Menstrual Hygiene Practices Research Articles

Health status, menstrual hygiene practices, and anthropometric correlations among minority school girls

Abstract Background: Age group of 10–19 years has been designated as the adolescence period. This period decides future health and nutritional status. Girls are future mothers. Adolescents constitute 25% of the global population. Most of these populations are from developing countries. Objective: To study health status, menstrual hygiene practices, and anthropometric correlations among minority school girls. Methods: An institution-based cross-sectional study was carried out among 112 girls of age 11–18 years from a minority school. Socio-demographic information, complete general, and systemic examination as well as questions related to personal hygiene practices and menstrual hygiene practices were taken. Height, weight, and blood pressure were recorded as per the standard protocol. Body mass index (BMI) was calculated. Results: The prevalence of undernutrition was very high, i.e. 57.1%. The prevalence of refractive errors was 20.5%. Regarding personal hygiene practices, most of the girls were seen to follow good practices. Hand hygiene was present in 97.3% for washing hands before eating and among 98.2% for washing hands with soap and water after defecation. Regarding menstrual hygiene practices, only one girl told that she used the old cloth during menstruation and two girls disposed the pads improperly. Significant correlation was seen between age and BMI; systolic blood pressure (SBP) and BMI; diastolic blood pressure and BMI; and duration of stay in the hostel and SBP. Age was correlated with the height and BMI. When we compared mean height, weight, and BMI across age categories, we found that mean height was significantly more in higher age. Mean BMI was significantly lesser in higher age group. However, mean weight was almost similar. Conclusion: The prevalence of malnutrition was high. As the age increased, BMI decreased indicating that the given nutrition is not sufficient for their growing age. Hence, there is a need to give additional food supplementation for proper growth and nutrition. Awareness on personal and menstrual hygiene was very good.

Assessment of Knowledge, Attitude and Practice of Menstrual Hygiene Among Adolescent Girls in West Bengal, India

Assessment of Knowledge, Attitude and Practice of Menstrual Hygiene Among Adolescent Girls in West Bengal, India

A descriptive cross-sectional study on perceived barriers and facilitators regarding the use of menstrual cups among medical students in a tertiary care hospital in Puducherry

Introduction: Adolescence is the period between 10 and 19 years of life, and about one-fifth of the total female population in the world are in this age group who undergo the basic physiological phenomenon called menstruation. The issues related to menstruation are often neglected by family and community which affects the physical, mental and social functioning of the teenagers. By adopting sustainable menstrual hygienic practices, the major disorder of sexual and reproductive health. The objectives of this study were to determine the prevalence of the usage of menstrual cups among medical students, to assess the knowledge and practice about menstrual cup and to determine the barriers and facilitators regarding the use of menstrual cup. Methods: This study was a descriptive cross-sectional study conducted among the female medical students of Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry. The study tool was a Google Form comprising the sociodemographic details of the study participants and the details regarding the usage of menstrual products, especially menstrual cups. This study followed the universal sampling method, and a total of 164 students responded. The responses were downloaded from Microsoft Excel and analyzed using SPSS version 21. Results: Out of the total 164 study participants, 53% belonged to the age group of 18–22 years, 46% were in the age group of 23–27 years, and 1% were above the age of 27 years. Of these, 20% were 1st year, 16% were 2nd year, 21% were 3rd year, 29% were 4th year, and 14% were interns. The knowledge prevalence of menstrual cups was 78%. The prevalence of the usage of menstrual cups was 85%. Conclusion: Hence, much insight has to be tailored to the advancement in knowledge dissemination regarding sexual and reproductive health. The practice of safe, durable, and sustainable menstrual hygienic products such as menstrual cup has to be encouraged as they are cost effective and generate less waste. All menstruating women should be educated about menstrual cups and should be encouraged to use it.

Study on Menstrual Hygiene Management among Urban and Rural Adolescent Girls in Marathwada region of Maharashtra, India

