. Accordingly, we selected high schools in the respective woredas. Therefore, from Woldia town; Woldia high school, Millinium high school and Selam high school were conveniently selected. Filakit and Wurgesa high schools were randomly selected from Mekiet and Habru woreda respectively. Out of these five selected high schools, we have selected our study participants every k (3389/423 = 8) unit by allocating the sample proportionally. The total female students in the selected high schools in North wollo zone were 3436. 423 high school students were selected by systematic random sampling technique with a proportional allocation of the sample in each selected high schools of North wollo zone. Data Collection tools The data were collected using structured, pretested questioners from the selected female students, using a questionnaire adapted from relevant literature of similar studies. The questionnaires consists of basic socio-demographic characteristics, knowledge on menstrual hygiene, attitude on menstrual hygiene, and practice of menstrual hygiene Operational definition Menstrual hygiene: personal hygiene during menstrual flow includes bathing once a day, changing clothes regularly, and changing pads at least two- four times per day. Knowledge: To measure the respondent’s knowledge of menstrual hygiene, there are 14 questions with the coding of 1 for correct and 0 for incorrect or don’t know. Good Knowledge: Study participants who scored below the mean score of the respondents Poor knowledge: Study participants who scored below the mean score of the respondents Practice: The measurement of practice of menstrual hygiene focus on the use of material during menstruation there are10 questions regarding menstrual hygiene practice and coding is similar to the knowledge questions. Good Practice: Study participants who scored the mean score of the respondents Poor practice: Study participants who scored below the mean score of the respondents Attitude: The measurement of attitude towards menstruation and its hygiene there are10 questions regarding attitude of menstrual hygiene and coding is similar to the knowledge questions. Good attitude: Study participants who scored the mean score of the respondents Poor attitude: Study participants who scored below the mean score of the respondents Data processing and analysis Completeness of the questionnaire was rechecked then the data were coded, entered and analyzed using Epi Data3.1 and SPSS Version 23 respectively.Bivariate logistic regression analysis was done after dichotomizing the dependent variables with coding ’1’ for good and ’0’ for poor. After checking associations of the variables in the bivariate model, those variables with p<0.2 were a candidate to multivariable logistic regression analysis so as to control confounding factors in the association. Finally, P-value of < 0.05 was used to declare the statistical significance of the variables. Results Socio-demographic factors of the study participants Among 423 of the study participants, 409 of them have provided valuable information with a response rate of 96.7%. The mean age of the study participants was 16.4 years (ranged from 14– 20 years) with SD of ± 1.5 years. Regarding the age of the study participants, more than half of them 211(51.6%) was within the range of 16–17years. More than half of the study participants, 213(52.1%) of them were grade 10 students (table 1). Knowledge on menstrual hygiene Out of 409 study participants, 365(89.2%) of them had good knowledge about menstruation and its hygiene. About 361(88.3%) of the participants reported that poor hygiene during menstruation may cause diseases and 298(72.9%) of them reported that having good hygiene during menstruation may reduce diseases concurrence due to poor hygiene during menstruation (table 2). Practice on menstrual hygiene From the total study participants, 200(48.9%) of them had good menstruation hygiene practice. Nearly all of the respondents 356(87%) of them had reported that the type of absorbent that they have been used during menstruation was sanitary pad (table 3). Attitude on menstrual hygiene Among 409 study participants, 196(47.9%) of them had good attitude about menstrual hygiene. Among the total respondents, 354(86.6%) of them had reported that menstruation is good for health and 207(50.6%) of them considered that menstrual blood is waste and contaminated (table 4). Factors associated with knowledge on menstrual hygiene There were three explanatory variables in a bivariate analysis which had p<0.2: grade level, fathers’ level of occupation, and practice of the participants. In the multivariable analysis: students grade level and practice of the students were statistically associated with menstrual hygiene knowledge (p<0.05) via backward stepwise regression. Girls who were grade 10 student’s had 3.96 times more likely to have good knowledge as compared to girls who were grade 9 students [AOR = 3.96, 95%CI = 2 –7.8]. Students who had good menstrual practice had 2.52 times more likely to have good knowledge on menstrual hygiene as compared to those who had poor practice on menstrual hygiene (AOR = 2.52, 95% = CI (1.26–5) (table 3) Factors associated with practice on menstrual hygiene There were three explanatory variables in a bivariate analysis which had p-<0.2: grade level, mother’s level of education, and knowledge participants. In the multivariable analysis: students grade level, higher level of maternal education and knowledge of the students were significantly associated (p<0.05) using backward stepwise regression Girls who had good knowledge on menstrual hygiene have 3.74 more likely good practices on menstrual hygiene as compared to Girls who had poor knowledge on menstrual hygiene (AOR = 3.74,95% CI(1.18–7.7). Respondents whose mothers level of education is secondary and above had 1.86 more likely good practice as compared with those whose mothers level of education is elementary and no formal education(AOR = 1.86,95%CI(1.18–2.9) Being a grade 10 students had 2.3 more likely had good practice on menstrual hygiene as compared to grade 9 students(AOR = 2.3, 95%CI(1.48–3.56)(table 3). Factors associated with attitude on menstrual hygiene There were two explanatory variables in the bivariate analysis which had p-<0.2: grade level, and age of the participants. In the multivariable analysis: students grade level and age of the students were statistically associated (p<0.05) through backward stepwise regression Grade 10 respondents 1.9 more likely good attitude on menstrual hygiene as compared with grade 9 respondents (AOR = 1.9, 95% CI (1.2–2.8). Students whose age was > = 18 had 1.67 more likely good attitude on menstrual hygiene as compared with 13–14 and 16–17 age group respondents(AOR = 1.67(1.09–2.55) (tab Discussion This study revealed that 89.2 %, 48.9% and 47.9% of study participants had good knowledge, good practice and good attitude with 95% CI (86.1–92.2), 95% CI (44.3–53.5) and 95% CI 42.6–53.3) respectively. Regarding the knowledge of menstruation, this study finding is in line with the study done in America (15). The possible reason may be due to both the study was conducted in high school students. This study finding is higher than the study conducted in Ethiopia (Nekemte), Nigeria; Ethiopia (Amhara), India and Saudi Arabia (14, 3, 13, 12 17). This could be due to the number of study participants and the study site in each study. Regarding the practice of menstruation, the finding of this study is higher than the study done in Ethiopia (Wogera), and Nigeria (2, 3). The discrepancy might be due to this study only incorporates secondary school students, unlike other studies. The finding of this study is also lower than the study conducted in America (15). This might be due to the fact that in developing countries there is low reproductive health coverage than developed countries and also the socioeconomic capacity of the developing countries has a direct impact on the utilization of reproductive health services. This study finding is higher than the study implemented in western Iran (16). This could be due to the report from Iran showed that the study is done in all school girls. Regarding the attitude of menstruation, this study finding is lower than the study implemented in western Iran. This could be due to in this study the sample size as small as compared to the study done in western Iran (16). Good knowledge is one of the associated risk factor for menstrual hygiene practice. A similar finding is reported in Gondar (13). This could be due to the fact that being knowledgeable has a direct impact to practice menstrual hygiene management. Being a grade 10 student is another important associated risk factor for menstrual hygiene practice. This is because when students are learning more about menstruation and its hygiene they can easily understand the future risk and complications of poor practicing of menstrual hygiene management. Good practicing of menstrual hygiene was associated with the knowledge of menstrual hygiene. This might be due to the fact that when students having good menstrual hygiene practice they have good menstrual knowledge before. Being a grade 10 student is another important associated risk factor for knowledge of menstrual hygiene. This might be due to the fact that grade 10 students’ may have learned more about menstrual hygiene and they may have more exposure to some reproductive and youth friendly services that makes aware them about menstrual hygiene in their schools. The age of the students within the range of above 18 is associated with the attitude of menstrual hygiene. This could be due to the fact that when their age increases their exposure to reliable information about menstrual hygiene practice is also increasing and when they have found correct information about menstrual hygiene they may have a positive attitude towards menstrual hygiene. A grade 10 student and age>18are associated factor for the attitude of menstrual hygiene. This is due to the fact that as the age and their grade level increases, the mentality is also increased and exposure to information about menstrual hygiene is also increased. Conclusions This study revealed that the knowledge of the study participants towards menstrual hygiene was high whereas attitude and practice regarding menstrual hygiene was low. Being grade 10 students and having good practice were the associated factors of knowledge. Higher level maternal of education, being grade 10 students and having good knowledge towards menstrual hygiene were the identified associated factors for implementing of menstrual hygiene practice. Being grade 10 students and age ≥18 were statistically positively associated with attitude of menstrual hygiene. Therefore, creating awareness to reproductive health groups, educating their families and parents can change their poor practicing and attitude of menstrual hygiene. Abbreviations AOR: Adjusted odd ratio, COR: Crude odd ratio, CI: Confidence interval. Declarations Acknowledgment The authors would like to thank the data collectors and supervisors for their invaluable and timely fashion work. The author’s deep gratitude also goes to the study participants, school directors, supervisors and unit leaders who were volunteered and took their time to give us all the relevant information for the study. Funding Not applicable Availability of data and materials All related data has been presented within the manuscript. The data set supporting material is available from the authors on request. Author’s Contributions FE, ES, BW, and AZ have initiated the research, wrote the research proposal, conducted the field work, supervised data entry, analyzed the data and wrote the manuscript. GG and FE participated in refining the research proposal, analyzed the data and wrote the report. All authors read and approved the final manuscript. Ethics approval and consent to participate Ethical clearance was obtained from Woldia University Institutional Review Board. Permission letter was also obtained from school administration office. School directors, unit leaders, participants, school child parents/ guardians and school supervisors were briefed about the study objectives, expected outcomes, benefits and risks associated with the study. Written and informed consent was obtained from the partner or legal guardians for those school children aged less than 18 years. Moreover, data collectors went to home to take written consent for those students whose age group is less than 18 by briefing the importance and the objective of the study for their family after selecting students via class attendance sheet. Besides, assent was secured from participants aged below 18 years. School children whose aged 18 years and above provided by written consent on their own. Confidentiality and privacy of participants were secured. Consent for publication Not applicable. Competing interest The authors declared that they have no competing interests. Funding Woldia University References Warenius L, Pettersson KO, Nissen E, Hojer B, Chishimba P, Faxelid E. Vulnerability and sexual and reproductive health among Zambian secondary school students. Culture, health & sexuality. 