Impact of Female-Unfriendly Sanitation on Adolescent Girls’ Well-being and Education in Khulna City

Authors

  • Irin Azhar Urme Development Studies Discipline, Khulna University, Khulna-9208, Bangladesh
  • Fariha Tasnim Development Studies Discipline, Khulna University, Khulna-9208, Bangladesh
  • Md. Ahad Hossain English Discipline, Khulna University, Khulna – 9208, Bangladesh
  • Asif Khan Sociology Discipline, Khulna University, Khulna-9208, Bangladesh

DOI:

https://doi.org/10.53808/KUS.2025.22.02.1458-ss

Keywords:

Female-Friendly Sanitation, Menstrual Hygiene Management, School Absenteeism, Adolescent Health, Gender Equality, WASH in Schools

Abstract

This study investigates the impact of female-unfriendly sanitation infrastructure on the health, dignity, and educational outcomes of adolescent girls in Khulna City, Bangladesh. Drawing on a cross-sectional survey of 150 students across public, private, and semi-government secondary schools, the research employs descriptive statistics, chi-square tests, and correlation analysis to examine relationships between sanitation conditions and menstrual health, school attendance, and academic concentration. Findings reveal significant disparities in toilet cleanliness, availability of sanitary disposal facilities, and access to water and soap-conditions that disproportionately affect girls in private institutions. Notably, 38.7% of respondents reported discomfort during menstruation due to inadequate facilities, while 41.3% experienced reduced classroom concentration. Although all schools provided sanitary products, only two-thirds offered them free of charge, highlighting equity gaps. The study underscores the urgent need for gender-sensitive WASH interventions in school infrastructure, emphasizing the importance of clean, private, and well-equipped toilets to support girls’ health, reduce absenteeism, and promote inclusive education. Policy recommendations include targeted investment, inclusive budgeting, and participatory monitoring to ensure that schools become empowering spaces for all students.

Downloads

Download data is not yet available.

References

Ahsan, S., & Ahsan, W. B. (2023b). Improving Adolescent Girls’ Well-Being through Gender-Sensitive Sanitation in suburban Bangladeshi schools. https://doi.org/10.58947/rtjw-pfvs DOI: https://doi.org/10.58947/RTJW-PFVS

Alam, M., Sultana, F., Hunter, E. C., Winch, P. J., Unicomb, L., Sarker, S., Mahfuz, M. T., Al-Masud, A., Rahman, M., & Luby, S. P. (2022). Evaluation of a menstrual hygiene intervention in urban and rural schools in Bangladesh: a pilot study. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-13478-1 DOI: https://doi.org/10.1186/s12889-022-13478-1

Alexander, K. T., Zulaika, G., Nyothach, E., Oduor, C., Mason, L., Obor, D., Eleveld, A., Laserson, K. F., & Phillips-Howard, P. A. (2018). Do water, sanitation and hygiene conditions in primary schools consistently support schoolgirls’ menstrual needs? A longitudinal study in rural western Kenya. International Journal of Environmental Research and Public Health, 15(8), 1682. https://doi.org/10.3390/ijerph15081682 DOI: https://doi.org/10.3390/ijerph15081682

Borjigen, A., Huang, C., Liu, M., Lu, J., Peng, H., Sapkota, C., & Sheng, J. (2019). Status and Factors of Menstrual Knowledge, Attitudes, Behaviors and Their Correlation with Psychological Stress in Adolescent Girls. Journal of Pediatric and Adolescent Gynecology, 32(6), 584–589. https://doi.org/10.1016/j.jpag.2019.08.007 DOI: https://doi.org/10.1016/j.jpag.2019.08.007

Bouzid, M., Cumming, O., & Hunter, P. R. (2018). What is the impact of water sanitation and hygiene in healthcare facilities on care seeking behaviour and patient satisfaction? A systematic review of the evidence from low-income and middle-income countries. BMJ Global Health, 3(3), e000648. https://doi.org/10.1136/bmjgh-2017-000648 DOI: https://doi.org/10.1136/bmjgh-2017-000648

Buitrago-García, T., Sawadogo, N. H., Souares, A., Koulidiati, J., Sié, A., Bärnighausen, T., Langlotz, S., & McMahon, S. A. (2022). Female-friendly toilets in schools in Burkina Faso: A mixed-methods study using photo-elicitation. Journal of Global Health, 12. https://doi.org/10.7189/jogh.12.04057 DOI: https://doi.org/10.7189/jogh.12.04057

Chowdhury, S. T., Muhit, I. B., & Chowdhury, S. T. (2013). Menstrual Hygiene Condition of Adolescent Schoolgirls at Chittagong Division in Bangladesh. Article in International Journal of Scientific & Technology Research, 2(6). www.ijstr.org

Habtegiorgis, Y., Sisay, T., Kloos, H., Malede, A., Yalew, M., Arefaynie, M., Damtie, Y., Kefale, B., Tegegne, T. B., Addisu, E., Lingerew, M., Berhanu, L., Berihun, G., Natnael, T., Abebe, M., Feleke, A., Gizeyatu, A., Ademas, A., Fentaw, Z., . . . Adane, M. (2021). Menstrual hygiene practices among high school girls in urban areas in Northeastern Ethiopia: A neglected issue in water, sanitation, and hygiene research. PLoS ONE, 16(6), e0248825. https://doi.org/10.1371/journal.pone.0248825 DOI: https://doi.org/10.1371/journal.pone.0248825

Patel, L., & Stuart, L. (2021). Understanding girl’s perceptions of poor sanitation and their day to day learning experiences at an Orange Farm high school.