Introduction: Adolescence is a significant period in the life of a woman. Menstruation is a naturally occurring physiological phenomenon in adolescent girls and premenopausal women. Menstrual hygiene and management is an insufficiently acknowledged issue and has not received adequate attention. The lack of menstrual hygiene among rural population is alarming, and there is a need for policy-making and awareness programs to be initiated. Aim: Hence the present study was aimed to compare the status of menstrual hygiene among rural and urban adolescent girls. Methods: A community-based cross-sectional study was carried out among 250 adolescent girls (rural & urban), aged between 13 to 19 years residing the in field practice area of IIMSR Medical College, Badnapur, Jalna. Data was analyzed by using MS Excel 2010. Results: Out of 250 participants, 48.8% girls from rural area and 51.2% from urban area. The mean age of the menarche was 12.3 ± 1.4 and 12.34 ± 1.43 in rural and urban girls, respectively. Knowledge of menstruation prior to menarche was found to be less in rural girls compared with urban girls. Regarding menstrual hygiene practices during menstruation, out of the total girls residing in rural area 49.18% girl and out of the total girls residing in urban area 62.5% girls were using sanitary pads. Restriction during menstruation was observed more in rural girls than in urban areas. Conclusion: More awareness regarding menarche and menstruation was among urban girls than. Hygienic practices observed by girls were also more satisfactory in the urban area as compared with rural ones.

Behaviors and practices of incarcerated women towards menstrual hygiene in a large urban prison in Uganda: a phenomenological qualitative study

BackgroundDeplorable and unconducive conditions in prisons present serious challenges to menstrual hygiene management. However, little is known about menstrual hygiene among incarcerated women in Uganda. Our study explored the behaviors and practices of incarcerated women regarding menstrual hygiene management in a large government prison in Uganda. In addition, we explored the barriers to menstrual hygiene management in this population.MethodsIn this phenomenological qualitative study, we conducted in-depth interviews with incarcerated women aged 20–49 years and key informant interviews with female prison officers (wardresses) at Luzira Prison in Kampala, Uganda. The data were analyzed using content analysis and the findings were presented using themes/sub-themes along with participant quotes.ResultsWe interviewed 15 incarcerated women aged 20–49 years (mean age, 29.5 ± 8.7 years) and five key informants aged 30–50 years (mean, 42.6 ± 4.9) about menstrual hygiene behaviors and practices, including barriers to menstrual hygiene. Five sub-themes emerged concerning behaviors and practices of menstrual hygiene among incarcerated women. Findings reveal the behaviors and practices of menstrual hygiene management were characterized by infrequent change of menstrual pads, lack of privacy during menstrual hygiene practices, use of poor-quality menstrual hygiene materials, and improper disposal of used sanitary products. However, bathing with soap and water during menstruation was frequent and non-restricted. Three sub-themes emerged as barriers to menstrual hygiene practices, largely at the institutional level, and they included unhygienic sanitary facilities, unreliable access to clean water, and insufficient sanitary products.ConclusionsBehaviors and practices of incarcerated women fall short of desired standards and they face several barriers to practicing menstrual hygiene. The prison authorities should provide sufficient sanitary products like pads, and knickers including soap, construct more sanitary facilities, educate about the safe disposal of used sanitary products, and provide sufficient clean water to promote good menstrual hygiene management among incarcerated women.

Menstrual hygiene management and associated factors among adolescent school girls in gursum district, Eastern Ethiopia: Institution-based a cross-sectional study

BackgroundIn 2017 WHO reported that due to a lack of menstrual hygiene management (MHM) facilities, high costs, and ignorance, 2.3 billion girls and women worldwide do not manage their menstruation properly. This leads to the use of other options, such as old clothes or other unhygienic materials, which may make them a risk group for infections and other health consequences. Despite the significant role of appropriate menstrual hygiene practices, it is still a missed opportunity to address the hygienic practice of menstruation among girls in many low-and middle-income countries, including Ethiopia.ObjectivePrimarily, this study was aimed at investigating menstrual hygiene management (MHM) practice and determinant factors among young adolescent school girls in eastern Ethiopia, Gursum District 2021.MethodAn institutional-based cross-sectional survey was conducted among adolescent school girls in Gursum, Eastern Ethiopia, in 2021. 577 girls participated in this study and a multi-stage sampling procedure was employed so as to select a fair and representative sample of female students who experienced menarche. After controlling for confounding variables, binary logistic regression was fitted to identify factors affecting MHM among adolescent girls.ResultThis study revealed that 58.41% of adolescent school girls practice unsafe MHM practices. It was also reported that 193(33.45%) of the girls use reusable sanitary pads. Of those, 182(31.5%) of them keep the pads in hidden places as it is a shame to be seen Seventy-six (13.17%) of the respondents had experienced vaginal infections during menarche. Having knowledge about menstruation prior to experiencing menstruation [AOR 0.28 CI: (0.1476132, 0.5613692)], being over 15 years old [AOR 1.56, CI: (1.020577, 2.387646)], living in rural areas [AOR 1.23 CI: (1.1563013, 1.3562546)], and having infection around their vagina during menarche [AOR 4.6 CI: (2.633405, 8. 273,883)] were significant determinants of MHM practice.ConclusionThe majority of the adolescent girls who participated in this study practice unsafe MHM practices. Results suggest that school health education focusing on improving the hygienic practices of adolescent girls during menstruation should be provided.

