Hygiene Awareness Research Articles

Analysis of a survey of the adult population on oral hygiene products

Aim – to assess the use of oral hygiene products by consumers as a method of primary prevention of the development of dental diseases, as well as to study their motivation when choosing personal oral hygiene products. Materials and methods. The study was carried out using an individually developed and validated questionnaire. The questionnaire included 21 questions. Respondents were selected by random selection. Results. Established a low level of hygiene education of respondents (34% of respondents to the questionnaire visit a dentist twice a year or more, the main criterion for choosing toothpaste for 36% of respondents is the possibility of using the whole family, 53.5% of respondents do not matter the content of fluoride in the toothpaste, 89.1 do not use other sources of fluoride, less than 50% of those surveyed use additional means of oral hygiene. The results of the questionnaire showed that about 40% of respondents acquire oral hygiene products in a pharmacy and need professional consultations of specialists on the composition of toothpaste and its effectiveness, the right choice of toothbrush, which determines the area of knowledge, that a pharmaceutical worker should own. Conclusion. Have been identified the information needs on oral hygiene products. The need for training in proper oral care and orientation to timely treatment of the dentist for preventive purposes and at the first symptoms, as well as information on primary prevention measures to preserve the dental health of the population. It is important to raise public awareness of the role of fluoride in the prevention of the development of caries, as well as to use additional means of oral hygiene products and fluoride sources. One way to improve public hygiene awareness is for a pharmacist to provide competent advice to pharmacists and to increase the level of completeness in the use of oral hygiene products by the consumer.

The Nematodes Menace: A Review of Parasitic Species, Transmission Dynamics and Preventive Measures

This review offers a detailed examination of nematodes, directing specifically on gastrointestinal (GI) nematodes and their consequences for human health. Nematodes, commonly known as roundworms, demonstrate a highly heterogenous groups of multicellular organisms and are responsible for various diseases in humans, particularly in resource-limited settings. The paper explores different types of GI nematodes, their characteristics, symptoms, and transmission pathways, highlighting the significant impacts these parasites can have, such as malnutrition, anemia, and cognitive impairments. Additionally, the manuscript emphasizes the importance of prevention and control strategies, including proper sanitation, personal hygiene, and public awareness, in minimizing the spread of these infections. It discusses the role of anthelmintic medications as a vital part of treatment, while also advocating for a comprehensive approach that incorporates improved living conditions, access to clean water, and health education for effective long-term management of GI nematode infections. Ultimately, this work highlights the necessity for coordinated public health initiatives and ongoing research to alleviate the burdens of GI nematodes and improve health outcomes in at-risk populations.

The effect of education given to secondary school students on hand hygiene behaviors: a Quasi experimental study.

This study aimed to examine the effect of the hand hygiene education on middle school students' behavioral scores related to hand hygiene practices. The research adheres to a quasi-experimental design suitable for the pre-test Posttest model with a control group. The population of the study consists of a total of 1159 students, comprising 5th, 6th, 7th, and 8th graders. During the first semester of the 2021-2022 academic year, face-to-face education was conducted at a middle school located in Ankara. Two face-to-face training sessions were conducted to increase awareness of hand hygiene. The groups indicate homogeneity in terms of demographic characteristics. The mean hand hygiene behavior score was 56.45 ± 8.03 before the education in the intervention group, which increased to 59.79 ± 7.62 after the education. In the control group, the mean score was 55.98 ± 7.89 before the education and 57.15 ± 7.63 after the education. It was found that after the educational program, there was a statistically significant increase in hand hygiene behavior scores of the groups. The research findings indicate a beneficial impact of hand hygiene education on students' average behavioral scores. To foster lasting behavioral changes from a young age, it is advisable to implement hygiene education in schools periodically, including targeted interventions for middle school students.