Kaur, R., Kaur, K., & Kaur, R. (2018). Menstrual Hygiene, Management, and Waste Disposal: Practices and challenges faced by Girls/Women of Developing Countries. Journal of Environmental and Public Health, 2018, 1–9. https://doi.org/10.1155/2018/1730964 DOI: https://doi.org/10.1155/2018/1730964

Delva, S., Marseille, B., Foronda, C. L., Solomon, A. Y., Pfaff, T., & Baptiste, D. (2022). Hand hygiene practices in Caribbean and Latin American countries: An integrative review. Journal of Clinical Nursing, 32(9–10), 2140–2154. https://doi.org/10.1111/jocn.16415 DOI: https://doi.org/10.1111/jocn.16415

Saleem, M., Burdett, T., & Heaslip, V. (2019). Health and social impacts of open defecation on women: a systematic review. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-6423-z DOI: https://doi.org/10.1186/s12889-019-6423-z

UNICEF. (2019). Progress on Drinking Water, Sanitation and Hygiene: 2000-2017.

WHO. (2018). Menstrual health: A key priority for achieving gender equality, health and education.

Zyoud, S. H., & Zyoud, A. H. (2023). Water, sanitation, and hygiene global research: evolution, trends, and knowledge structure. Environmental Science and Pollution Research, 30(56), 119532–119548. https://doi.org/10.1007/s11356-023-30813-0 DOI: https://doi.org/10.1007/s11356-023-30813-0

Nowreen, S., Chowdhury, M. A., Tarin, N. J., Hasan, M. R., & Zzaman, R. U. (2022). A participatory SWOT analysis on water, sanitation, and hygiene management of disabled females in Dhaka slums of Bangladesh. Journal of Water Sanitation and Hygiene for Development, 12(7), 542–554. https://doi.org/10.2166/washdev.2022.061 DOI: https://doi.org/10.2166/washdev.2022.061

Cotropia, C. A. (2019). Menstruation management in United States schools and implications for attendance, academic performance, and health. Women S Reproductive Health, 6(4), 289–305. https://doi.org/10.1080/23293691.2019.1653575 DOI: https://doi.org/10.1080/23293691.2019.1653575

Caruso, B. A., Conrad, A., Patrick, M., Owens, A., Kviten, K., Zarella, O., Rogers, H., & Sinharoy, S. S. (2022). Water, sanitation, and women’s empowerment: A systematic review and qualitative metasynthesis. PLOS Water, 1(6), e0000026. https://doi.org/10.1371/journal.pwat.0000026 DOI: https://doi.org/10.1371/journal.pwat.0000026

Kulkarni, S., O’Reilly, K., & Bhat, S. (2017). No relief: lived experiences of inadequate sanitation access of poor urban women in India. Gender & Development, 25(2), 167–183. https://doi.org/10.1080/13552074.2017.1331531 DOI: https://doi.org/10.1080/13552074.2017.1331531

Alam, M., Luby, S. P., Halder, A. K., Islam, K., Opel, A., Shoab, A. K., Ghosh, P. K., Rahman, M., Mahon, T., & Unicomb, L. (2017). Menstrual hygiene management among Bangladeshi adolescent schoolgirls and risk factors affecting school absence: results from a cross-sectional survey. BMJ Open, 7(7), e015508. https://doi.org/10.1136/bmjopen-2016-015508 DOI: https://doi.org/10.1136/bmjopen-2016-015508

Mahon, T., & Fernandes, M. (2010). Menstrual hygiene in South Asia: a neglected issue for WASH (water, sanitation and hygiene) programmes. Gender & Development, 18(1), 99–113. https://doi.org/10.1080/13552071003600083 DOI: https://doi.org/10.1080/13552071003600083

Sommer, M., Hirsch, J. S., Nathanson, C., & Parker, R. G. (2015). Comfortably, safely, and without shame: Defining menstrual hygiene management as a public health issue. American Journal of Public Health, 105(7), 1302–1311. https://doi.org/10.2105/ajph.2014.302525 DOI: https://doi.org/10.2105/AJPH.2014.302525

Rajagopal, S., & Mathur, K. (2017). ‘Breaking the silence around menstruation’: experiences of adolescent girls in an urban setting in India. Gender & Development, 25(2), 303–317. https://doi.org/10.1080/13552074.2017.1335451 DOI: https://doi.org/10.1080/13552074.2017.1335451

Downloads

Published

07-09-2025

How to Cite

[1]
I. A. Urme, Fariha Tasnim, Md. Ahad Hossain, and Asif Khan, “Impact of Female-Unfriendly Sanitation on Adolescent Girls’ Well-being and Education in Khulna City”, Khulna Univ. Stud., pp. 228–233, Sep. 2025.

Issue

Section

Social Sciences

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.