Menstrual Hygiene Problems and Challenges Faced by Adolescent Females in Rural Areas: A Narrative Review.

Menstruation is a vital sign of reproductive health and development. Menstrual hygiene practices are consequently a significant public health issue. However, menstrual practices are still tainted by taboos and other sociocultural constraints, which adversely affect health since adolescent females in rural areas are unaware of the scientific facts regarding menstrual hygiene practices. The Indian government has recognized the significance of menstrual hygiene and developed and implemented several programs and schemes for menstrual hygiene management (MHM). But due to a lack of, little, or inaccurate knowledge and cultural practices and socio-economic status, adolescent females face many obstacles and suffer from health issues. A comprehensive literature and datasearch was done using key databases such as PubMed and Google Scholarand other sources such as the Ministry of Health and Family Welfare (MoHFW), the United Nations International Children's Emergency Fund (UNICEF), the World Health Organization (WHO), and Google to identify the relevant articles and reviewed publications using full-text search. A total of 40 articles out of 1,461 were selected for review after the screening and elimination of repeated articles. The objective of this literature review is to assess the awareness and knowledge of the importance of menstruation, the understanding of safe menstruation practices, the significance of properly disposing of menstrual products, and the knowledge of how to guard against reproductive system infection and its consequences and also to identify the problems and challenges faced by adolescent females during their menstrual hygiene practices or management. The core of many health issues is misinformation, myths, erroneous beliefs, lack of awareness, and incomplete or incorrect knowledge about menstruation. Therefore, it is essential to teach adolescent females about hygienic behavior and safe menstrual practices.

MENSTRUAL HYGIENE KNOWLEDGE, PRACTICES AND INTERVENTIONS AMONG JUNIOR HIGH SCHOOL GIRLS IN THE KROBO AREA OF GHANA

Purpose –– This study was conducted to assess the menstrual hygiene knowledge and practices of adolescent girls in the Krobo area of Ghana. Methods –– It adopted a cross-sectional study where 245 Junior High School girls from eight schools in two municipal districts of Ghana were studied. Findings –– The study identified that only 35% of students frequently change pads, although 96% of them use sanitary pads. It was also detected that girls avoid school when they are menstruating for reasons such as severe bleeding, fear of stains, painful periods and a lack of facilities at school which impacts their academic performance negatively. Conclusion & Recommendations –– The study revealed that the majority of the girls do not change pads or dispose of them while in school due to inadequate facilities. Therefore, it is highly recommended that schools give proper education and provide appropriate facilities for girls’ academic advancement, good health and well-being. Keywords –– Menstrual hygiene, Water, Sanitation and Health, Adolescent girls, School health programme

Assessment of menstrual hygiene management knowledge, practice, and associated factors among girls in Boset District, Ethiopia: a school-based cross-sectional study

BackgroundAdolescent girls, particularly in lower socioeconomic settings, lack adequate knowledge of menstrual hygiene management and have subpar hygiene habits. Likewise, the factors related to it have not been well addressed, and schoolgirls are facing a range of challenges. To develop effective intervention approaches, a context-specific assessment of menstrual hygiene practices is useful. Thus, this study aimed to assess menstrual hygiene management knowledge, practice, and associated factors among girls in the Boset district, Ethiopia.MethodsA school-based cross-sectional study was conducted at Boset district secondary schools among 629 randomly selected girls using the multi-stage sampling technique. Data were collected using a self-administered, structured questionnaire. The collected data were entered into Epi-info version 7 and analyzed by Statistical Package for Social Science (SPSS) version 26. Binary logistic regression analysis was used to model the association between dependent and independent variables. An adjusted odds ratio and 95% confidence interval were used to measure the strength of the association, and a p-value < 0.05 was used to declare statistical significance.ResultOf the total study participants, 51.2% (95% CI: 46.6–55.8%) had an appropriate practice of menstrual hygiene and 57.9% (95% CI: 53.3–62.5%) had good knowledge status on menstrual hygiene management. Being an urban resident (AOR = 1.84, 95% CI: 1.20–2.80), having a mother with a secondary and above educational level (AOR = 3.4, 95% CI: 2.07–5.57), earning regular pocket money (AOR = 2.19, 95% CI: 1.45–3.313), and discussing menstrual issues with parents and friends (AOR = 3.65, 95% CI: 2.327–5.727) were associated with good practice of menstrual hygiene.ConclusionIn this study, nearly half of the school girls had good practice and knowledge of menstrual hygiene management. Educating mothers and promoting discussion about menstrual hygiene management issues, especially in rural areas, should be priority actions.

