Parámetro 4: Identificar los medios de evaluación que tiene los docentes en la aplicación de la EA como eje transversal.
5. Análisis de Resultados.
The researcher would consider repeating the health education intervention process in future to see whether repeated sessions would make a considerable difference and whether the difference would be time dependent or better still, in another set of schools to compare the differences with these and see if they are the same.
REFERENCES
1. Caldwell J: The construction of adolescence in a changing world: implications for sexuality, reproduction and marriage. Studies in Family Planning 1998; 29(2):
137-153.
2. Federal Ministry of Health. National policy on the health and development of adolescents and young people in Nigeria 2007. Abuja; First Revision, 2007.
3. Kolbe LJ, Collins J and Cortese P. Building the capacity of schools to improve the health of the nation: A call for assistance from psychologists. American Psychologist 1997; 52: 256-65.
4. Katchadourian H: Sexuality in: At the threshold: The developing adolescent.
Edited by: Feldman SS, Elliott GR. Cambridge, MA: Harvard University Press;
1990:330-351
5. Nath A and Garg S. Adolescent Friendly Health Services in India: A need of the hour. Indian Journal of Medical Sciences 2008; 62(11): 465-472
6. Retrieved from www.chuv.ch/dgo/en/dgo_home/.../dgo_fer_glossaire.htm on 23/07/09.
7. Mutharayappa R. Reproductive morbidity of women in Karnataka. Journal of Health Management. 2006; 8(1);23-50:
8. United Nations Development Programme (2000, April): Report of the meeting of the high-level panel of experts on information and communication technology.
Retrieved from [http://www.undp.org/info2/new/n-ccosoc.html] New York 2000.
Retrieved March 3, 2009
9. Abrejo FG, Shaikh BT and Saleem S. ICPD to MDGs: Missing links and common grounds. Reproductive Health 2008; 5(4):4-11 .
10. Kumar SS, Tarasankar B, Kumar DA, Sonela B, Chandra BS and Chandra GS.
Adolescent Girls’ health profile in sub-Himalayan region of West Bengal. The Journal of Obstetrics and Gynaecology of India 2006; 56(4): 329-332.
11. Lopez AD and Murray CJL.eds. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected into 2020. Cambridge, MA, Harvard school of Public Health on behalf of the World Health Organization and the World Bank, 1996. (Global Burden of disease and injury series, Vol.I)
12. Lopez AD and Murray CJL. The global burden of disease, 1990-2020. Nature Medicine 1998; 4(11): 1241-1243.
13. Okonofua F. New research findings on adolescent reproductive health in Africa.
African Journal of Reproductive Health 2007; 11(3): 7-9
14. Omigbodun OO and Omigbodun AO. Unmet need for sexuality education among adolescent girls in southwest Nigeria: A qualitative analysis. African Journal of Reproductive Health 2004; 8(3): 27-36.
15. Story from BBC NEWS: http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/medical_notes/4825914.stm Published: 2006/03/20 14:29:41 GMT 16. Walraven G. The burden of reproductive disease in rural women in The Gambia,
West Africa. Lancet 2001; 357: 1161-1167
17. Sharma M and Gupta S. Menstrual pattern and abnormalities in the high school girls of Dharan: a cross sectional study in two boarding schools. Nepal Med Coll J. 2003; 5(1):34-6.
18. Avasarala AK and Panchangam S. Dysmenorrhoea in different settings: Are the rural and urban adolescent girls perceiving and managing the dysmenorrhoea problem differently? Indian J Community Med2008; 33(4):246-9.
19. El-Gilany AH, Badawi K and El-Fedawy S. Epidemiology of dysmenorrhoea among adolescent students in Mansoura, Egypt. East Meditarr Health J 2005;
11:155-63.
20. Abioye-Kuteyi EA. Menstrual knowledge and practices amongst secondary school girls in lle lfe, Nigeria The Journal of the Royal Society for the Promotion of Health 2000; 120: 23-26
21. Deligeoroglou E, Tsimaris P, Deliveliotou A et al. cited in Sule ST and Ukwenya JE, Menstrual experiences of adolescents in a secondary school. Journal of Turkish-German Gynaecological Association 2007; 8(1): 7-14
22. Mark H and Gluckman P. Evolution, development and timing of puberty. Trends Endocrinol Metabolism 2006; 17:7-12.
23. Lee LK, Chen PCY, Lee KK, Kaur J. Menstruation among adolescent girls in Malaysia: a cross sectional school survey. Singapore Med J. 2006; 47: 869-874.