Evaluation Of Oral Hygiene Awareness And Knowledge Among Undergraduate Students At Subharti Dental College, Meerut: A Web-Based Survey

Evaluation Of Oral Hygiene Awareness And Knowledge Among Undergraduate Students At Subharti Dental College, Meerut: A Web-Based Survey

Protocol for a cross-sectional study on factors affecting health-related quality of life among Afghan refugees in Pakistan

Background Pakistan served as a host for more than 1.4 million Afghan refugees for more than 40 years. Access to health care is the most important issue faced by refugees, because they might be at a higher risk for certain diseases. This risk can be attributed to a lack of awareness of health care facilities, health beliefs, inadequate hygiene, cultural differences, and malnutrition. Health of individuals is closely associated with their quality of life. Quality of life over the whole lifespan is pivotal to overall life satisfaction. It includes physical wellbeing, mental health, education, occupation, income, personal safety, as well as (religious) freedom. Until now, the health status of Afghan refugees has never been comprehensively investigated in Pakistan. Therefore, an assessment in this regard is needed to explore their health-related quality of life, for securing their human right to health. Methods A cross-sectional study has been designed to describe and explain the health-related quality of life of Afghan refugees in Pakistan. Multistage cluster sampling was applied for selection of study participants. The number of respondents from two regions in Pakistan was drawn through a proportionate sampling technique. A quantitative research method using pre-validated questionnaires was used for data collection. The questionnaire included items to assess well-being, mental health, health literacy, and factors affecting health and health care. Descriptive analysis was used, whereas inferential statistical tests (binary logistic regression model) was also performed. The study received ethically permission by the Advanced Studies and Research Board of the University of the Punjab, Lahore, Pakistan. Discussion The assessment of Afghan refugee’s quality of life in Pakistan should lead to recommendations disseminated to public and health care officials. This evidence is needed for policymaking related to adequate measures for improving health conditions of Afghan refugees in Pakistan.

Eco-Friendliness and Cost-Effectiveness of Reusable Sanitary Pads for Rural Women: A Model for Menstrual Hygiene Management in Low Resource Settings

Background Menstrual Hygiene Management (MHM) is fundamental to women’s health, well-being, and gender equality. The study aimed to assess the cost-effectiveness and acceptability of reusable sanitary pads among rural women in Pakistan, proposing a scalable model for improving MHM practices in low-income countries. Methods A cross-sectional study was conducted using Multi- Stage Cluster sampling to accomplish a sample size of 340 childbearing-age women from the rural areas of Sindh, Pakistan. The data was collected using a standard questionnaire regarding the affordability and accessibility of reusable versus disposable sanitary pads; further information was also gathered from Market surveys for MHM products. The biodegradability of the pads was assessed using a soil burial test. The data was analyzed using SPSS version 27. Results Our research found a significant preference for reusable sanitary pads. The biodegradability tests demonstrated that reusable pads had a superior degradation rate (1.88%) to disposable pads (1.59%) over four months. Economic assessments showed a low utilization of commercial pads (12.5%) due to affordability issues, with 87.5% using reusable cloths. Despite 70% awareness of menstrual hygiene, 48% of women showed interest in creating sanitary solutions, underscoring the feasibility of implementing locally sourced, cost-effective products across similar socio-economic landscapes. Conclusion The present study underscores the universal applicability of affordable, sustainable MHM solutions in rural communities of low-income countries, advocating for broader implementation of such models to address global menstrual hygiene challenges. Bangladesh Journal of Medical Science Vol. 23 No. 04 October’24 Page : 1030-1037

Assessment of the Present Status of Milk Handling and Management Practices in Some Areas of Bangladesh

Milk contamination by dairy workers' spoiled hands, unclean utensils, microbes, and polluted water has caused many milk-borne epidemics. Most milk-borne zoonoses are also contracted by drinking infected milk. Bangladesh lacks milking hygiene and farmer awareness, and the milk cleanliness of dairy farmers awareness and practices in different regions was accessed. This study was aimed at documenting the present milking and management practices of dairy producers in particular districts of Bangladesh. From June 2020 to June 2022, 300 small dairy cow owners in twelve areas were surveyed using a preset questionnaire. Results revealed that male respondents (59.5%) outnumbered female respondents (41.33%) across various age categories. Most farmers milked animals at the shed and washed their hands before milking. Over half of dairy farmers cleansed the udder and teat before milking. More than two-thirds of farmers let the calf suckle before and after milking, while 98.02 percent used concentrate feed for teat massage. Most farmers (95.58%) manually milked cows twice daily. The majority of farmers sold their milk (77.25%) rather than drink it (10.17%). The study found that 93.92 percent of milkmen cleaned the milking pail using water, while 3.5-2.5 percent utilized sand, ash, or detergent. Only 53.66% of dairy farmers washed their cows' udders and teats after milking, which may not be aware of potential contamination from dipping teats in sterile cream. Mastitis prevention was not practiced by 85.42 percent of the respondents. Four to eight percent of producers know about antibiotics, milk adulteration, milk safety, and food safety issues. The application of scientific management approaches to milking is still lacking in the study areas. Therefore, training programs on improved milking management procedures can help farmers produce clean milk, increase dairy animal production, and increase farming income.