2007 Sep-Oct;9(5):533–44. PubMed PMID: 17687677. Epub 2007/08/10. eng. 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Tables Table1: Socio-demographic characteristics of menstrual hygiene among high school female students in North Wollo Zone, North East Ethiopia, 2019 Characteristics Frequency Percent Grade of students Grade 9 Grade 10 196 213 47.9 52.1 Age of students 14-15 16-17 ≥18 109 211 89 26.7 51.6 21.8 Educational level of the father No formal education Elementary Secondary and above 72 122 215 17.6 29.8 52.6 Educational level mother No formal education Elementary Secondary and above 91 152 166 22.2 37.2 40.6 Occupation of father Farmer Merchant Employee 179 43 187 43.8 10.5 45.7 Occupation of mother Housewife Merchant Employee 224 59 126 54.8 14.4 30.8 Monthly income in ETB <500 500-1000 1001-2000 2001-3000 ≥3000 96 33 41 43 196 23.5 8.1 10.0 10.5 47.9 Table 2: Knowledge, Attitude and practice on menstrual hygiene among high school female students in North Wollo Zone, North East Ethiopia, 2019 Characteristics of knowledge Frequency (n=409) Percent (%) Do you think menstrual blood is waste? Yes No 220 189 53.8 46.2 What is the cause of menstruation? Hormone God punishment Age Disease Others 113 169 116 3 8 27.6 41.3 28.4 0.7 2 Is sexual intercourse allowed during pregnancy? Yes No 46 363 10.5 89.5 Is there menstrual bleeding during pregnancy? Yes No 42 357 12.8 87.3 What is the age in years at menarche? 10-12 13-15 16-18 138 239 32 33.7 58.4 7.8 Length of normal menstrual cycle 35 55 350 4 13.5 85.5 1.0 Duration of normal menstrual bleeding 5days 62 312 35 15.2 76.3 8.6 Have you ever heard about menstruation before? Yes No 347 62 84.8 15.2 What is the source of information? Mother Teacher Friends Books Sister Mass media Others 131 36 83 12 69 3 13 37.7 10.4 23.9 3.5 19.9 0.9 3.7 Do you think poor hygiene can cause disease Yes No 361 48 88.3 11.8 Knowledge on menstrual hygiene Good knowledge Poor knowledge 365 44 89.2 10.8 Characteristics of Practice (n=409) Type of absorbent material used Sanitary pad Homemade pad Soft Others 356 34 13 6 87.0 8.3 3.2 1.5 Frequency of changing pant Once Twice Three times and above I don’t change Where do you dispose you pant Solid waste container In the pipe Toilet Field 85 196 108 20 20.8 47.9 26.4 4.9 136 25 226 22 33.3 6.1 55.3 5.4 Practice on menstrual hygiene Good practice Poor practice 200 209 48.9 51.1 Characteristics of Attitude (n= 409) Is menstruation good for health? Yes No 354 55 86.6 13.4 Do you think menstrual blood is waste? Yes No 85 324 20.8 59.4 What is the reaction that you face at first menstruation? Happiness Fear Pain Disturbance Others 31 137 102 126 13 7.6 33.5 24.9 30.8 3.2 Do you think that you will experience restriction during menstruation? Yes No 64 345 15.6 84.4 From what do you will be restricted? Celebration Certain foods Work Praying 12 5 17 30 9.4 7.8 26.6 64.9 Attitude on menstruation Good attitude Poor attitude 196 213 47.9 52.1 Table 3:- shows the bivariate and multivariable association of knowledge, attitude and practice on menstrual hygiene among high school female students in North Wollo Zone, North East Ethiopia, 2019. Characteristics of knowledge Knowledge on menstrual hygiene COR(95%CI) AOR(95%CI) Good Poor Grade level Grade 9 Grade 10 248(68) 117(32%) 15(34%) 29(66%) 1 4.1(2.1-.7.9) 1 3.96(2-7.8)** Practice on menstrual hygiene Poor Good 170(46.6%) 195(53.4%) 30(68.2%) 14(31.8%) 1 2.5(1.3-4.77) 1 2.52(1.26 -5)** Father’s occupation Farmer Merchant Governmental Employee 23(52) 1(2.2) 20(44.4) 150(41) 60(16.4) 155(42.5) 1 0.842(0.444-1.596) 7.742(1.16-58.96) 1 1(0.5-1.9) 6.9(0.8-53.4) Characteristics of attitude Attitude on menstrual hygiene COR(95%CI) AOR(95%CI) Poor Good Grade level Grade 9 Grade 10 106(49.8%) 107(50.2%) 131(66.8%) 65(33.2%) 1 2.034(1.363-3.037) 1 1.906(1.268-2.865) ** Age of students 14-15 16-17 ≥18 18(8.5%) 97(45.5%) 98(46%) 27(13.8%) 107(45.6%) 62(31.6%) 1 2.37(1.206-4.66) 1.744(1.14-2.65) 1 2.02(1.01-4.030 1.671(1.09-2.55)** Characteristics of practice Practice on menstrual hygiene COR(95%CI) AOR(95%CI) Poor Good Maternal education No formal education Elementary Secondary and above 37(17.7%) 77(36.8%) 95(45.5%) 44(22%) 92(46%) 64(32%) 1 1.76(1.02-3.09) 1.77(1.14-2.74) 1 1.75(1.007-3.07) 1.86(1.18-2.9)* Grade level Grade 9 Grade 10 117(56%) 92(44%) 39(69.5%) 61(30.5%) 1 1.792(1.193-269) 1 2.3(1.48-3.56)** Knowledge of the participants on menstrual hygiene Poor Good 13(6.2%) 196(93.8% 31(15.5%) 169(84.5% 1 2.7(1.4-5.45) 1 3.74(1.8-7.7)** * *=p<0.05 , s ignificance Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About In Review Editorial Policies Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-5578","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research article","associatedPublications":[],"authors":[{"id":161462,"identity":"0d3dd588-5966-42ba-b525-692871353648","order_by":1,"name":"Getnet Gedefaw","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA7UlEQVRIiWNgGAWjYHACA4YKMM18AEhIyBCn5QyIYmNLAGnhIUULjwGIIqxF3r1544MDNYft+uV7Pr+6UWPBw8B++OgGfFoMzxwrNjhw7HDyzDbebdY5x4AO40lLu4FXy4wcM+kPbLeTDY7xbjPOYQNqkeAxw69l/hvzHwf+3U62P8bzzDjnHxFa5IEKGA623bYzYONhfpzbRoQWA560YomDff8TJI6lmTHn9knwsBHyi3z74Y0fDnxLs+dvPvz4c863Ojl+9sPH8NtyAEInNgBjRgLEYsOnHGxLA4S2B2LmD4RUj4JRMApGwcgEACWaS9E/+1l2AAAAAElFTkSuQmCC","orcid":"https://orcid.org/0000-0003-4906-2555","institution":"Woldia University","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Getnet","middleName":"","lastName":"Gedefaw","suffix":""},{"id":161463,"identity":"256687ff-d4ce-4f78-83c4-be463683a15f","order_by":2,"name":"Fentanesh Endalew","email":"","orcid":"","institution":"Woldia University","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Fentanesh","middleName":"","lastName":"Endalew","suffix":""},{"id":161464,"identity":"bad05d93-70b0-49bd-97ed-105b55769c03","order_by":3,"name":"Bitewsh Azmeraw","email":"","orcid":"","institution":"Woldia University","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Bitewsh","middleName":"","lastName":"Azmeraw","suffix":""},{"id":161465,"identity":"b8a93dee-be0e-4fa3-9799-5c1ea9bbbd1c","order_by":4,"name":"Bethelhem Walelign","email":"","orcid":"","institution":"Woldia University","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Bethelhem","middleName":"","lastName":"Walelign","suffix":""},{"id":161466,"identity":"987f6a47-6fbc-4c28-ade1-674bdb03fc9b","order_by":5,"name":"Eyob Shitie","email":"","orcid":"","institution":"Woldia University","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Eyob","middleName":"","lastName":"Shitie","suffix":""}],"badges":[],"createdAt":"2019-09-19 14:28:56","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.2.14907/v1","doiUrl":"https://doi.org/10.21203/rs.2.14907/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":13474357,"identity":"c4da75bb-048d-4c31-bee0-9323b72214cd","added_by":"auto","created_at":"2021-09-16 21:22:12","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":422845,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-5578/v1/d0001634-289c-4901-8241-776bc43d472f.pdf"}],"financialInterests":"","formattedTitle":"Knowledge, Attitude, Practice and its associated factors on menstrual hygiene among high school students of North Wollo Zone, Ethiopia, 2019: A cross-sectional study","fulltext":[{"header":"Introduction","content":"\u003cp\u003eMenstrual hygiene is personal hygiene during menstrual flow. It includes bathing once a day, changing clothes regularly, and changing pads at least two- four times per day (1, 2). In developing country menstrual hygiene is a problem for adolescent girls, particularly when attending schools (3). During menstruation, girls have been facing both practical and strategic gender problems. These have negative impacts for their personal lives and development opportunities: absent from their work and mobility, increased stress, early marriage, early and premature childbirth, and higher infant mortality, obstetric fistula, complicated labor and potential vaginal and uterine infections resulting in the worst condition in infertility (4).\u003c/p\u003e\n\n\u003cp\u003eReproductive age women who had not well hygienic practices are also prone to infertility. The management of menstruation presents significant challenges for women in lower income countries like Ethiopia. The effect of poor menstrual hygiene management, however, remains unclear even though menstrual hygiene management can affect the reproductive tract with unclear route of transmission (5).\u003c/p\u003e\n\u003cp\u003eMenstrual hygiene is an issue that is insufficiently acknowledged and has not received adequate attention in the reproductive health as well as water, sanitation, and hygiene (WASH) sectors in developing countries (6, 7). Giving health education for adolescent girls helps to develop the knowledge of adult’s menstrual hygiene through their life. Menstrual hygiene is an issue that every woman of reproductive age is faced with in Ethiopia (8). Lack of knowledge and poor personal hygienic practices during menstruation can lead to various gynecological problems in the reproductive life of girls. Therefore to manage menstrual complications, essential reproductive health services and youth friendly services should be well addressed including access to water and sanitation (9, 10). There is also a need for both men and women to have a greater awareness of good menstrual hygiene practices (11). Menstrual hygiene is one of the reproductive health components which are not addressed in Ethiopia. This study critically addresses an issue that faces every woman in every society in the world with the aim of providing viable information for managing menstrual hygiene in girls and women. Studies are too limited in Ethiopia regarding knowledge, practice, and attitude towards menstrual hygiene. Therefore, this study helps to identify gaps relevant to attitude, practices, environmental, social and health factors and challenges of menstrual hygiene among high school students.\u003c/p\u003e"},{"header":"Methods","content":"\u003ch2 data-xsweet-outline-level=\"1\"\u003eStudy setting\u003c/h2\u003e\n\u003cp\u003eWoldia is the capital city of North Wollo zone, Amhara region which is situated 521 km from Addis Ababa, the capital city of Ethiopia. Woldia town has a total population of 75,496 with 38,167 male and 37,279 female in 2008. Woldia town has one preparatory school and three high schools (selam, millinium, and woldia general high school). The town has four rural and three urban kebelle. In these high schools, there are about 7,027 (3217 in Woldia high school, 1500 in Wergiesa high school and 2310) in Mekiet high school.