24. Sharma A, Taneja DK, Sharma P, and Saha R. Problems related to menstruation and their effect on daily routine of students of a medical college in Delhi, India.
Asia-Pacific Journal of Public Health 2008; 20(3): 234-241.
25. Drakshayani DK and Venkata RP. A study on menstrual hygiene among rural adolescent girls. Indian J Med Sci 1994; 48 (6): 139 – 43.
26. World Health Organization Task Force on Adolescent Reproductive Health.
World Health Organization multicenter study on menstrual and ovulatory patterns in adolescent girls. II. Longitudinal study of menstrual patterns in the early post-menarcheal period, duration of bleeding episodes and menstrual cycles. J Adolesc Health 1986; 7:236-44.
27. Barker G. Adolescents, social support and help-seeking behaviour: an international literature review and programme consultation with recommendations for action (WHO Discussion papers on adolescence) 2007. pp56.
28. Singh MM, Devi R and Gupta SS. Awareness and health seeking behaviour of rural adolescent school girls on menstrual and reproductive health problems.
Indian Journal of Medical Sciences 1999; 53:439-43.
29. Moronkola OA and Uzuegbu VU. Mensturation: Symptoms, management and attitude of female nursing students in Ibadan, Nigeria. African Journal of Reproductive Health 2006; 10(3): 84-89
30. Constantine N, Huberman B. European approaches to adolescent sexual health and behavior. Florence Crittenton Roundtable San Francisco, CA, August, 2000.
31. Alubo O: The challenges of adolescent sexuality and reproductive health in Nigeria. Research paper No. 166. Takemi Program in International Health, Harvard School of Public Health, 665, Huntington Avenue, Boston, MA 02115 2000.
32. Khanna AR, Goyal RS and Bhawsar R. Menstrual practices and reproductive problems: a study of adolescent girls in Rajasthan. Journal of Health Management.
2005; 7(1): 91-107.
33. Walraven G, Ekpo G, Coleman R, Scherf C, Morrison L and Harlow SD.
Menstrual disorders in rural Gambia. Studies in Family Planning 2002; 33(3):
261-268
34. Garg S, Sharma N, Sahay R. Socio-cultural aspects of menstruation in an urban slum in Delhi, India. Reproductive Health Matters 2001; 9(17): 16-25.
35. Meekers D, Wekwete N: The Socioeconomic and Demographic Situation of Adolescents and Young Adults in Zimbabwe. Calverton, MD, Macro International, 1997 pp38.
36. National strategic framework on the health and development of adolescents and young people in Nigeria. Federal Ministry of Health, Abuja. 2007 pp48.
37. Nath A and Garg S. Adolescent Friendly Health Services in India: A need of the hour. Indian Journal of Medical Sciences 2008; 62(11):465-472.
38. Rice M. Adolescent sexual and reproductive health. Reproductive biomedicine online 2000; 1(3):78-86.
39. Bhatia J & Cleland J. The contribution of reproductive ill-health to the overall burden of perceived illness among women in southern India. Bulletin of the World Health Organization, 2001; 79 (11):1065-9.
40. Garcia CM, Duckett LJ, Saewyc EM and Bearinger LH. Perceptions of health among immigrant Latino adolescents from Mexico. Journal of Holistic Nursing 2007; 25(2): 81-91.
41. Adinma ED, Adinma JIB. Perceptions and practices on menstruation amongst Nigerian secondary school girls. African Journal of Reproductive Health, 2008;
12(1): 74-83.
42. Agyekum K. Menstruation as a verbal taboo among the Akan of Ghana. Journal of Anthropological Research, 2002; 58(3): 367-87.
43. Koff E and Rierdan J. Early adolescent girls understanding of menstruation. Women Health1995; 22(4): 1-21.
44. Dhingra R, Manhas S, Kohli N and Mushtaq AA. Comparative study of understanding of menstrual process among married women belonging to two ecological settings. Journal of Human Ecology 2007; 22(3): 261-266.
45. Koff E and Rierdan J. Preparing girls for menstruation: recommendations from adolescent girls. Adolescence 1995; 30 (20): 795-811.