Prevalence of Salmonellosis among Undergraduate Students in Owerri Metropolis, Nigeria

Due to the rigorous nature of tertiary education, some students struggle to maintain good hygiene and healthy eating habits, predisposing them to infectious diseases. This study assessed the presence and prevalence of Salmonella infection among undergraduate students in Owerri Metropolis. Stool samples were collected from 97 students (24 males and 73 females) and cultured on Salmonella and Shigella agar. Out of the 97 students tested, 18(18.55%) tested positive, with the highest 10(55.56%) intensive prevalence coming from Salmonella typhimurium, followed by Salmonella paratyphi 7(38.89%) and Salmonella typhi 1(5.55%). The final-year students showed the highest number of Salmonella infections. The result also revealed the highest infection rate of 9(50.00%) among students aged 18-20 years in their first year of study, while the older students recorded a low infection rate of 1(5.56%). It is, therefore, very important that awareness of good hygiene and preventive measures for salmonellosis and other similar infections are intensified.

Asan Cups: navigating blue oceans in menstrual hygiene sustainability

Learning outcomes After completion of the case study, students will be able to understand the format of for-profit social enterprise working for menstrual hygiene sustainability and its contribution toward U.N. Sustainable Development Goals, to appreciate the company’s alignment with the triple bottom line framework, to analyze the blue ocean mechanism that the company has developed to create an impact and to critique the strategies the Asan Cups company could adopt to increase its market share and growth. Case overview/synopsis Asan Cups was a for-profit social enterprise founded by Ira Guha in 2021. The company crafted reusable menstrual cups from liquid silicone, sporting a patented design in India, the UK, Europe and the USA. Successfully retailing its products in India, the UK and Europe, Asan Cups operated on a bootstrap model with a compact team of four, led by its visionary founder. From the get-go, the company embraced a compelling 1-for-1 donation initiative. For every cup sold, Asan Cups generously donated another to women who could not afford it. Collaborating with nongovernmental organizations, schools, educational institutions and social workers, the company spearheaded campaigns to heighten menstrual hygiene awareness. This proactive approach aimed to boost the acceptance of menstrual cups among rural women and championed the cause of environmental sustainability. The company did not just stop at providing an eco-friendly alternative. Asan Cups fervently educated the masses on the detrimental environmental impact of traditional disposable period products like sanitary pads and tampons. Fast-forwarding to 2023, Asan Cups had garnered approximately 30,000 users, with the adoption rate steadily climbing. The company strategically used an education-intensive model to foster awareness about period products in collaboration with partners nationwide. However, being a for-profit entity, the founder, Guha, was at a crossroads. Balancing the need for profitability, there was mounting pressure to explore additional revenue streams and expand operations and market reach. The dilemma loomed large: opt for a quicker marketing strategy or stay true to the company’s foundational education-centered approach. This case study delves into the dynamic strategies, impactful operations and growth scenarios Asan Cups navigated since its inception. It examines the pivotal choices faced by the founder and explores potential strategies for sustained growth. Complexity academic level This case study can be used at both undergraduate and master’s levels. The case study will be handy for strategic management and business strategy courses and can also be used for social entrepreneurship, marketing and entrepreneurship courses. Supplementary materials Teaching notes are available for educators only. Subject code CSS 11: Strategy.

Evaluating Methods of Software Bill of Materials Generation to Enhance Nuclear Power Plant Cybersecurity

Instrumentation and control (I&C) systems in nuclear power plants (NPPs) are potential targets of cyberattacks and can prove deleterious for the safety of the NPPs. A Software Bill of Materials (SBOM) provides a detailed list of the various components and their dependencies in software, which helps in vulnerability and risk assessment for cyber hygiene and situational awareness. For an NPP, the process of generating an accurate SBOM report can be complex due to the legacy systems and firmware binaries involved. While most current SBOM tools are focused more on modern internet technology software, this research provides insights and guidelines for an NPP to generate an accurate and efficient SBOM. The paper proposes a new methodology to help NPPs categorize software and use appropriate tools to generate SBOMs for their digital I&C systems.