\u003c/p\u003e\n\u003ch2 data-xsweet-outline-level=\"1\"\u003eStudy design\u003c/h2\u003e\n\u003cp\u003eAn institution-based cross-sectional study was implemented from October 1- December 10, 2018\u003c/p\u003e\n\u003ch2\u003eSource population\u003c/h2\u003e\n\u003cp\u003eAll female students in the selected North wollo high schools\u003c/p\u003e\n\u003ch2\u003eStudy population\u003c/h2\u003e\n\u003cp\u003eFemale students who have had menarche in selected high schools during the data collection time were included\u003c/p\u003e\n\u003ch2 data-xsweet-outline-level=\"1\"\u003eSample size determination and sampling procedure\u003c/h2\u003e\n\u003cp\u003eThe sample size was determined by using Epi info 7software Stat Cal with the assumptions of single population proportion formula.\u003c/p\u003e\n\u003cp\u003eThe actual sample size is calculated using single population proportion formula.\u003c/p\u003e\n\u003cp\u003e\u003cimg 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alt=\"\" width=\"479\" height=\"76\" /\u003e\u003c/p\u003e\n\u003ch3\u003ed\u003csup\u003e2\u003c/sup\u003e (0.05)\u003csup\u003e2\u003c/sup\u003e\u003c/h3\u003e\n\u003cp\u003e\u003cem\u003e\u003cem\u003eWhere: - \u003c/em\u003en = \u003c/em\u003eminimum sample size required for the study\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eZ = \u003c/em\u003estandard normal distribution (Z = 1.96) with confidence interval of 95%\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eP = \u003c/em\u003eknowledge of girls on menstrual hygiene in Ethiopia (p = 51.36%)\u003cem\u003e[17].\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003ed = \u003c/em\u003eis a tolerable margin of error (d = 0.05)\u003c/p\u003e\n\u003cp\u003eThe final sample size was come up by adding a non-response rate of 10% to the sample size from 384. Therefore, the final sample size for this study was \u003cem\u003e423.\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe systematic random sampling technique was applied. The study was carried out among high school students in North Wollo Zone, Amhara Region.\u003c/p\u003e\n\u003cp\u003eNorth Wollo zone has a total of fifteen Woredas. We have been selected high schools by using a proportional sample allocation system. Among the fifteen woredas, three of them were selected by using the lottery method. These are Woldia, Mekiet and Habru woredas. Accordingly, we selected high schools in the respective woredas. Therefore, from Woldia town; Woldia high school, Millinium high school and Selam high school were conveniently selected. Filakit and Wurgesa high schools were randomly selected from Mekiet and Habru woreda respectively. Out of these five selected high schools, we have selected our study participants every k (3389/423 = 8) unit by allocating the sample proportionally. The total female students in the selected high schools in North wollo zone were 3436. 423 high school students were selected by systematic random sampling technique with a proportional allocation of the sample in each selected high schools of North wollo zone.\u003c/p\u003e\n\u003ch2 data-xsweet-outline-level=\"1\"\u003eData Collection tools\u003c/h2\u003e\n\u003cp\u003eThe data were collected using structured, pretested questioners from the selected female students, using a questionnaire adapted from relevant literature of similar studies. The questionnaires consists of basic socio-demographic characteristics, knowledge on menstrual hygiene, attitude on menstrual hygiene, and practice of menstrual hygiene\u003c/p\u003e\n\u003ch2\u003eOperational definition\u003c/h2\u003e\n\u003cp\u003e\u003cem\u003eMenstrual hygiene:\u003c/em\u003e personal hygiene during menstrual flow includes bathing once a day, changing clothes regularly, and changing pads at least two- four times per day.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eKnowledge: \u003c/em\u003eTo measure the respondent’s knowledge of menstrual hygiene, there are 14 questions with the coding of 1 for correct and 0 for incorrect or don’t know.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eGood Knowledge:\u003c/em\u003e Study participants who scored below the mean score of the respondents\u003c/p\u003e\n\u003cp\u003e\u003cem\u003ePoor knowledge: \u003c/em\u003e Study participants who scored below the mean score of the respondents\u003c/p\u003e\n\u003cp\u003e\u003cem\u003ePractice: \u003c/em\u003eThe measurement of practice of menstrual hygiene focus on the use of material during menstruation there are10 questions regarding menstrual hygiene practice and coding is similar to the knowledge questions.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eGood Practice:\u003c/em\u003e Study participants who scored the mean score of the respondents\u003c/p\u003e\n\u003cp\u003e\u003cem\u003ePoor practice: \u003c/em\u003e Study participants who scored below the mean score of the respondents\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eAttitude: \u003c/em\u003eThe measurement of attitude towards menstruation and its hygiene there are10 questions regarding attitude of menstrual hygiene and coding is similar to the knowledge questions.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eGood attitude: \u003c/em\u003eStudy participants who scored the mean score of the respondents\u003c/p\u003e\n\u003cp\u003e\u003cem\u003ePoor attitude: \u003c/em\u003eStudy participants who scored below the mean score of the respondents\u003c/p\u003e\n\u003ch2 data-xsweet-outline-level=\"1\"\u003eData processing and analysis\u003c/h2\u003e\n\u003cp\u003eCompleteness of the questionnaire was rechecked then the data were coded, entered and analyzed using Epi Data3.1 and SPSS Version 23 respectively.Bivariate logistic regression analysis was done after dichotomizing the dependent variables with coding \u003cem\u003e’1’\u003c/em\u003efor good and \u003cem\u003e’0’ \u003c/em\u003efor poor. After checking associations of the variables in the bivariate model, those variables with \u003cem\u003ep\u0026lt;0.2 \u003c/em\u003ewere a candidate to multivariable logistic regression analysis so as to control confounding factors in the association. Finally, P-value of \u003cem\u003e\u0026lt; 0.05 \u003c/em\u003ewas used to declare the statistical significance of the variables.\u003c/p\u003e\n"},{"header":"Results","content":"\u003ch2 data-xsweet-outline-level=\"1\"\u003eSocio-demographic factors of the study participants\u003c/h2\u003e\n\n\u003cp\u003eAmong 423 of the study participants, 409 of them have provided valuable information with a response rate of 96.7%. The mean age of the study participants was 16.4 years (ranged from 14– 20 years) with SD of ± 1.5 years. Regarding the age of the study participants, more than half of them 211(51.6%) was within the range of 16–17years. More than half of the study participants, 213(52.1%) of them were grade 10 students (table 1).\u003c/p\u003e\n\u003ch2\u003eKnowledge on menstrual hygiene\u003c/h2\u003e\n\u003cp\u003eOut of 409 study participants, 365(89.2%) of them had good knowledge about menstruation and its hygiene. About 361(88.3%) of the participants reported that poor hygiene during menstruation may cause diseases and 298(72.9%) of them reported that having good hygiene during menstruation may reduce diseases concurrence due to poor hygiene during menstruation (table 2).\u003c/p\u003e\n\u003ch2 data-xsweet-outline-level=\"1\"\u003ePractice on menstrual hygiene\u003c/h2\u003e\n\u003cp\u003eFrom the total study participants, 200(48.9%) of them had good menstruation hygiene practice. Nearly all of the respondents 356(87%) of them had reported that the type of absorbent that they have been used during menstruation was sanitary pad (table 3).\u003c/p\u003e\n\u003ch2 data-xsweet-outline-level=\"1\"\u003eAttitude on menstrual hygiene\u003c/h2\u003e\n\u003cp\u003eAmong 409 study participants, 196(47.9%) of them had good attitude about menstrual hygiene. Among the total respondents, 354(86.6%) of them had reported that menstruation is good for health and 207(50.6%) of them considered that menstrual blood is waste and contaminated (table 4).\u003c/p\u003e\n\u003ch2 data-xsweet-outline-level=\"1\"\u003eFactors associated with knowledge on menstrual hygiene\u003c/h2\u003e\n\u003cp\u003eThere were three explanatory variables in a bivariate analysis which had \u003cem\u003ep\u0026lt;0.2:\u003c/em\u003e grade level, fathers’ level of occupation, and practice of the participants.\u003c/p\u003e\n\u003cp\u003eIn the multivariable analysis: students grade level and practice of the students were statistically associated with menstrual hygiene knowledge \u003cem\u003e(p\u0026lt;0.05)\u003c/em\u003e via backward stepwise regression.\u003c/p\u003e\n\u003cp\u003eGirls who were grade 10 student’s had 3.96 times more likely to have good knowledge as compared to girls who were grade 9 students [AOR = 3.96, 95%CI = 2 –7.8].\u003c/p\u003e\n\u003cp\u003eStudents who had good menstrual practice had 2.52 times more likely to have good knowledge on menstrual hygiene as compared to those who had poor practice on menstrual hygiene (AOR = 2.52, 95% = CI (1.26–5) (table 3)\u003c/p\u003e\n\u003ch2 data-xsweet-outline-level=\"1\"\u003eFactors associated with practice on menstrual hygiene\u003c/h2\u003e\n\u003cp\u003eThere were three explanatory variables in a bivariate analysis which had p-\u0026lt;0.2: grade level, mother’s level of education, and knowledge participants.\u003c/p\u003e\n\u003cp\u003eIn the multivariable analysis: students grade level, higher level of maternal education and knowledge of the students were significantly associated (p\u0026lt;0.05) using backward stepwise regression\u003c/p\u003e\n\u003cp\u003eGirls who had good knowledge on menstrual hygiene have 3.74 more likely good practices on menstrual hygiene as compared to Girls who had poor knowledge on menstrual hygiene (AOR = 3.74,95% CI(1.18–7.7).\u003c/p\u003e\n\u003cp\u003eRespondents whose mothers level of education is secondary and above had 1.86 more likely good practice as compared with those whose mothers level of education is elementary and no formal education(AOR = 1.86,95%CI(1.18–2.9)\u003c/p\u003e\n\u003cp\u003eBeing a grade 10 students had 2.3 more likely had good practice on menstrual hygiene as compared to grade 9 students(AOR = 2.3, 95%CI(1.48–3.56)(table 3).\u003c/p\u003e\n\u003ch2\u003eFactors associated with attitude on menstrual hygiene\u003c/h2\u003e\n\u003cp\u003eThere were two explanatory variables in the bivariate analysis which had p-\u0026lt;0.2: grade level, and age of the participants.\u003c/p\u003e\n\u003cp\u003eIn the multivariable analysis: students grade level and age of the students were statistically associated (p\u0026lt;0.05) through backward stepwise regression\u003c/p\u003e\n\u003cp\u003eGrade 10 respondents 1.9 more likely good attitude on menstrual hygiene as compared with grade 9 respondents (AOR = 1.9, 95% CI (1.2–2.8).\u003c/p\u003e\n\u003cp\u003eStudents whose age was \u0026gt; = 18 had 1.67 more likely good attitude on menstrual hygiene as compared with 13–14 and 16–17 age group respondents(AOR = 1.67(1.09–2.55) (tab"},{"header":"Discussion","content":"\u003cp\u003eThis study revealed that 89.2 %, 48.9% and 47.9% of study participants had good knowledge, good practice and good attitude with 95% CI (86.1–92.2), 95% CI (44.3–53.5) and 95% CI 42.6–53.3) respectively.\u003c/p\u003e\n\u003cp\u003eRegarding the knowledge of menstruation, this study finding is in line with the study done in America (15). The possible reason may be due to both the study was conducted in high school students. This study finding is higher than the study conducted in Ethiopia (Nekemte), Nigeria; Ethiopia (Amhara), India and Saudi Arabia (14, 3, 13, 12 17). This could be due to the number of study participants and the study site in each study.