46. Fatusi AO, Hidin MJ. Adolescents and youth in developing countries and development issues in context. Journal of Adolescence2010; 33(4): 499-508.
47. Pswarayi G. Menstruation remains a taboo, hinders education, causes health problems. Accessed on: http://www.globalpressinstitute.org/print/304 on 13/08/2010.
48. Gupta SD and Nutan J. Report on a study of reproductive health and sexual behaviour among adolescents. Indian Institute of Health Management Research, Jaipur 1998.
49. Turker SK. Adolescent patterns of communication about sexually related topics.
Adolescence 1989; 24 (94): 269-78.
50. Whisnant L, Brett E and Zegans L. Implicit messages concerning menstruation in commercial materials prepared for young adolescent girls. Am J Psychiatry 1975;
132 (8):815-20.
51. Pitt E. Targeting the adolescent male. J. Community Health 1986; 11 (1): 45-8.
52. Coker AL, Richter DL, Valois RF, McKeown RE, Garrison CZ and Vincent ML.
Correlates and consequences of early initiation of sexual intercourse. J. Sch.
Health 1994; 64 (9):372-7.
53. Thomas BH, Dicenso A and Griffith L. Adolescent sexual behaviour: results from an Ontario sample. Part I: Adolescent sexual activity. Can. J. Public Health 1998;
89 (2):90-3.
54. Dilorio C, Kelly M and Hockenberryeaton M. Communication about sexual issues: mothers, fathers and friends. J. Adolescent Health 1999; 24 (3):181-9.
55. Osujih M. Menstruation problems in Nigerian students and sex education.
Perspectives in Public Health 1986; 106(6): 219-221.
56. Sule ST and Ukwenya JE. Menstrual experiences of adolescents in a secondary school; J Turkish-German Gynecol Assoc. 2007; 8(1):7-14.
57. Sharma A, Taneja DK, Sharma P, and Saha R. Problems Related to Menstruation and Their Effect on Daily Routine of Students of a Medical College in Delhi, India Asia-Pacific Journal Of Public Health 2008; 20(3): 234-241.
58. Frydenberg E. Adolescent coping: Theoretical and research perspectives. London:
Routledge. 1997.
59. Barker G. Adolescents, social support and help-seeking behaviour: an international literature review and programme consultation with recommendations for action(WHO Discussion papers on adolescence). WHO, Geneva. 2007.
60. MacKian S, Bedri N, Lovel H. Up the garden path and over the edge: where might health-seeking behaviour take us? Health Policy and Planning 2004; 19(3): 137–
146.
61. Ahmed S, Adams A, Chowdhury M and Bhuiya A. Gender, socio-economic development and health-seeking behaviour in Bangladesh Social Science and Medicine 2000; 51(3). 361-371.
62. Ogunfowokan AA, Babatunde OA. Management of primary dysmenorrhoea by school adolescents in Ile-Ife, Nigeria. The Journal of School Nursing 2010; 26(2):
131-6.
63. Meyer-Weitz A, Reddy P, Van den Borne HW, Kok G and Pietersen J. The determinants of health care seeking behaviour of adolescents attending STD clinics in South Africa. Journal of Adolescence 2000; 23: 741–752.
64. Unrau YA and Grinnell RM Jr. Exploring Out-of-Home Placement as a Moderator of Help-Seeking Behavior Among Adolescents Who Are High Risk Research on Social Work Practice 2005; 15(6): 516-530.
65. Kingon YS and O’Sullivan AL. The Family as a Protective Asset in Adolescent Development. Journal of Holistic Nursing 2001;19(2):102-121.
66. Moronkola OA, Uzuegbu VU. Menstuation: Symptoms, management and attitude of female nursing students in Ibadan, Nigeria. African Journal of Reproductive Health 2006; 10(3):84-89.
67. Chan SS, Yiu KW, Yuen PM, Sahota DS, Chung TK. Menstrual Problems and health -seeking behavior in Hong Kong Chinese girls. Hong Kong Med J 2009;15:18-23.
68. Esimai OA, Omoniyi-Esan GO. Awareness of menstrual abnormality amongst college students in urban area of Ile-Ife, Osun state, Nigeria. Indian Journal of Community Medicine 2010; 35(1): 63-66.
