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Record W4409439347 · doi:10.1186/s12982-025-00519-4

Exploring the lived experiences of menstrual hygiene management among in-school visually impaired adolescent girls in rwanda: a phenomenological study

2025· article· en· W4409439347 on OpenAlexaff
Marie Laetitia Ishimwe Bazakare, Gerard Kaberuka, Aimable Nkurunziza, Justine Bagirisano, Jean Bosco Henri Hitayezu, Yvonne Delphine Nsaba Uwera, Juliet Mukankusi, Godfrey Katende, David Ntirushwa, Donatilla Mukamana, Michael Habtu

Bibliographic record

VenueDiscover Public Health · 2025
Typearticle
Languageen
FieldMedicine
TopicMenstrual Health and Disorders
Canadian institutionsUniversity of TorontoNipissing UniversityWestern University
FundersUniversity of RwandaUniversity of Michigan
KeywordsInterpretative phenomenological analysisPsychologyHygieneDevelopmental psychologyLived experienceVisually impairedPhenomenological methodClinical psychologyMedicinePsychotherapistQualitative researchOptometrySociologySocial science

Abstract

fetched live from OpenAlex

In low-income countries, many menstruating persons continue to face numerous challenges regarding menstrual hygiene management. Visual impairment further compounds the difficulties faced by in-school adolescent girls, but little is known about its consequences in Rwanda. To explore the lived experiences of menstrual hygiene management among in-school visually impaired adolescent girls in Rwanda. Descriptive phenomenology. This study was conducted in four specialized educational institutions for visually impaired students in Rwanda. We conducted four focus group discussions with 25 visually impaired adolescent girls selected purposively. The seven steps of Colaizzi’s method were used to analyze the data. Some participants reported double stigma due to both gender norms and menstruation as well as being visually impaired. Due to taboos and misconceptions around menstruation, some participants reported not getting accurate information about menstrual hygiene management from their parents or teachers. Some poor practices related to taboos and misconceptions such as drying the reusable clothes out of sight of others were reported. Finally, some participants faced a double burden regarding period poverty. Due to the lack of sanitary pads, some must wear reusable clothes, which are challenging to clean and dry. In case of water outages, participants could not travel to fetch water. Educational materials in three out of four girls’ rooms are visual, making it difficult for visually impaired girls to access accurate information. This study reveals the significant challenges visually impaired adolescent girls face in managing menstruation, compounded by societal norms and their disability. The double stigma highlights the need for targeted interventions to reduce discrimination and misconceptions. Addressing inadequate access to MHM education, period products, and infrastructural issues like water shortages is essential for creating an enabling environment for these girls.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.225
Threshold uncertainty score0.607

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.122
GPT teacher head0.364
Teacher spread0.242 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2025
Admission routes1
Has abstractyes

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