\u003c/p\u003e\n\u003cp\u003eRegarding the practice of menstruation, the finding of this study is higher than the study done in Ethiopia (Wogera), and Nigeria (2, 3). The discrepancy might be due to this study only incorporates secondary school students, unlike other studies.\u003c/p\u003e\n\u003cp\u003eThe finding of this study is also lower than the study conducted in America (15). This might be due to the fact that in developing countries there is low reproductive health coverage than developed countries and also the socioeconomic capacity of the developing countries has a direct impact on the utilization of reproductive health services.\u003c/p\u003e\n\u003cp\u003eThis study finding is higher than the study implemented in western Iran (16). This could be due to the report from Iran showed that the study is done in all school girls.\u003c/p\u003e\n\u003cp\u003eRegarding the attitude of menstruation, this study finding is lower than the study implemented in western Iran. This could be due to in this study the sample size as small as compared to the study done in western Iran (16).\u003c/p\u003e\n\u003cp\u003eGood knowledge is one of the associated risk factor for menstrual hygiene practice. A similar finding is reported in Gondar (13). This could be due to the fact that being knowledgeable has a direct impact to practice menstrual hygiene management.\u003c/p\u003e\n\u003cp\u003eBeing a grade 10 student is another important associated risk factor for menstrual hygiene practice. This is because when students are learning more about menstruation and its hygiene they can easily understand the future risk and complications of poor practicing of menstrual hygiene management.\u003c/p\u003e\n\u003cp\u003eGood practicing of menstrual hygiene was associated with the knowledge of menstrual hygiene. This might be due to the fact that when students having good menstrual hygiene practice they have good menstrual knowledge before.\u003c/p\u003e\n\u003cp\u003eBeing a grade 10 student is another important associated risk factor for knowledge of menstrual hygiene. This might be due to the fact that grade 10 students’ may have learned more about menstrual hygiene and they may have more exposure to some reproductive and youth friendly services that makes aware them about menstrual hygiene in their schools.\u003c/p\u003e\n\u003cp\u003eThe age of the students within the range of above 18 is associated with the attitude of menstrual hygiene. This could be due to the fact that when their age increases their exposure to reliable information about menstrual hygiene practice is also increasing and when they have found correct information about menstrual hygiene they may have a positive attitude towards menstrual hygiene.\u003c/p\u003e\n\u003cp\u003eA grade 10 student and age\u0026gt;18are associated factor for the attitude of menstrual hygiene. This is due to the fact that as the age and their grade level increases, the mentality is also increased and exposure to information about menstrual hygiene is also increased.\u003c/p\u003e"},{"header":"Conclusions","content":"\u003cp\u003eThis study revealed that the knowledge of the study participants towards menstrual hygiene was high whereas attitude and practice regarding menstrual hygiene was low. Being grade 10 students and having good practice were the associated factors of knowledge. Higher level maternal of education, being grade 10 students and having good knowledge towards menstrual hygiene were the identified associated factors for implementing of menstrual hygiene practice. Being grade 10 students and age ≥18 were statistically positively associated with attitude of menstrual hygiene. Therefore, creating awareness to reproductive health groups, educating their families and parents can change their poor practicing and attitude of menstrual hygiene.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eAOR: Adjusted odd ratio, COR: Crude odd ratio, CI: Confidence interval.\u003c/p\u003e"},{"header":"Declarations","content":"\u003ch3\u003eAcknowledgment\u003c/h3\u003e\n\u003cp\u003eThe authors would like to thank the data collectors and supervisors for their invaluable and timely fashion work. The author’s deep gratitude also goes to the study participants, school directors, supervisors and unit leaders who were volunteered and took their time to give us all the relevant information for the study.\u003c/p\u003e\n\u003ch3\u003eFunding\u003c/h3\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\u003ch3\u003eAvailability of data and materials\u003c/h3\u003e\n\u003cp\u003eAll related data has been presented within the manuscript. The data set supporting material is available from the authors on request.\u003c/p\u003e\n\u003ch3\u003eAuthor’s Contributions\u003c/h3\u003e\n\u003cp\u003eFE, ES, BW, and AZ have initiated the research, wrote the research proposal, conducted the field work, supervised data entry, analyzed the data and wrote the manuscript. GG and FE participated in refining the research proposal, analyzed the data and wrote the report. All authors read and approved the final manuscript.\u003c/p\u003e\n\u003ch3\u003eEthics approval and consent to participate\u003c/h3\u003e\n\u003cp\u003eEthical clearance was obtained from Woldia University Institutional Review Board. Permission letter was also obtained from school administration office. School directors, unit leaders, participants, school child parents/ guardians and school supervisors were briefed about the study objectives, expected outcomes, benefits and risks associated with the study. Written and informed consent was obtained from the partner or legal guardians for those school children aged less than 18 years. Moreover, data collectors went to home to take written consent for those students whose age group is less than 18 by briefing the importance and the objective of the study for their family after selecting students via class attendance sheet. Besides, assent was secured from participants aged below 18 years. School children whose aged 18 years and above provided by written consent on their own. Confidentiality and privacy of participants were secured.\u003c/p\u003e\n\n\n\u003ch3\u003eConsent for publication\u003c/h3\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e\n\u003ch3\u003eCompeting interest\u003c/h3\u003e\n\u003cp\u003eThe authors declared that they have no competing interests.\u003c/p\u003e\n\u003ch3\u003eFunding\u003c/h3\u003e\n\u003cp\u003eWoldia University \u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003eWarenius L, Pettersson KO, Nissen E, Hojer B, Chishimba P, Faxelid E. Vulnerability and sexual and reproductive health among Zambian secondary school students. Culture, health \u0026amp; sexuality. 2007 Sep-Oct;9(5):533–44. PubMed PMID: 17687677. Epub 2007/08/10. eng.\u003c/li\u003e\u003cli\u003eMeseret Abay Fisseha, Yigzaw Kebede, Hedija Yenus Yeshita. Menstrual Hygiene Practice and Associated Factors among Secondary School Girls in Wegera District, Northwest Ethiopia; a Cross-Sectional Study. Computational Biology and Bioinformatics. Vol. 5, No. 1, 2017, pp. 6–11. doi: 10.11648/j.cbb.20170501.12\u003c/li\u003e\u003cli\u003eFehintola FO et al: Assessment of knowledge attitude and practice about menstruation and menstrual hygiene among secondary school girls in Ogbomo, Oya state, Nigeria. Int J Reprod Contracept Obstet Gynecol. 2017 May;6(5):1726–1732\u003c/li\u003e\u003cli\u003eUNICEF: Menstrual Hygiene Management in Schools: Applied Learning and Improved Practice. A Multi-Setting Approach for Sierra Leone—Country Report, 2012.\u003c/li\u003e\u003cli\u003eSumpter C, Torondel B. A systematic review of the health and social effects of menstrual hygiene management. PLoS One. 2013;8(4):e62004. Published 2013 Apr 26. doi:10.1371/journal.pone.0062004\u003c/li\u003e\u003cli\u003eBalamurugan, et al.: Study on menstrual hygiene among reproductive age group women. Journal of Basic and Clinical Reproductive Sciences · July - December 2014 · Vol 3 · Issue 2\u003c/li\u003e\u003cli\u003eEleen Korir et al.: menstrual hygiene management among adolescent girls in primary school in mashuru division. The Pan African Medical Journal. 2018;31:222. doi:10.11604/pamj.2018.31.222.13521\u003c/li\u003e\u003cli\u003eKuhlmann AS, Henry K, Wall LL. Menstrual Hygiene Management in Resource-Poor Countries. Obstet Gynecol Surv. 2017;72(6):356–376. doi:10.1097/OGX.0000000000000443.\u003c/li\u003e\u003cli\u003eKansal S, Singh S, Kumar A. Menstrual hygiene practices in context of schooling: A community study among rural adolescent girls in Varanasi. Indian J Community Med 2016;41:39–44.\u003c/li\u003e\u003cli\u003eDissertation on the effect of school based health education regarding menstrual hygiene -an intervention study among adolescent girls of perambalur district, 2018\u003c/li\u003e\u003cli\u003eSustainable Sanitation Alliance (SuSanA). London School of Hygiene and Tropical Medicine Barriers and facilitators of school-based menstrual hygiene promotion in Cambodia: policy, implementation and water, sanitation and hygiene (WASH) school environment, june, 2018.\u003c/li\u003e\u003cli\u003eRamachandra K et al.: knowledge and practices regarding menstrual hygiene among urban adolescent girls, in Bangalore, India, Int J Contemp Pediatr. 2016Feb;3(1):142–145.\u003c/li\u003e\u003cli\u003eUzochukwu Uzoma Aniebue et al. Impact of pre-menarcheal training on menstrual practices hygiene of Nigerian school girls. Pan African journal. Vol 1, No 2, 2009\u003c/li\u003e\u003cli\u003eUpashe SP, Tekelab T, Mekonnen J. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC women’s health. 2015 Oct 14;15:84. PubMed PMID: 26466992. Pubmed Central PMCID: PMC4606849. Epub 2015/10/16. eng.\u003c/li\u003e\u003cli\u003eWashinton DC U.S. Grace Meng Renews Effort to Make Menstrual Hygiene Products More Accessible and Affordable to Women, Feb, 2017.\u003c/li\u003e\u003cli\u003eS Mohammad-Alizadeh et al. Practice of Iranian Adolescent Girls Regarding Puberty and Menstrual Hygiene and its Predictors. Int J Women’s Health Reproduction Sci Vol. 2, No. 3, 2014\u003c/li\u003e\u003cli\u003eMoawed S. Indigenous practices of Saudi girls in Riyadh during their menstrual period. Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit. 2001 Jan-Mar;7(1–2):197–203. PubMed PMID: 12596970. Epub 2003/02/25. eng.\u003c/li\u003e\u003c/ol\u003e"},{"header":"Tables","content":"\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 150%;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003eTable1:\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e Socio-demographic characteristics of menstrual hygiene among high school female students in North Wollo Zone, North East Ethiopia, 2019\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"width: 441.9pt; border-collapse: collapse; border: none; margin-left: 6.75pt; margin-right: 6.75pt;\" width=\"589\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 3.1pt;\"\u003e\n\u003ctd style=\"width: 3.2in; border: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 3.1pt;\" width=\"307\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eCharacteristics\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.6pt; border: solid black 1.0pt; border-left: none; padding: 0in 5.4pt 0in 5.4pt; height: 3.1pt;\" width=\"113\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eFrequency\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.9pt; border: solid black 1.0pt; border-left: none; padding: 0in 5.4pt 0in 5.4pt; height: 3.1pt;\" width=\"169\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003ePercent\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 39.45pt;\"\u003e\n\u003ctd style=\"width: 3.2in; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.45pt;\" width=\"307\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eGrade of students\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Grade 9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Grade 10\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.6pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.45pt;\" width=\"113\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e196\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e213\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.45pt;\" width=\"169\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e47.