69. Houston AM, Abraham A, Huang Z, D'Angelo LJ. Knowledge, attitudes, and consequences of menstrual health in urban adolescent females. J Pediatr Adolesc Gynecol 2006;19:271-5.
70. Thomas KD, Okonofua FE, Chiboka O. A study of the menstrual patterns of adolescents in Ile-Ife, Nigeria. Int J Gynecol Obstet 1990;33: 1-4.
71. O'Connell K, Davis AR, Westhoff C. Self treatment patterns among adolescent girls with dysmenorrhoea. J Pediatr Adolesc Gynecol 2006;19: 285-9.
72. Demir SC, Kadayifci TO, Vardar MA, Atay Y. Dysfunctional uterine bleeding and other menstrual problems of secondary school students in Adana, Turkey. J Pediatr Adolesc Gyecol 2000;13:171-5.
73. Fakeye O, Adegoke A. The characteristics of the menstrual cycle in Nigerian schoolgirls and the implications for school health programmes. Afr J Med Med Sci 1994;23:13-7.
74. Durge PM, Varadpande U. Impact of assessment of health education in adolescent girls. J Obst Gyn India 1995;41:46-50.
75. Poureslami M and Osati-Ashtiani F. Attitudes of female adolescents about dysmenorrhoea and menstrual hygiene in Tehran suburbs. Arch Iran Med 2002; 5:
219-24
76. Proctor M, Farquhar C. Dysmenorrhoea. Clinical Evid 2000; 7:1639-53.
77. Lawson D. Determinants of Health Seeking Behaviour in Uganda –Is it Just Income and User Fees That Are Important? 2004; University of Manchester, Manchester.
78. Lissau I, Rasmussen NK, Hesse, NM and Hesse U. Social differences in illness and health-related exclusion from the labour market in Denmark from 1987 to 1994. Scandinavian Journal of Public Health 2001; 29:19-30.
79. Harpham T and Molyneux C. Urban health in developing countries: a review.
Progress in Development Studies 2001; 1:113-137.
80. Dehne KL, Riedner G. Adolescence - a dynamic concept. Reproductive Health Matters, May 2001 9(17): 11-5.
81. Hesketh T, Ding QJ and Tomkins AM. Health and health care-seeking behavior of adolescents in urban and rural China. Journal of Adolescent Health 2003;33:271–274.
82. UNAIDS. Sex and youth: contextual factors affecting risk for HIV/AIDS. Geneva:
UNAIDS (1999).
83. Mackenbach JP and Kunst AE. Measuring the magnitude of socio-economic inequalities in health: An overview of available measures illustrated with two examples from Europe. Soc Sci Med 1997;44:757–71.
84. Lissau I, Rasmussen NK, Hesse Moss N and Hesse U.. Social differences in health-related exclusion from the labour market in Denmark from 1987 to 1994.
Scand J Public Health 2001;29:19–30.
85. Currie C, Hurrelmann K, Settertobulte W, Smith R and Todd J. Health and health behaviour among young people: international report. Copenhagen: WHO Regional Office for Europe; 1999, (Health Policy for Children and Adolescents Series, No. 1).
86. Umeora OUJ and Egwuatu VE. Menstruation in Rural Igbo Women of South East Nigeria: Attitudes, Beliefs and Practices. African Journal of Reproductive Health 2008; 12(1): 109-155.
87. Goldstein-Ferber S, Granot M. The association between somatization and perceived ability: roles in dysmenorrhoea among Israeli Arab adolescents.
Psychoso Med 2006; 68:136-42.
88. Weissmen AM, Hartz AJ, Hansen MD and Johnson SR. The natural history of primary dysmenorrhoea: A longitudinal study. BJOG 2004; 111:345-52.
89. Bergsjo P. Socioeconomic implications of dysmenorrhoea. Acta Obstet Gynecol Scand1979;87:67.
90. Ahmed SM. Differing Health and Health-Seeking Behaviour: Ethnic Minorities of the Chittagong Hill Tracts, Bangladesh. Asia Pac J Public Health 2001; 13(2):
100-8.
91. Ackard DM and Neumark-Sztainer D: Health care information sources for adolescents: Age and gender differences on use, concerns, and needs. Journal of Adolescent Health 2001; 29:170-176.
