Tuesday, 1 November 2016

PUBERTAL EXPERIENCES AND MENSTRUAL KNOWLEDGE OF ADOLESCENT SECONDARY SCHOOL GIRLS

ABSTRACT
This study was carried out to evaluate the pubertal experience and menstrual knowledge of adolescent females in secondary schools of Abakaliki metropolis. The main objective of the study is to unravel the major factors that engender the lack of premenstrual cognition and to determine the pubertal experience of major concern to adolescent females in Abakaliki metropolis, Ebonyi State. Two secondary schools
were selected for this study within Abakaliki metropolis ,with a total of 200 participants. The study was carried out using a structured questionnaire interview method. The result of the study indicated that Menstruation is the major pubertal experience agitating adolescent females in Abakaliki metropolis. More than half of the participants do not have a specific understanding of menstruation, while only 18% of the respondents considered menstruation to be an event that happens to the girl during puberty. Majority of the girls had their menarche while in junior secondary class, while 32.5% girls had their menarche while in their primary class. The mother of the girls was recorded as the dominant source of premenstrual information, while the sister recorded a smaller proportion (27%). In relation to the aim of this study, the result from this research has revealed that menstruation remains the most agitating pubertal experience, and this could probably be due to its significance in female fertility. Participants with prior knowledge about puberty and menses have more positive attitude towards puberty, menstruation and hygiene in Abakaliki metropolis, Ebonyi State. Therefore, proper prior knowledge related to aspects of menstruation before menarche age is attained is essential.

TABLE OF CONTENTS
Title Page -      -           -           -           -           -           -           -           -           -           -           - i
Certification -  -           -           -           -           -           -           -           -           -           -           - ii
Acknowledgement -   -           -           -           -           -           -           -           -           -           - iii
Abstract -        -           -           -           -           -           -           -           -           -           -           - iv
Table of Contents -     -           -           -           -           -           -           -           -           -           - v
CHAPTER ONE
1.1 Introduction -        -           -           -           -           -           -           -           -           -           - 1
1.2 Project Objectives -           -           -           -           -           -           -           -           -           -          
1.3  Research Aim -    -           -           -           -           -           -           -           -           -           -
CHAPTER TWO
LITERATURE REVIEW
2.1 Puberty -   -           -           -           -           -           -           -           -           -           -           -
2.2 The Role of Education -   -           -           -           -           -           -           -           -           -
2.2.1 Effect of Menstruation on Girls and their Education - -           -           -           -           -
2.2.1 Effect of Environment on Puberty/ Menstrual Hygiene -         -           -           -           -
2.2.2 Menstrual Hygiene and Waste Management -   -           -           -           -           -           -
CHAPTER THREE
MATERIALS AND METHOD
3.1 Research Design - -           -           -           -           -           -           -           -           -           -
3.2 Study Area -         -           -           -           -           -           -           -           -           -           -
3.3 Sampling Procedures -      -           -           -           -           -           -           -           -           -          
3.4 Data Analysis/ Statistics - -           -           -           -           -           -           -           -           -          
CHAPTER FOUR
RESULTS
CHAPTER FIVE
DISCUSSION
Conclusion / Recommendation -   -    -           -           -           -           -           -           -           -
Limitation of the Study and Future Directive -          -           -           -           -           -           -          
References -    -           -           -           -           -           -           -           -           -           -           -

LIST OF FIGURES
Figure 1: The Distribution of Respondent’s Source of Menstrual Awareness -        -           -          
Figure 2: Distribution of respondents according to their prior knowledge on
menstruation - -           -           -           -           -           -           -           -           -           -           -
Figure 3: Agreement to menstrual pain, drug use, reproductive implication and
individual reaction -    -           -           -           -           -           -           -           -           -           -

CHAPTER ONE

1.1 INTRODUCTION
One very important stage in human life span is the adolescence stage, which is marked by onset of puberty. Puberty usually comes with certain changes which encompass the physical, emotional and social facets of human life. It is at this stage that one crosses the line between childhood and adulthood (Alavi and Khosravi, 2009). Puberty has changes that can directly or indirectly affect the future of a girl and that of her children (Abdolahi et al., 2004). When the prospect of puberty is not known, this could result in certain challenges, which includes early sexual activity, dropping out of school, drug abuse, unsuccessful marriage, sexually transmitted diseases, psychosomatic and social problems.(Abdolahi et al., 2004 and Ahmadi et al., 2009).
Among every other pubertal experience, it has been observed that menarche is the most terrifying experience. Menarche is usually associated with various biological changes that encompass physiological, sexual, emotional and cognitive changes and many lead to pubertal mood disorders in teenagers. Changes such as socializing pattern, conviction and vision as well as teenagers altered understanding of themselves may be one of the culprits (Marano, 2007).
 The development of a female child into an adult woman is a complex process. Puberty and the hormones that are responsible for the physical and psychological changes are generally viewed as a rough and often unpredictable storm that must be weathered by the surrounding adults.  However, there is interplay between the endocrine regulators and the end-organ responses to this hormonal symphony that leads to reproductive capacity and psychosocial maturation (Marano, 2007).
 Physically, female puberty is marked by accelerated growth and the development of secondary sexual characteristics. Secondary sexual characteristics are those that distinguish two different sexes in a species, but are not directly part of the reproductive system (Marano, 2007).
There are differences in timing and expression of maturation based on ethnicity, geography, and genetics. Other factors that can affect puberty are nutritional status and state of health of the individual can influence development. Being familiar with the spectrum that encompasses normal development is critical to identifying those rare cases when pathology is at the root of accelerated or absent pubertal signs, and for the frequent reassurance that young adults and their parents need to hear on the journey to womanhood (Ghahremani et al., 2008).
Many girls in our country lack appropriate and sufficient information regarding puberty and menstrual health; this is so because of the traditional, cultural or religious restrictions on discussing sexual and reproductive health and related issues. It is believed that it is a sin discussing sexual and reproductive health with adolescents because it is assumed to predispose them to sexual practices and immoralities.  The lack of this premenstrual formal and informal education can only result into incorrect and unhealthy behavior during their menstrual period instead. This is the rationale in which the present study is built upon.
1.2 PROJECT OBJECTIVES
·         To determine the level of knowledge of adolescent females about menstrual cycle and their practice and restrictions during menstruation.
·         To determine what factors influence their self care practice of menstrual hygiene.
·         To determine the pubertal experience of major importance among adolescent females.


1.3: RESEARCH AIM
Aim of the study was to assess the pubertal experience, knowledge and attitude towards menstruation among female adolescents in Abakaliki metropolis, Ebonyi State.

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