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e52.1\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 53.25pt;\"\u003e\n\u003ctd style=\"width: 3.2in; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 53.25pt;\" width=\"307\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eAge of students\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 14-15\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 16-17\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026ge;18\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.6pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 53.25pt;\" width=\"113\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e109\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e211\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e89\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 53.25pt;\" width=\"169\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e26.7\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e51.6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e21.8\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 51.3pt;\"\u003e\n\u003ctd style=\"width: 3.2in; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.3pt;\" width=\"307\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eEducational level of the father\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; No formal\u0026nbsp; education\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Elementary\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Secondary and above\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.6pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.3pt;\" width=\"113\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e72\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e122\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e215\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.3pt;\" width=\"169\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e17.6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e29.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e52.6\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 51.75pt;\"\u003e\n\u003ctd style=\"width: 3.2in; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.75pt;\" width=\"307\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eEducational level mother\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; No formal education\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Elementary\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Secondary and above\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.6pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.75pt;\" width=\"113\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e91\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e152\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e166\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.75pt;\" width=\"169\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e22.2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e37.2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e40.6\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 52.25pt;\"\u003e\n\u003ctd style=\"width: 3.2in; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 52.25pt;\" width=\"307\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eOccupation\u0026nbsp; of father\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Farmer\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Merchant\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Employee\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.6pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 52.25pt;\" width=\"113\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e179\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e43\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e187\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 52.25pt;\" width=\"169\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e43.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e10.5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e45.7\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 53.75pt;\"\u003e\n\u003ctd style=\"width: 3.2in; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 53.75pt;\" width=\"307\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eOccupation of\u0026nbsp; mother\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Housewife\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Merchant\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Employee\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.6pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 53.75pt;\" width=\"113\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e224\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e59\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e126\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 53.75pt;\" width=\"169\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e54.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e14.4\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e30.8\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 81.35pt;\"\u003e\n\u003ctd style=\"width: 3.2in; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 81.35pt;\" width=\"307\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eMonthly income in ETB\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: center; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;500\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: center; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e500-1000\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: center; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e1001-2000\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: center; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e2001-3000\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: center; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026ge;3000\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.6pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 81.35pt;\" width=\"113\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e96\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e33\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e41\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e43\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e196\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 81.35pt;\" width=\"169\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e23.5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e8.1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e10.0\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e10.5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e47.9\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"text-align: justify; line-height: 150%;\"\u003e\u003cspan style=\"line-height: 150%; font-family: 'Power Geez Unicode1';\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 150%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 150%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 150%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 150%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 150%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 150%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 150%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003eTable 2:\u003c/span\u003e\u003c/strong\u003e \u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003eKnowledge, Attitude and practice on menstrual hygiene among high school female students in North Wollo Zone, North East Ethiopia, 2019\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border-collapse: collapse; border: none;\" width=\"660\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 279.0pt; border: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eCharacteristics of knowledge \u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border: solid black 1.0pt; border-left: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eFrequency (n=409)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: solid black 1.0pt; border-left: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003ePercent (%)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 38.9pt;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 38.9pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Do you think menstrual blood is waste? \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; No\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 38.9pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e220\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e189\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 38.9pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e53.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e46.2\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 80.45pt;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 80.45pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eWhat is the cause of menstruation?\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;Hormone\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; God punishment\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Age\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Disease\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Others\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 80.45pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e113\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e169\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e116\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e8\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 80.45pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e27.6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e41.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e28.4\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e0.7\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 36.95pt;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 36.95pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eIs sexual intercourse allowed during pregnancy?\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;No\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 36.95pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e46 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e363\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 36.95pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e10.5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e89.5\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 38.25pt;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 38.25pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eIs there menstrual bleeding during pregnancy?\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; No\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 38.25pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e42\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e357\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 38.25pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e12.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e87.3\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 53.85pt;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 53.85pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eWhat is the age in years at menarche?