92. Joffe A, Radius S and Gall M: Health counseling for adolescents: What they want, what they get, and who gives it. Pediatrics 1988, 82(3):481-5.
93. Rideout V.: Generation Rx.com: How young people use the Internet for health information. Menlo Park, CA: Kaiser Family Foundation; 2000.
94. Grinstein-Weiss M, Fishman G and Eisikovits Z. Gender and ethnic differences in formal and informal help seeking among Israeli adolescents. Journal of Adolescence 2005; 28:765–779.
95. Andrew G, Patel V and Ramakrishna J: Sex, studies, or strife? What to integrate in adolescent health services. Reproductive Health Matters 2003, 11(21):120-129.
96. Banister E and Schreiber R: Young women’s health concerns: Revealing paradox.
Health Care for Women International 2001; 22:633-647.
97. Borzekowski DL and Rickert VI: Adolescent cybersurfing for health information:
a new resource that crosses barriers. Arch Pediatr Adolesc Med 2001;
155(7):813-817.
98. Tylee A, Haller DM, Graham T, Churchill R and Sanci LA: Youth-friendly primary-care services: how are we doing and what more needs to be done? Lancet 2007; 369(9572):1565-1573.
99. World Health Organisation: Adolescent Friendly Health Services: An agenda for change. Geneva: WHO; 2002.
100. Lavin AT, Shapiro GR and Weill KS. Creating an agenda for school-based health promotion: A review of 25 selected reports. Journal of School Health. 1992; 62:
212-228.
101. Atuyambe L, MirembeF, TumwesigyeNM, AnnikaJ, Kirumira EK, and Faxelid E.
Adolescent and adult first time mothers’ health seeking practices during pregnancy and early motherhood in Wakiso district, central Uganda.
Reproductive Health 2008; 5(13): 1742-7.
102. Lambert SD, Loiselle CG. Health information-seeking behaviour. Qualitative Health Research. 2007; 17(8): 1006-1019.
103. Tardy & Hale, 1998, p. 338. In: Cotten SR and Gupta SS. Characteristics of online and offline health information seekers and factors that discriminate between them.
Social Science and Medicine. 2004; 59(9):1795–806.
104. MacKian S. A review of health seeking behaviour: problems and prospects.
University of Manchester Health Systems Development Programme. 2002.
Internal paper No. HSD/WP/05/03.
105. Cotten SR and Gupta SS. Characteristics of online and offline health information seekers and factors that discriminate between them. Social Science and Medicine.
2004; 59(9):1795–806.
106. Aniebue UU, Aniebue PN, Nwankwo TO. The impact of pre-menarcheal training on menstrual practices and hygiene of Nigerian school girls. Pan African Medical Journal 2009; 2: pp9.
107. Severino SK, Moline ML. Premenstrual syndrome identification and management.
Drugs. 1995; 49: 71 – 82.
108. Beek JS. Puberty and Dysmenorrhea Treatment. Novice’s Gynecology.
Philadelphia: Williams and Wilkins; 1996: 771 – 80.
109. Johnson J. Level of knowledge among adolescent girls regarding effective treatment for dysmenorrhea. J Adolesc Health Care. 1988; 9: 398 – 420.
110. Klein JR, Litt IF. Epidemiology of adolescent dysmenorrhea. Pediatrics. 1981; 68:
54 – 63.
111. Loevinsohn BP. Health education interventions in developing countries: a methodological review of published articles. International Journal of Epidemiology 1990; 9(4):788-94.
112. Tiwari H, Oza UN, Tiwari R. Knowledge, attitudes, and beliefs about menarche of adolescent girls in Anand district, Gujarat, India. East Mediterr Health J. 2006; 12 (34): 428-433.
113. Strauss B, Appelt H, Daub U, de Vries I. Generational differences in perception of menstruation and attitude to menstruation. Psychother Psychosom Med Psychol.
1990 Feb; 40(2): 48-56.
114. Dongre AR, Deshmukh PR, Garg BS. The effect of community-bases health education intervention on management of menstrual hygiene among rural Indian adolescent girls. World Health & Population 2007; 9(3): 48-54.
115. Dagwood MY. Dysmenorrhea. J Reprod Med. 1995; 30: 154 – 67.
116. Nafstad P, Stray-Pedersen B, Solvberg M, et al. Menarche and menstruation problems among teenagers in Oslo [in Norwegian]. Tidsskr Nor Laegeforen.