Knowledge and Practices of Dysmenorrhea and its Effect of Life Among Female Medical Students in Jalalabad

Dysmenorrhea or painful menstruation is defined as a severe, painful, cramping sensation in the lower abdomen that is often accompanied by other symptoms, such as sweating. headaches, nausea, vomiting, diarrhea, and tremulousness, all occurring just before or during the menses. This study aimed to assess the Knowledge and Practices of dysmenorrhea and its effect of life among female medical students in Jalalabad. Materials and Methods: A descriptive cross-sectional study was done through online Google forms for a period of 3 months from January to March 202 A structured questionnaire was administered to 173 randomly selected Undergraduate Medical students. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 22.0. Objective: To gain more insight should think about dysmenorrhea is, if not it's can have alarming consequences sexual life of female. To gain knowledge about dysmenorrhea. To study and practice about dysmenorrhea increase the awareness of immature hygiene and self medication. Results: In total,173 medical students from 1st year and 2nd year were selected for this study where age range was 17-22 years with mean age of (20±1). Majority of 74% of the participants were found in to have good knowledge about dysmenorrhea. Majority of students who has good knowledge and also had good practices where as students with poor knowledge has poor practice (p value 0.021) Conclusion: Majority students concluded that dysmenorrhea is a very common problem of female students, and they experience a number of physical and emotional symptoms associated with dysmenorrhea. Mostly students are silently suffer the pain by dysmenorrhea and discomfort associated with it due to lack of knowledge about dysmenorrhea also affects their academic performance. However, their practices were found to be a matter of concern. An educational intervention can be introduced to bring about changes their life style regarding practices about dysmenorrhea among students.

Bacterial growth in breast milk expressed under hygienic control: a pilot study

ObjectiveIn this pilot study, we verified safe practices for breast milk expression, storage, and duration, based on bacteriological results.ResultsWe collected breast milk samples from three healthy lactating volunteers and analyzed the bacterial flora and changes in the viable bacterial counts (including those of Staphylococcus) of the samples. Although no consistent change could be observed in the abundance of a particular bacterial group in samples expressed under hygienic control conditions, viable bacterial counts were higher in self-expressed milk than in milk expressed under hygienic control conditions. In conclusion, increased hygiene awareness is vital during breast milk expression and storage.

Assessment of oral hygiene habits and periodontal status of patients during and after orthodontic treatment

OBJECTIVE: This study evaluated the relationship between orthodontic treatment, oral hygiene practices, and periodontal health in individuals undergoing or completed orthodontic treatment. MATERIALS AND METHOD: Systemically healthy patients undergoing or completed stable orthodontic treatment were included in the study. The periodontal status of 142 participants was determined using a comprehensive oral hygiene questionnaire and clinical oral examinations to assess various periodontal indices. Chi-square and t-tests were used for statistical analyses to compare periodontal status metrics between groups. RESULTS: Statistical analyses revealed no significant differences between oral hygiene habits, periodontal indices, or periodontal status between the ongoing treatment (OT) and post-orthodontic treatment (PT) groups (p>0.05). However, significant differences were noted in attachment level, dental visit frequency, and reasons for visits between the OT and PT groups (p<0.05). While participants generally showed similar oral hygiene awareness and practices, differences arose in toothbrushing times during orthodontic treatment and adherence to orthodontist recommendations. CONCLUSION: This study investigated the effect of OT on oral health and concluded that OT did not change oral hygiene habits but affected attachment levels. Orthodontists should consistently guide patients on oral hygiene and managing clinical attachment loss. In these cases, the patient should be referred to a periodontist when necessary.