\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 10-12\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 13-15\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 16-18 \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 53.85pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e138\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e239\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e32\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 53.85pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e33.7\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e58.4\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e7.8\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 51.9pt;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.9pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eLength of normal menstrual cycle\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026lt;21\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 21-35\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026gt;35\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.9pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e55\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e350\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e4\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.9pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e13.5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e85.5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 55.15pt;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 55.15pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eDuration of normal menstrual bleeding\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026lt;3days\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 3-5days\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026gt;5days\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 55.15pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e62\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e312\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e35\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 55.15pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e15.2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e76.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e8.6\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 39.55pt;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.55pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eHave you ever heard about menstruation before?\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;\u0026nbsp;No\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.55pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e347\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e62\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.55pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e84.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e15.2\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 105.75pt;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 105.75pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eWhat is the source of information?\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Mother\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Teacher\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Friends\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Books\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Sister\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;Mass media\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;\u0026nbsp;Others\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 105.75pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e131\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e36\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e83\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e12\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e69\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e13\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 105.75pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e37.7\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e10.4\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e23.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e3.5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e19.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e0.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e3.7\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 51.25pt;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.25pt;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eDo you think poor hygiene can cause disease\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; No\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.25pt;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e361\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e48\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 51.25pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e88.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e11.8\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: .55in;\"\u003e\n\u003ctd style=\"width: 279.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: .55in;\" colspan=\"2\" width=\"372\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eKnowledge on menstrual hygiene\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Good knowledge\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Poor knowledge\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: .55in;\" width=\"192\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e365\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e44\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: .55in;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e89.2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e10.8\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 495.0pt; border: solid black 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"4\" width=\"660\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eCharacteristics of Practice (n=409)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 65.9pt;\"\u003e\n\u003ctd style=\"width: 243.0pt; border: solid black 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; height: 65.9pt;\" width=\"324\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eType of absorbent material used\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Sanitary pad\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Homemade pad\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Soft\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Others\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.5in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 65.9pt;\" colspan=\"2\" width=\"240\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e356\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e34\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e13\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e6\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 65.9pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e87.0\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e8.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e3.2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e1.5\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 64.75pt;\"\u003e\n\u003ctd style=\"width: 243.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 64.75pt;\" rowspan=\"2\" width=\"324\"\u003e\n\u003ctable style=\"border-collapse: collapse;\" width=\"637\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 12.6pt;\"\u003e\n\u003ctd style=\"width: 2.95in; padding: 0in 5.4pt 0in 5.4pt; height: 12.6pt;\" width=\"283\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eFrequency of changing pant\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 49.5pt; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 12.6pt;\" rowspan=\"2\" width=\"66\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 130.5pt; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 12.6pt;\" rowspan=\"2\" width=\"174\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 85.5pt; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 12.6pt;\" rowspan=\"2\" width=\"114\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"height: 12.6pt; border: none;\" width=\"0\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 28.15pt;\"\u003e\n\u003ctd style=\"width: 2.95in; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 28.15pt;\" rowspan=\"2\" width=\"283\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Once\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Twice\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Three times and above\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;I don\u0026rsquo;t change\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"height: 28.15pt; border: none;\" width=\"0\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 26.95pt;\"\u003e\n\u003ctd style=\"width: 49.5pt; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 26.95pt;\" width=\"66\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 130.5pt; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 26.95pt;\" width=\"174\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 85.5pt; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 26.95pt;\" width=\"114\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"height: 26.95pt; border: none;\" width=\"0\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eWhere do you dispose you pant\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Solid waste container\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; In the pipe\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Toilet\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Field\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.5in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 64.75pt;\" colspan=\"2\" width=\"240\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e85\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e196\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e108\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e20\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 64.75pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e20.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e47.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e26.4\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e4.9\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 69.4pt;\"\u003e\n\u003ctd style=\"width: 2.5in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 69.4pt;\" colspan=\"2\" width=\"240\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e136\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e25\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e226\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e22\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 69.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e33.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e6.1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e55.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e5.4\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 39.55pt;\"\u003e\n\u003ctd style=\"width: 243.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.55pt;\" width=\"324\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003ePractice on menstrual hygiene\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Good practice\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Poor practice\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.5in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.55pt;\" colspan=\"2\" width=\"240\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e200\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e209\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.55pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e48.