A study on menstrual hygiene practices and school absenteeism during menstruation among high school girls from an urban area of Hyderabad, Telangana

Abstract Background: Menstrual hygiene is an important risk factor for reproductive tract infections among adolescent girls. Unhygienic practices during menstruation have a significant impact on health. Fear of blood leaking, fatigue, dysmenorrhea, and lack of cleanliness in schools during menstruation contribute to absenteeism. Frequent episodes of absenteeism result in poor school performance. Objectives: The objectives of the study were to assess menstrual hygiene practices among the study population and estimate the proportion of school absenteeism among girls during menstruation and evaluate the associated factors. Materials and Methods: A cross-sectional study was conducted among 231 high schools (8th, 9th, and 10th standards) girls in Narayanguda, Hyderabad. A semi-structured questionnaire was used to interview the subjects after taking permission from the principal, and confidentiality was ensured for the students. Adolescent girls who have attained menarche and who were present on the day of the survey were included in the study. Adolescent girls who have not attained menarche were excluded from the study. Results: The mean age of menarche was 12.19 ± 1.17 years. The majority (93%) were using sanitary pads. Disposal of material used for menstruation was majorly (95.6%) by throwing in dustbins. Almost 92.2% of them were following good hygienic practices. The proportion of school absenteeism during menstruation was 53%, and the reasons were dysmenorrhea and fear of leaking menstrual blood while transiting. Conclusions: The majority of the girls were following good hygienic practices and used sanitary pads. About half of them remained absent from school during menstruation.

Knowledge and Practice of Menstrual Hygiene among Adolescent School Girls in Rural Area of Surat District - A Cross - Sectional Study

Knowledge and Practice of Menstrual Hygiene among Adolescent School Girls in Rural Area of Surat District - A Cross - Sectional Study

Menstrual hygiene management practices and determinants among schoolgirls in Addis Ababa, Ethiopia: The urgency of tackling bottlenecks - Water and sanitation services

BackgroundMenstrual hygiene management (MHM) service provision and improving schoolgirls' hygienic practices in schools are among the major challenges for low and middle income countries, including Ethiopia, in meeting the 2030 Sustainable Development Goals. This study was conducted to assess schoolgirls’ MHM practices and what influences those practices in Addis Ababa, the capital city of Ethiopia. MethodsA cross-sectional study was conducted on 401 adolescent schoolgirls and 98 school directors that were selected using a multistage sampling method. Pretested semi-structured interviewer-administered questionnaires and observational checklists were used to collect data. ResultsDuring menstruation, about 90% of schoolgirls used commercially made disposable sanitary pads. However, only 45.9% of girls had access to emergency pads from their schools. Of the 98 directors, 79 (80.6%) responded that they had MHM provisions for schoolgirls. However, 42 (42.9%) schools had no water and soap in the pad changing rooms/toilets, and 70% lacked a covered dustbin for disposal/storage of soiled sanitary pads. Besides, more than 55% of the schools practiced open burning and dumping to dispose of used menstrual materials. More than half of the schools had no sanitary pad changing rooms, three-quarters of them lack MHM education, and only 2.5% had a bathing area. The location of schools (AOR = 5.44, 95% CI: (2.34–12.66)), health club availability (AOR = 3.14, 95% CI: (1.53, 6.42)), being informed about MHM before menarche (AOR = 2.04, 95% CI: (1.04, 4.00)), and availability of emergency sanitary pad at schools (AOR = 2.59, 95% CI: (1.36, 4.91)) were significantly associated with the status of schoolgirls menstrual hygiene practices. ConclusionsAbout one-quarter of the schoolgirls had poor menstrual hygiene practices. Being a student in inner-city schools, attending a school that had a health club, being informed about MHM before menarche, and having access to emergency pads from schools were the determinant factors for good menstrual hygiene practices. However, most schools lack water, soap, and a covered dustbin in the pad changing rooms/toilets. Moreover, only a few schools provided MHM education and emergency pads. Improving water and sanitation services along with tailored MHM education are urgently needed to circumvent unsafe MHM practices among adolescent schoolgirls.

