1887
Volume 2026, Issue 1
  • E-ISSN: 2220-2749

To examine the state of menstrual hygiene management (MHM) among female university students in Gaza, with a particular focus on access to menstrual materials and water, sanitation, and hygiene (WASH) facilities.

This study employed an exploratory cross-sectional survey design targeting female university students, using a structured online questionnaire. Items related to MHM were adapted from the Arabic MHM Toolkit Mini Guide. The survey was distributed through social media, university listservs and networks, and online student group platforms. Data were collected between November 2024 and December 2024. Participants were eligible for inclusion if they were identified as female, enrolled in a university, and residents of Gaza.

Our sample comprised 214 participants. Most respondents (95.3%) reported using sanitary pads during menstruation. Almost half of the participants (46.7%) were able to change their pads only once or twice per day, closely aligning with the 48.6% who perceived their frequency of pad changes as inadequate. Approximately 17% of participants lacked access to a safe and private space to change menstrual materials, while nearly 40% lacked access to a safe and private space for bathing during menstruation. Additionally, 22.4% of participants were unable to regularly clean their external genitalia with water and soap during menstruation, and 14.5% reported a lack of trash bins for the disposal of pads or cloth materials.

Our findings highlight the distressing realities of the ongoing genocide in Gaza and its impact on women and girls of reproductive age. There is an acute shortage of menstrual materials—particularly menstrual pads—along with other hygiene items (e.g. soap) and WASH facilities to support proper menstrual hygiene practices. We call on the international community and governments to act jointly to establish an immediate, permanent ceasefire and to facilitate the timely entry of humanitarian aid into Gaza.

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References

  1. Sood S, Stevens S, Okumura M, Hauer M, Ramaiya A. A systematic review of menstrual health and hygiene management (MHHM) as a human right for adolescents girls. Int J Sex Health. 2022 Mar 22; 34:(3):483–502. http://doi.org/10.1080/19317611.2022.2050874
    [Google الباحث العلمي]
  2. Sweet RL. Gynecologic conditions and bacterial vaginosis: Implications for the non-pregnant patient. Infect Dis Obstet Gynecol. 2000; 8:(3–4):184–90. http://doi.org/10.1155/S1064744900000260
    [Google الباحث العلمي]
  3. Cardoso LF, Scolese AM, Hamidaddin A, Gupta J. Period poverty and mental health implications among college-aged women in the United States. BMC Womens Health. 2021 Jan 6; 21:(1):14. http://doi.org/10.1186/s12905-020-01149-5
    [Google الباحث العلمي]
  4. Ross J. Gender data in Gaza are helping the humanitarian response reach women and girls. UN Women; 2025.
    [Google الباحث العلمي]
  5. Ferguson S Su T. UNICEF aids children caught in water and sanitation crisis in Gaza. UNICEF; 2024.
    [Google الباحث العلمي]
  6. Sabet C, Nguyen D, Nada SA, Abuzerr S, Taha AM. Women and girls in Gaza face increasingly dire physical and mental health challenges. BMJ. 2024 Mar 12;384:q625. http://doi.org/10.1136/bmj.q625
    [Google الباحث العلمي]
  7. Hamamra B, Mahamid F, Atiya M, Bdier D. Gazan women’s struggle for menstrual health and dignity during genocide. BMC Women’s Health. 2025 Nov 3; 25:(1):534. http://doi.org/10.1186/s12905-025-03973-z
    [Google الباحث العلمي]
  8. Hassan S, Ghandour R, Bakri L, Shwiki S, Safi S, Abuzaid R, et al.. (2023). Menstrual health and hygiene among young Palestinian female university students in the West Bank: A cross-sectional study. BMJ Open. 2023; 13:(3):e069222. http://doi.org/10.1136/bmjopen-2022-069222
    [Google الباحث العلمي]
  9. IRC . Menstrual hygiene management (MHM) in emergencies toolkit [online]. IRC; 2017 [cited 28 April 2025]. Available from: https://www.rescue.org/resource/menstrual-hygiene-management-mhm-emergencies-toolkit
    [Google الباحث العلمي]
  10. McHugh MC Menstrual shame: Exploring the role of ‘menstrual moaning’. The Palgrave handbook of critical menstruation studies. Singapore: Palgrave Macmillan 2020. p. 409–22. http://doi.org/10.1007/978-981-15-0614-7_32
    [Google الباحث العلمي]
  11. UNICEF . UNICEF state of Palestine humanitarian situation report no. 35 – 1 to 31 January 2025. UNICEF; 2025.
    [Google الباحث العلمي]
  12. OCHA . Humanitarian situation update #269: Gaza Strip: United Nations Office for the Coordination of Humanitarian Affairs; 2025 [cited 28 April 2025]. Available from: https://www.ochaopt.org/content/humanitarian-situation-update-269-gaza-strip
    [Google الباحث العلمي]
  13. Al-Shalchi H, Baba A, Estrin D. Palestinian deaths in Gaza rise above 50,000 as Israel expands its military campaign [online]. OPB News; 2025 [cited 28 April 2025]. Available from: https://www.opb.org/article/2025/03/23/gaza-death-toll-breaks-50000-mark/#:~:text=Gaza’s%20Health%20Ministry%20said%20Sunday,Hamas%2Dled%20attack%20on%20Israel
    [Google الباحث العلمي]
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  • نوع المستند: Research Article
الموضوعات الرئيسية conflict and displacementfeminine hygienegenocidemenstrual healthMenstrual hygiene and WASH

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