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e51.1\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 17.5pt;\"\u003e\n\u003ctd style=\"width: 495.0pt; border: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; height: 17.5pt;\" colspan=\"4\" width=\"660\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eCharacteristics of Attitude (n= 409)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 243.0pt; border: solid black 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"324\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eIs menstruation good for health?\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;\u0026nbsp;Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; No\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.5in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"2\" width=\"240\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e354\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e55\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e86.6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e13.4\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 39.55pt;\"\u003e\n\u003ctd style=\"width: 243.0pt; border-top: none; border-left: solid black 1.0pt; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.55pt;\" width=\"324\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eDo you think menstrual blood is waste?\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; No\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.5in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.55pt;\" colspan=\"2\" width=\"240\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e85\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e324\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 39.55pt;\" width=\"96\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e20.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e59.4\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 243.0pt; border: solid black 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"324\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eWhat is the reaction that you face at first menstruation?\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Happiness\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Fear\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Pain\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Disturbance\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Others\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.5in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"2\" width=\"240\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e31\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e137\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e102\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e126\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e13\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e7.6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e33.5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e24.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e30.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e3.2\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 243.0pt; border: solid black 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"324\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eDo you think that you will experience restriction during menstruation?\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; No\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.5in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"2\" width=\"240\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e64\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e345\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e15.6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e84.4\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 243.0pt; border: solid black 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"324\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eFrom what do you will be restricted?\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Celebration\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Certain foods\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Work\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Praying\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.5in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"2\" width=\"240\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e12\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e17\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e30\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e9.4\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e7.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e26.6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e64.9\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 243.0pt; border: solid black 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"324\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003eAttitude on menstruation\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Good attitude\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 3.0pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Poor attitude\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 2.5in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"2\" width=\"240\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e196\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e213\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: none; border-left: none; border-bottom: solid black 1.0pt; border-right: solid black 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e47.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; text-autospace: none; margin: 0in 3.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e52.1\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: none;\" width=\"652\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"0\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"88\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"67\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eTable 3:- \u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eshows the bivariate and multivariable association of knowledge, attitude and practice on menstrual hygiene among high school female students in North Wollo Zone, North East Ethiopia, 2019.\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border-collapse: collapse; border: none; height: 674px;\" width=\"714\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 23.8pt;\"\u003e\n\u003ctd style=\"width: 199.2px; border: 1pt solid black; padding: 0in 5.4pt; height: 27px;\" rowspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eCharacteristics of knowledge\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 203.2px; border-top: 1pt solid black; border-right: 1pt solid black; border-bottom: 1pt solid black; border-image: initial; border-left: none; padding: 0in 5.4pt; height: 23px;\" colspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eKnowledge on menstrual hygiene\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: 1pt solid black; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 27px;\" rowspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eCOR(95%CI)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: 1pt solid black; border-right: 1pt solid black; border-bottom: 1pt solid black; border-image: initial; border-left: none; padding: 0in 5.4pt; height: 27px;\" rowspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eAOR(95%CI)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 4.0pt;\"\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 4px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eGood\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 4px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003ePoor\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 97px;\"\u003e\n\u003ctd style=\"width: 199.2px; border-right: 1pt solid black; border-bottom: 1pt solid black; border-left: 1pt solid black; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 97px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eGrade level\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Grade 9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Grade 10\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 97px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e248(68)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e117(32%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 97px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e15(34%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e29(66%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 97px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e4.1(2.1-.7.9)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 97px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e3.96(2-7.8)**\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 39.55pt;\"\u003e\n\u003ctd style=\"width: 199.2px; border-top: none; border-left: 1pt solid black; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 39px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003ePractice on menstrual hygiene\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Poor\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;Good\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 39px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e170(46.6%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e195(53.4%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 39px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e30(68.2%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt 1.35pt;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e14(31.8%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 39px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e2.5(1.3-4.77)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 39px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt .75pt;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e2.52(1.26 -5)**\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 51.9pt;\"\u003e\n\u003ctd style=\"width: 199.2px; border-top: none; border-left: 1pt solid black; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 51px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eFather\u0026rsquo;s occupation\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Farmer\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Merchant \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; \u0026nbsp;Governmental Employee\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 51px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e23(52)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1(2.2)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e20(44.4)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 51px;\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt 1.35pt;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e150(41)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt 1.35pt;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e60(16.4)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt 1.35pt;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e155(42.5)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 51px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e0.842(0.444-1.596)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e7.742(1.16-58.96)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 51px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1(0.5-1.9)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e6.9(0.8-53.4)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 16.15pt;\"\u003e\n\u003ctd style=\"width: 199.2px; border-right: 1pt solid black; border-bottom: 1pt solid black; border-left: 1pt solid black; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 20px;\" rowspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eCharacteristics of attitude\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 203.2px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 16px;\" colspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eAttitude on menstrual hygiene\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 20px;\" rowspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eCOR(95%CI)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 20px;\" rowspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eAOR(95%CI)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 4.0pt;\"\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 4px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003ePoor\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 4px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eGood\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 98px;\"\u003e\n\u003ctd style=\"width: 199.2px; border-right: 1pt solid black; border-bottom: 1pt solid black; border-left: 1pt solid black; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 98px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eGrade level\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Grade 9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;Grade 10\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 98px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e106(49.8%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e107(50.