Epidemiology of menstrual hygiene practices among school-going adolescent girls in peri-urban Bangladesh

Epidemiology of menstrual hygiene practices among school-going adolescent girls in peri-urban Bangladesh

Challenges for menstrual hygiene practice among adolescent school girls in West Midnapur district, West Bengal, India

Challenges for menstrual hygiene practice among adolescent school girls in West Midnapur district, West Bengal, India

Inequalities in menstrual hygiene practices and social stigma among women of particular vulnerable tribal groups (PVTGs) in Madhya Pradesh

This article aimed to understand the menstrual acquaintance, practices and hygiene care of underprivileged women living in difficult terrine. The PVTGs tribes have low literacy and poor socio-economic condition. The study has focused to find out the existing personnel health hygiene by way of the use of sanitary pad and fronting with social stigmas during the menstrual period.Community based cross-sectional study was conducted in all three PVTGs Baiga, Bharia, and Saharia women of Madhya Pradesh. Data collection was done in 2019-20 in selected district Dindori, Chhindwara and Sheopur. A total 302 women were interviewed on menstrual hygiene practices and related issues who were in reproductive age (15-49 years). The related relevant information’s was collected by female trained investigators through structured questionnaire schedule by conducted interview method after obtained consent.Care of menstrual hygiene as use of sanitary pad (absorbent) was found 11.2% among women. Inequality of the use of sanitary pad was seen lower (6%) in Baiga women in comparison considerably higher (17.6%) in Bharia and (10.4%) in Saharia women. Disposing the used absorbent at outside the village were found significantly higher (44.8%), (p&amp;#60;0.05) in Saharia while burn the used absorbent seen significantly higher (78.3%), (p&amp;#60;0.05) in Bharia women. Cleaning the genital with water only were found alarming 16.5% among women particularly 21% in Baiga,17.6% in Bharia and 11.5% in Saharia women due to different culture and norms. As regards 28% women feeling menstruation is Impure details as 42%, 9% and 31% by Baiga, Bharia and Saharia women. Restrictions as social stigma during menstrual period, about 13% of women were reported that they had not involved in the community social and cultural functions. Social stigma was seen noticeably higher (22%) among Saharia while lower (12.4%) in Bharia and 5% in Baiga community.Use of hygiene absorbent during menstruation period was found comparatively very low (11.2%) among tribal women in comparison to national average. The tribal women are having greater risk of own health and her forthcoming baby. Appropriate IEC campaign program on awareness for menstrual hygiene care among women and easily availability of sanitary pad will be upholding of superior menstrual hygiene which correlated to health of mother and reproductive care.

Recognizing Rohingya adolescent girls' menstrual hygiene in Bangladesh to enhance reproductive health: a commentary.

The Rohingya, an ethnic minority group in Myanmar, have been subjected to decades of persecution and violence, forcing them to flee to neighboring countries such as Bangladesh. The correspondence recognizes Rohingya adolescent girls' menstrual hygiene in Bangladesh to enhance reproductive health. Adolescent girls make up 52% of the Rohingya population in the Cox's Bazar region's refugee camps, and there are few resources to help them manage their menstrual hygiene, posing significant health risks. Inadequate menstrual hygiene can result in sexual and urinary tract infections, infertility, and pregnancy complications. Most of the adolescent girls had poor menstrual hygiene practices. Unfortunately, only 10.89% of Rohingya girls wear underwear without disposable sanitary pads, and 17.82% use disposable sanitary pads. Furthermore, 67% of Rohingya girls do not have access to proper menstrual healthcare. Bangladeshi girls, on the other hand, have better access to menstrual hygiene products and have more good practices. There is a need to develop menstrual hygiene-friendly infrastructure as well as menstrual hygiene understanding and practices among the Rohingya. Authorities can help improve the current situation and promote healthy menstrual hygiene practices among Rohingya girls by implementing specific requirements, such as ensuring menstrual hygiene products.