1995; 115: 604 – 6.
117. Westhoff CL, Davis AR. Primary dysmenorrhoea in adolescent girls and treatment with oral contraceptives. J Pediatr Adolesc Gynecol. 2001; 14: 3-8.
118. International Centre for Research on Women. Improving the reproductive health
of married and unmarried youths in India 2006.
http://www.icrw.org/docs/publications-2006/R-3_new.pdf. Accessed on 27/05/2010.
119. Chiou MH, Wang HH, Yang YH. Effect of systematic menstrual health education on dysmenorrhoeic female adolescents’ knowledge, attitudes, & self-care behaviour. The Kaohsiung Journal of Medical Sciences 2007; 23(4): 183-90.
120. Rankin SH and Stallings KD. Patient education: Issues, principles and practices.
2nd ed. Philadelphia, PA: J.B. Lippincott; 1990.
121. Carson AJ. ‘What brings you here today?’: The role of self-assessment in help-seeking for age-related hearing loss. Journal of Aging Studies. 2005; 19(2): 185–
200.
122. Joshi BN, Chauhan SL, Donde UM, Tryambake VH, Gaikwad NS and Bhadoria V. Reproductive health problems and help seeking behavior among adolescents in urban India. Indian J Pediatr 2006; 73 (6):509-513.
123. Barua A and Kurz K. Reproductive health-seeking by married adolescent girls in Maharashtra, India. Reproductive Health Matters. May 2001; 9(17).
124. Okon MI. Geographical analysis of urban-rural fertility differentials in Akwa Ibom State. Ph.D. Thesis, University of Uyo, Uyo. 2008.
125. List of public secondary schools in Akwa Ibom State. Directorate of secondary/higher education, Ministry of Education, Uyo, Akwa Ibom State. April, 2007.
126. Federal Republic of Nigeria. Report on the Census 2006 Final Results. Official Gazette; Abuja. 2nd February, 2009.
127. Feinstein AR. Principles of medical statistics. Boca Raton, Fla: CRC, 2002; 503.
128. Mehta S, Qamar BR and Deodhar SD. A mixed longitudinal study on the pattern of pubertal growth, relationship to socio-economic status and caloric intake. Indian Journal of Pediatrics 1991; 28(2):147-56.
129. Andersch B, Milsom I. An epidemiologic study of young women with dysmenorrhoea.
Am J Obstet Gynecol 1982; 144:655-60.
130. Sundell G, Milsom I, Andersch B. Factors influencing the prevalence and severity of dysmenorrhoea in young women. Br J Obstet Gynaecol 1996; 97:588-94.
131. Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhoea on Hispanic female adolescents. Arch Pediatr Adolesc Med 2000; 154:1226-9.
132. Davis AR, Westhoff CL. Primary dysmenorrhoea in adolescent girls and treatment with oral contraceptives. Journal of pediatric and adolescent gynecology, 2001, 14(1):3–8.
133. Zegaye DT, Megabiaw B, Mulu A. Age at menarche and the menstrual pattern of secondary school adolescents in northwest Ethiopia. BMC Women’s Health 2009, 9: 29 134. Duong DV, Binns CW, Lee AH. Utilization of delivery services at the primary health
care level in rural Vietnam. Soc Sci Med 2004; 59(12): 2585–2595.
135. Mondal SK. Utilization of antenatal care services in Rajasthan: observations from NFHS. J Fam Welf 1997; 43: 28–33.
136. Aga Khan University. Health workers for change. A manual to improve quality of care–
from Africa to Pakistan. UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases. Karachi: Department of Community Health Sciences, 2003.
137. Van Der Riet M, Knoetze J. Help seeking patterns in urban and rural youth in two South African provinces. A socio-contextual view. School Psychology International 2004; 25, 223.
APPENDIX Ia
Questionnaire (Pre-intervention)
My name is Dr. Ibanga Ekong, a Community Health Physician working at the Department of Community Health from the University of Uyo Teaching Hospital. I am undertaking a study about menstrual problems and adolescent school girls. I am seeking your consent to
participate in the study as the information will be helpful in understanding how adolescents understand and approach menstrual problems. All information gathered shall be held in confidence, no personal information will be revealed. Kindly answer all questions truthfully.