PERCEPTION OF FEMALE COLLEGE STUDENTS ABOUT MENSTRUAL HYGIENE IN JHAJJAR, HARYANA: A SURVEY STUDY

Background: In Indian society, menstruation is often considered impure and there is a lack of knowledge about it among adolescent girls. Proper menstrual hygiene practices, such as using sanitary pads and washing the genital area, are essential. However, due to social stigma and lack of access to affordable products and facilities, many girls miss school or work during their periods. It is crucial to break the taboo surrounding menstruation and educate both girls and boys about it. This will lead to improved physical health and greater participation in daily life, resulting in a more inclusive and equal society. Objectives:The objective of this study is to understand the perception and awareness of menstrual hygiene among female college students in Jhajjar, Haryana. Design: Questionnaire based survey study. Method: The study sample consisted of 300 subjects. The subjects were selected as per the inclusive criteria and information was provided to the subjects. Consent form was obtained from the subjects. Questionnaire was given to subjects and filled questionnaire was collected. After collecting the necessary data through the questionnaire, it was compiled and analyzed using suitable statistical methods. Result: According to the result obtained most of the females have proper knowledge regarding sanitary material. A majority of females re-change their sanitary material more than twice. Whereas washing hands and cleanliness practices were found to be unsatisfactory. Conclusion: From the result of this study we have concluded that females have proper knowledge about sanitary material but they dont have enough knowledge about washing and cleaning habits due to which they can be vulnerable toward many infections and diseases.

Molecular detection and antibiogram profiles of Escherichia coli and Vibrio cholerae isolated from raw vegetables in the northern district of Bangladesh

Raw vegetables are essential for a well-balanced diet as they provide vitamins, minerals, dietary fiber, and phytochemicals. This study aimed to isolate, identify, and evaluate the microbial loads of Escherichia coli and Vibrio cholerae in raw vegetables sold at local markets in the Dinajpur district of Bangladesh. A total of 35 vegetable samples were collected from four markets in Dinajpur district. The isolates were identified using cultural, staining, biochemical, and molecular tests. Microbial loads were enumerated (TVC) using the pour plate technique. Molecular detection of bacterial species was confirmed targeting the 16S rRNA and groEL genes of E. coli and V. cholerae, respectively. The amplification was done on 704 bp fragments of the 16S rRNA gene of E. coli and 1117 bp fragments of Vibrio spp. For the confirmation of V. cholerae, amplification of a 418 bp fragment of the groEL gene was performed through multiplex PCR. An antimicrobial susceptibility test was conducted on all isolates of bacteria against eleven and eight antibiotics by disc diffusion. The total viable count (TVC) in potato, carrot, cabbage, cauliflower, tomato, green chili, cucumber, mustard sak, and coriander leaves were 2.4 ± 0.37, 2.2±0.14, 2.1±0.26, 1.8±0.14, 1.7±0.27, 1.5±0.33, 1.5±0.33, and 1.4±0.25 mean log colony forming units ± standard deviation/mg, respectively. Out of 35 raw vegetable samples, 16 (45.71%) and 13 (37.14%) isolates were culture positive for E. coli and V. cholerae. Subsequently, 5 (31.25%) and 4 (30.76%) isolates of E. coli and V. choleraewere confirmed positive molecularly. All 16 and 13 isolates of E. coli and V. cholerae were subjected to antibiogram testing against 11 and 8 antibiotics. E. coli isolates were highly resistant to ceftazidime, cefixime, ampicillin, and oxytetracycline, but sensitive to gentamycin, ceftriaxone, colistin, and enrofloxacin. Similarly, V. cholerae isolates were highly resistant to nalidixic acid, trimethoprim, and polymyxin, but highly sensitive to kanamycin, gentamicin, and streptomycin. The study’s findings indicate that raw vegetables pose a significant public health risk due to MDR E. coli and V. cholerae. To achieve safer levels of these bacteria in raw vegetables, good production practices and hygiene awareness are essential.

The global disease burden attributable to unsafe water, sanitation, and handwashing with unqualified facilities from 1990 to 2019.

