臺灣博碩士論文加值系統

研究目的
在中低收入國家中，生理期（月事）是阻礙女孩接受正規教育的主要障礙之一，因缺乏完整的生理期衛生教育以及如何處理月事的知識，大大的影響女學生在校的學習表現，然而過去卻僅有少數的研究提供女學生生理期所需的有效的解決方案。本研究的目的是找出在烏干達漁村，健康教育計畫的介入是否在改善女孩的心理健康以及月經處理相關的行為上有有效的改變。

方法
在烏干達Mukono區的一個漁村中，對3所學校進行了實驗設計的前後測量設計，總共有66名13-17歲的女孩加入。學校分為兩組：（1）實驗組（有健康教育計劃介入）和（2）對照組（無介入）。

結果
結果顯示，女孩們更勇於向父親和同儕訴說與月經相關的擔憂（p-value: 0.029, p-value: 0.000）；對於月經的羞愧感亦大幅下降（p-value: 0.004），然而她們仍然恐懼在經期時上學；介入後知識的增長，也提升了女學生在學校處理月事相關的舒適度(p-value:0.0001)，擁有更多月經處理的相關知識讓女孩更有自信的處理每月的生理期。

結論
根據結果，實驗假說的具有統計上的意義。然而，本實驗並使用同樣方式介入家長與學校教師，因此需要針對父母和學校當局的干預措施實施調查，並採用類似的介入課程來評估權威人士與女孩月事問題之間的潛在連結，需要更多的研究與驗證。

Background
The menstrual hygiene management is one of the main barriers to girls’ education attainment in low-and middle-income countries. Poor access to sanitary products and lack of menstrual knowledge are affecting students’ performance at school compared to the opposite sex. Limited evidence is available to provide solutions for schoolgirls. This study aims to examine the effectiveness of menstrual health education program on wellbeing and behavioral change among adolescent girls in rural Uganda.

Methods
A cluster randomized controlled trial was conducted across 3 schools, including 66 girls aged 13-17 years, in a rural village in Mukono District, Uganda. Schools were randomly allocated to two groups: (1) health education program intervention and (2) control group (no intervention).

Results
After 5 weeks of Health Education Program the schoolgirls in experiment groups showed significantly reduced fear of sharing the menstruation-related concern with father and pupils (MD=0.87, p=0.029) (MD=2.02, p=0.000), as well as the sense of shameful feelings during menstruation (MD=1.65, p= 0.004), yet fear to go to school during menstruation did not differ between experiment and control groups (MD=-0.04, p=0.94). However, the changes in “feeling comfortable having period at school” were found to be significant different between experiment and control groups (p=0.001).

Conclusion
The study demonstrated promising results of a low-cost intervention for enhancing girls’ menstrual health education in low-income context. Puberty education and reusable pads sewing provision were strongly associated with improvement in schoolgirls’ psychosocial wellbeing related to menstrual management. Further study is needed for better understanding the contextual factors associated with the lack of behavioral change observed in this intervention.

Oral Examination Committee Member Assessment (論文口試委員審定書) i
Acknowledgements (誌謝) ii
摘要 iii
Abstract iv
Chapter 1: Introduction 1
i. Practicum Unit Features and Brief Introduction 1
ii. Literature Review 2
iii. Research Purpose and Research Problems 4
Chapter 2 Methods 5
i. Participants & Recruitment 5
ii. Informed Consent 6
iii. Intervention 7
iv. Research Design 10
v. Measure 10
vi. Ethics 12
Chapter 3 Results 13
i. Participants’ Characteristics Baseline 13
ii. The Effectiveness of the Intervention Program 16
Chapter 4 Discussion 21
i. Discussion 21
ii. Limitation 23
iii. Conclusions 24
References (參考文獻) 25
Appendix (附錄) 28

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