Knowledge, Attitude and Practice regarding Menstrual cup Use among Medical and Paramedical Students and Staffs: A Cross-Sectional Study from Eastern India
DOI:
https://doi.org/10.47203/IJCH.2026.v38i01.020Keywords:
Menstrual Cup, Menstrual Hygiene, IndiaAbstract
Background: Menstrual cups are a safe and sustainable option for menstrual hygiene management, yet their uptake remains limited in India. Aims & Objectives: To assess knowledge, attitudes, and practices (KAP) regarding menstrual cup use among medical and paramedical students and staff at a tertiary medical college in Odisha, Eastern India. Methodology: A cross-sectional study was conducted among females aged 18–45 years using simple random sampling. Data were collected through a semi-structured questionnaire administered via Epicollect-5. Knowledge was measured using a nine-item score and categorized as poor, average, or good. Attitudes and practices were assessed using structured questions. Data were analyzed using SPSS version 27.0. Results: Of 582 approached, 538 were analyzed. Awareness was reported by 79%, but only 15.6% demonstrated good knowledge. MBBS students had significantly higher knowledge scores than Allied Health Sciences participants (5.15 ± 1.93 vs. 2.93 ± 2.68; p < 0.001), while the latter expressed more favorable attitudes. Sanitary pads were the predominant product (96.9%), and only 2.2% reported current MC use. Conclusion: Despite high awareness, menstrual cup use remains low. Targeted educational and behavior change interventions are warranted to improve knowledge and MC use.
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References
UNICEF Australia. 800 million: Why we need to rethink the way we view periods. Accessed 3 February 2026. Available from: https://www.unicef.org.au/stories/800-million.
Sommer M, Hirsch JS, Nathanson C, Parker RG. Comfortably, Safely, and Without Shame: Defining Menstrual Hygiene Management as a Public Health Issue. Am J Public Health. 2015;105:1302–11. doi:10.2105/AJPH.2014.302525.
World Bank. Menstrual Health and Hygiene. 2022. Accessed 3 February 2026. Available from: https://www.worldbank.org/en/topic/water/brief/menstrual-health-and-hygiene.
Hennegan J, Shannon AK, Rubli J, Schwab KJ, Melendez-Torres GJ. Women's and girls' experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis. PLoS Med. 2019;16:e1002803. doi:10.1371/journal.pmed.1002803.
Babbar K, Garikipati S. What socio-demographic factors support disposable vs. sustainable menstrual choices? Evidence from India's National Family Health Survey-5. PLoS One. 2023;18:e0290350. doi:10.1371/journal.pone.0290350.
Das P, Baker KK, Dutta A, Swain T, Sahoo S, Das BS, et al. Menstrual Hygiene Practices, WASH Access and the Risk of Urogenital Infection in Women from Odisha, India. PLoS One. 2015;10:e0130777. doi:10.1371/journal.pone.0130777.
Kaur R, Kaur K, Kaur R. Menstrual Hygiene, Management, and Waste Disposal: Practices and Challenges Faced by Girls/Women of Developing Countries. J Environ Public Health. 2018;2018:1730964. doi:10.1155/2018/1730964.
van Eijk AM, Zulaika G, Lenchner M, Mason L, Sivakami M, Nyothach E, et al. Menstrual cup use, leakage, acceptability, safety, and availability: a systematic review and meta-analysis. Lancet Public Health. 2019;4:e376-e393. doi:10.1016/S2468-2667(19)30111-2.
Behera SM, Behera P, Pal DK, Yadav V, Ranjith A, Epari V, et al. Prevalence of menstrual cup usage among reproductive-age women in asian countries: a systematic review and meta-analysis. BMC Women's Health. 2026;26(1):100. doi:10.1186/s12905-026-04276-7.
Behera SM, Behera P, Pal D, Malla PS, Patro BK, Rao EV. Menstrual Cup use among Nulliparous Women: Breaking Taboos and Empowering Communities - A Scoping Review. Indian J Community Med. 2025;50:574–80. doi:10.4103/ijcm.ijcm_600_24.
Sudevan Devan GM, Mohanan G, Ajitha GK, Kavitha H, Majeed I, Kesavan Nair AN. Knowledge, Attitude and Practices Regarding Menstrual Cup Among Females in an Urban Setting of South Kerala. J Family Reprod Health. 2022;16:243–7. doi:10.18502/jfrh.v16i4.11354.
Singh R, Agarwal M, Sinha S, Chaudhary N, Sinha HH, Anant M. Study of Adaptability and Efficacy of Menstrual Cups in Managing Menstrual Health and Hygiene: A Descriptive Longitudinal Study. Cureus. 2022;14(9):e29690. doi: 10.7759/cureus.29690.
Karjee S, Rahaman M, Biswas PC. Contextualizing the socio-economic and spatial patterns of using menstrual hygienic methods among young women (15–24 years) in India: a cross-sectional study using the nationally representative survey. Clin Epidemiol Glob Health. 2023;20:101253. doi: 10.1016/j.cegh.2023.101253.
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Copyright (c) 2026 Surama Manjari Behera, Priyamadhaba Behera, E. Venkata Rao, Binod Kumar Patro, Md Shaney Ali
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