Challenges and Coping Strategies in Menstrual Health and Hygiene Management Among Girl Children With Hearing Impairment: A Systematic Review

Abstract

Menstrual health and hygiene is an important element of a female’s well-being; however, it is often overlooked, particularly among girls with disabilities, with those who are hearing impaired being especially vulnerable. Hearing impairment also called as invisible disability due to the lack of visible symptoms, it is marginalized in communities and neglected by the policy makers. The females with hearing impairment face communication challenges, cultural taboos and a lack of tailored education which results in a gap in understanding and managing appropriate menstrual health and hygiene. This study deals with the challenges and coping strategies experienced by girls with hearing impairment and caregivers regarding menstrual health and hygiene. The objectives of the study include 1) To examine the challenges faced by girls with hearing impairment in managing menstrual health and hygiene, and 2) To identify the challenges faced and strategies employed by caregivers in supporting girls with hearing impairment in menstrual health and hygiene management. The study adopts a systematic review approach by drawing on from existing interdisciplinary literature, including public health, disability studies and inclusive education, to explore the perspectives of caregivers and girls with hearing impairment related to menstrual health and hygiene. Eligible studies were gathered from databases like MEDLINE, PubMed, Global Health, Google Scholar, ResearchGate, DSpace, etc. Data from 21 studies were extracted, organized, and thematically synthesized to highlight the key challenges and strategies reported across studies. The findings reported that girls with hearing impairment and their caregivers faced challenges like communication barrier, lack of information, social stigma, vulnerability, inadequate WASH facilities, and lack of support. The study reveals a major gap in the preparedness and support of caregivers and girls with hearing-impairment, which highlights the need for an inclusive, culturally sensitive interventions. The study recommended for inclusive menstrual health education designed specifically for catering the needs of differently-able females.