Water, sanitation, and hygiene (WaSH) are crucial determinants of human health. However, the spatio-temporal trends in the global burden of disease attributable to unsafe WaSH remain poorly understood. This study aimed to estimate the disease burden attributable to unsafe WaSH from 1990 to 2019 using data from the Global Burden of Disease (GBD) Study 2019, providing new insights into the associated health conditions. We extracted data on deaths and disability-adjusted life years (DALYs) attributable to unsafe WaSH from 1990 to 2019 from the GBD 2019. The disease burden was evaluated by region, sociodemographic index (SDI), sex, age, risk factor, and specific disease. Globally, unsafe WaSH was responsible for 1 656 887.37 (95% uncertainty interval (UI) = 1 198 864.94, 2 312 688.33) deaths in 2019, a 49% decrease from 1990. The global age-standardised DALY rate due to unsafe WaSH was 1244.29 (95% UI = 993.20, 1544.13) per 100 000 in 2019, a 66% reduction since 1990. Western sub-Saharan Africa had the highest age-standardised death rate (ASDR) and age-standardised DALY rate in both 1990 and 2019. Among the 21 regions studied, only high-income North America witnessed an increasing ASDR from 1990 to 2019. Countries and territories in low SDI regions had higher ASDRs and age-standardised DALY rates. U-shaped associations were observed between the estimated annual percentage change (EAPC) of ASDR, EAPC of age-standardised DALY rate, and SDI. Both rates were slightly lower in females, with the burden concentrated in those under five and over 80 years old. In 2019, unsafe water source and diarrhoeal diseases remained the leading risk factor and cause of unsafe WaSH-related disease burden, respectively. Despite substantial improvements in hygiene awareness and health education, unsafe WaSH persists as a significant global health risk and a major contributor to the burden of diarrhoeal diseases. Disparities across regions and age groups remain evident. Increased efforts are needed to raise awareness and strengthen water and sanitation infrastructure, particularly in low SDI settings, to mitigate the health risks associated with unsafe WaSH.

Exploring Menstrual Hygiene Education and Awareness among Medical Students: A Cross-Sectional Study

Exploring Menstrual Hygiene Education and Awareness among Medical Students: A Cross-Sectional Study

Dynamical analysis of methicillin-resistant Staphylococcus aureus infection in North Cyprus with optimal control: prevalence and awareness

The number of Methicillin-resistant Staphylococcus aureus (MRSA) cases in communities and hospitals is on the rise worldwide. In this work, a nonlinear deterministic model for the dynamics of MRSA infection in society was developed to visualize the significance of awareness in interventions that could be applied in the prevention of transmission with and without optimal control. Positivity and uniqueness were verified for the proposed corruption model to identify the level of resolution of infection factors in society. Furthermore, how various parameters affect the reproductive number R0\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$${R}_{0}$$\\end{document} and sensitivity analysis of the proposed model was explored through mathematical techniques and figures. The global stability of model equilibria analysis was established by using Lyapunov functions with the first derivative test. A total of seven years of data gathered from a private hospital consisting of inpatients and outpatients of MRSA were used in this model for numerical simulations and for observing the dynamics of infection by using a non-standard finite difference (NSFD) scheme. When optimal control was applied as a second model, it was determined that increasing awareness of hand hygiene and wearing a mask were the key controlling measures to prevent the spread of community-acquired MRSA (CA-MRSA) and hospital-acquired MRSA (HA-MRSA). Lastly, it was concluded that both CA-MRSA and HA-MRSA cases are on the rise in the community, and increasing awareness concerning transmission is extremely significant in preventing further spread.

SLEEP HYGIENE IN ADOLESCENTS

Adolescent health is crucial for developing a productive future generation, with sleep quality being a key component. Many adolescents struggle with sleep issues due to academic pressure, excessive gadget use, and poor habits. This community service project aimed to improve sleep hygiene awareness among students at MTS Ma'arif 2 Ajibarang through leaflet distribution. On April 30, 2024, 150 sleep hygiene leaflets were distributed to students. Feedback was gathered from students and teachers to evaluate engagement and understanding. The leaflets were well-received. The leaflet distribution effectively raised awareness about sleep hygiene among adolescents. Future studies should assess the long-term impact of such interventions on sleep behaviors and health outcomes.

School teachers’ menstrual experiences and practices: reflections from rural Rajasthan, India

Menstruation is considered an off-limits subject in India where menstruating woman continue to face silence, discrimination and isolation. A mesh of patriarchal cultural practices surrounding the subject of menstruation places restrictions on girls and women who are menstruating. This paper explores the menstrual experiences and challenges experienced by teachers from a village located in a Kishangarh block in rural Rajasthan. Informed by qualitative research, the study reveals the irony in thrust to distribute disposable menstrual pads to adolescent girls in school while ignoring the needs of teachers. The study calls for the inclusion of teachers as key stakeholders in the design of school based menstrual hygiene management and awareness initiatives and programmes.