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 98px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e131(66.8%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e65(33.2%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 98px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt 29.85pt;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e2.034(1.363-3.037)\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 98px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1.906(1.268-2.865)\u003csup\u003e**\u003c/sup\u003e\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 129px;\"\u003e\n\u003ctd style=\"width: 199.2px; border-right: 1pt solid black; border-bottom: 1pt solid black; border-left: 1pt solid black; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 129px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eAge of students\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e14-15\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e16-17\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; \u0026ge;18\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 129px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e18(8.5%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e97(45.5%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e98(46%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 129px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e27(13.8%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e107(45.6%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e62(31.6%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 129px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e2.37(1.206-4.66)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1.744(1.14-2.65)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 129px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e2.02(1.01-4.030\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1.671(1.09-2.55)**\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 13.45pt;\"\u003e\n\u003ctd style=\"width: 199.2px; border-right: 1pt solid black; border-bottom: 1pt solid black; border-left: 1pt solid black; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 17px;\" rowspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eCharacteristics of practice\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 203.2px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 13px;\" colspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003ePractice on menstrual hygiene\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 17px;\" rowspan=\"2\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eCOR(95%CI)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 17px;\" rowspan=\"2\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt .7pt;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eAOR(95%CI)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 4.0pt;\"\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 4px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003ePoor\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 4px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eGood\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 51.25pt;\"\u003e\n\u003ctd style=\"width: 199.2px; border-top: none; border-left: 1pt solid black; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 51px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eMaternal \u0026nbsp;education\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; No formal education\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Elementary\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;Secondary and above\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 51px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e37(17.7%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e77(36.8%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e95(45.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 51px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e44(22%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e92(46%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e64(32%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 51px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1.76(1.02-3.09)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1.77(1.14-2.74) \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 51px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1.75(1.007-3.07)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1.86(1.18-2.9)*\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 97px;\"\u003e\n\u003ctd style=\"width: 199.2px; border-right: 1pt solid black; border-bottom: 1pt solid black; border-left: 1pt solid black; border-image: initial; border-top: none; padding: 0in 5.4pt; height: 97px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eGrade level\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Grade 9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;Grade 10\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 97px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e117(56%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e92(44%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 97px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e39(69.5%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e61(30.5%)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid windowtext; padding: 0in 5.4pt; height: 97px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1.792(1.193-269)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid black; border-right: 1pt solid black; padding: 0in 5.4pt; height: 97px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e2.3(1.48-3.56)**\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 48.8pt;\"\u003e\n\u003ctd style=\"width: 199.2px; border-top: none; border-left: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 48px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eKnowledge of the participants on menstrual hygiene\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Poor\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Good\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 84.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 48px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e13(6.2%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e196(93.8%\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 103.2px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid black; padding: 0in 5.4pt; height: 48px;\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e31(15.5%)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e169(84.5%\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 124.8px; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0in 5.4pt; 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color: white;\"\u003e*\u003cspan style=\"color: #000000;\"\u003e*=p\u0026lt;0.05\u003c/span\u003e\u003c/span\u003e\u003cspan style=\"font-size: 12.0pt; font-family: 'Times New Roman',serif;\"\u003e\u003cspan style=\"color: #000000;\"\u003e, s\u003c/span\u003eignificance\u003c/span\u003e\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Menstrual hygiene, knowledge, high school students, Ethiopia","lastPublishedDoi":"10.21203/rs.2.14907/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.2.14907/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eIntroduction Menstruation is the physiologic manifestation of cyclic uterine bleeding due to shedding and proliferation of the endometrium following invisible action and interplay of hormones mainly through the hypothalamus-pituitary-ovarian axis. Lack of proper menstrual hygiene predisposes women to different infectious and chronic obstetric and gynecological problems. Therefore, this study aimed to assess knowledge, attitude, practice and its associated factors of menstrual hygiene among high school students in North Wollo Zone, Woldia, Ethiopia.\u003c/p\u003e\u003cp\u003eMethods A Facility based cross-sectional study was implemented from October 1-December 10, 2018. The data was collected using structured, pretested questioners among female high school students. Systematic random sampling technique was implemented. Data was entered and analyzed through Epi data 3.1 and SPSS respectively.\u003c/p\u003e\u003cp\u003eResults This study revealed that 365(89.2%), 200(48.9%) and 196(47.9%) of the study participants have good knowledge, good practice and good attitude about menstrual hygiene respectively. Being grade 10 students [AOR=3.96, 95% CI =2.0-7.8], and having good practice of menstrual hygiene (AOR=2.52, 95% CI= 1.26-5) had positive association with menstrual hygiene knowledge. Maternal education level (AOR=1.86, 95% CI=1.18-2.9), being grade 10 students (AOR =2.3, 95% CI=1.48-3.56) were associated factors for practicing menstrual hygiene. Being grade 10 students (AOR=1.9, 95% CI=1.2-2.8), age ≥18 years (AOR=1.67, 95% CI=1.09-2.55) were statistically and positively associated with the attitude of menstrual hygiene.\u003c/p\u003e\u003cp\u003eConclusion This study revealed that the knowledge of the study participants towards menstrual hygiene was high whereas attitude and practice regarding menstrual hygiene was low. Being grade 10 students and having good practice were the associated factors of knowledge. Higher level maternal of education, being grade 10 students and having good knowledge towards menstrual hygiene were the identified associated factors for practicing of menstrual hygiene. Being grade 10 students and age ≥18 were statistically and positively associated with the attitude of menstrual hygiene. Therefore, creating awareness to reproductive health groups, educating their families and parents can change their poor practicing and attitude of menstrual hygiene.\u003c/p\u003e","manuscriptTitle":"Knowledge, Attitude, Practice and its associated factors on menstrual hygiene among high school students of North Wollo Zone, Ethiopia, 2019: A cross-sectional study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2019-09-24 23:21:46","doi":"10.21203/rs.2.14907/v1","editorialEvents":[{"type":"communityComments","content":2}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"614cdfe8-d787-4969-9206-9e278cfa1272","owner":[],"postedDate":"September 24th, 2019","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":27920,"name":"Maternal \u0026 Fetal Medicine"}],"tags":[],"updatedAt":"","versionOfRecord":[],"versionCreatedAt":"2019-09-24 23:21:46","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-5578","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"identity":"rs-5578","version":["v1"]},"buildId":"pf3fE39SIOqb-0xH_OWvX","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}