Menstrual Hygiene Practices and its Predictors Among Young Women in India: Findings from the National Family Health Survey-5 (2019–2021)

Introduction India is moving towards menstrual hygienic practices. However, using unhygienic menstrual absorbents is still a reproductive health concern among women in India. Objective This study investigates the prevalence of menstrual hygiene practices by geographical location and socio-economic factors among women in India. Materials and Methods National Family Health Survey-5 (NFHS-5) (2019–2021) data were utilized to fulfill the study objectives. The study participant included 241,180 young women aged 15–24 years. A bivariate chi-square test was applied to present the percentage distribution of menstrual hygienic practices. Multivariate logistic regression analyses were used to examine the predictors linked with hygienic practices related to menstruation. Results About 77% of the women used hygienic absorbents to protect menstrual bloodstains in India. The menstrual hygienic practices are significantly lower in the improvised states of central and eastern India. Multivariable analysis reveals that higher educated women (adjusted odds ratio (AOR): 5.36; 95% confidence interval (CI): 4.18–6.87) residing in the richest quintile households (AOR: 6.17; 95% CI: 4.61–8.26) have a higher probability of hygienic practices related to menstruation. Besides, higher autonomy and mass media exposure are positively associated with hygiene practices. Conclusion The study findings recommend opportunities for reproductive education among women, offering financial incentives, and improving women’s empowerment may increase menstrual hygienic practices. Additionally, interventions should focus on socioeconomically poor women to increase the use of sanitary napkin. Interventions should also focus on marginalized women to increase the use of sanitary napkin.

Menstrual health and hygiene among Juang women: a particularly vulnerable tribal group in Odisha, India

BackgroundMenstruation is a normal biological process that all women go through, yet it is shrouded in secrecy, taboos, and even stigma in many societies. Studies have shown that women from socially disadvantaged groups are more likely to have preventable reproductive health issues and have less understanding of hygienic menstrual practices. Therefore, this study aimed to provide an insight into the most sensitive issue of menstruation and menstrual hygiene practices among the women of the Juang tribe, recognized as one of the particularly vulnerable tribal groups (PVTG) in India.MethodsA cross-sectional study using a mixed-method approach was carried out among Juang women in Keonjhar district of Odisha, India. Quantitative data was gathered from 360 currently married women to assess practices associated with menstruation and its management. In addition, 15 focus group discussions and 15 in-depth interviews were conducted to explore the views of Juang women on menstrual hygiene practices, cultural beliefs, menstrual problems, and treatment-seeking behaviour. Inductive content analysis was used to analyse the qualitative data, while descriptive statistics and chi-squared tests were used to analyse quantitative data.ResultsMost Juang women (85%) used old clothes as absorbents during menstruation. Distance from the market (36%), lack of awareness (31%), and high cost (15%) were cited as the contributing factors to the low level of sanitary napkin usage. Around 85% of women were restricted from participating in religious activities, and 94% avoided social gatherings. Seventy-one percent of the Juang women experienced menstrual problems, while only one-third of them sought treatment for their problems.ConclusionHygienic practices during menstruation are far from satisfactory among Juang women in Odisha, India. Menstrual problems are common, and the treatment sought is insufficient. There is a need for awareness generation on menstrual hygiene, the adverse effects of menstrual problems, and the provision of low-cost sanitary napkins among this disadvantaged, vulnerable tribal group.

Knowledge and Practices of Menstrual Hygiene of the Adolescent Girls of Slums in Siliguri City, India: A Cross-Sectional Study

Knowledge and Practices of Menstrual Hygiene of the Adolescent Girls of Slums in Siliguri City, India: A Cross-Sectional Study

Spatial heterogeneity in the exclusive use of hygienic materials during menstruation among women in urban India.

Menstrual hygiene is essential for women to live with dignity. However, a large proportion of Indian women still suffer from unhygienic menstrual practices leading to reproductive tract infections. To understand the socioeconomic and bio-demographic determinants of menstrual hygiene practices, various national or local level studies have been conducted in India and around the world, however, no previous study has tried to understand the spatial heterogeneity across Indian districts in the use of hygienic materials among young urban women. This study used data from 54,561 urban women aged 15-24 from the National Family Health Survey-5. Global Moran's I was applied to assess the degree of spatial autocorrelation and cluster and outlier analyses to locate hot-spots and clod-spots in the exclusive use of hygienic materials across the districts. Ordinary least square, spatial lag, and error models were used to identify determinants of exclusive use of hygienic materials. Approximately 66.8% of urban women exclusively use of hygienic materials which varied across districts. Global Moran's I of 0.46 indicated positive spatial autocorrelation in the outcome. Cluster and outlier analysis revealed cold-spots in central Indian districts and hotspots in south Indian districts. Results of spatial error model identified women's years of schooling, marital status, social group, and household wealth were major determinants of the exclusive use of hygienic materials among urban women across Indian districts. Substantial spatial heterogeneity in the outcome among urban women in India suggests the need to design targeted and context-specific behavioural interventions and programs for women in urban India.