Effects of the Involvement of Male Counterparts in the Menstrual Hygiene Management of Women and Adolescent Girls With Disabilities in Selected Sub-districts of Bangladesh: Protocol for a Quasi-experimental Study.

Background Women and adolescent girls with disabilities suffer the most difficulties during menstruation days in developing countries like Bangladesh. They deal with menstruation in a hazardous and unclean manner. In Bangladesh, men serve as the family's gatekeepers for health-seeking behavior. But they frequently have no idea how unpleasant and demanding menstruation can be. Menstrual hygiene care for women and adolescent girls with disabilities can be improved by involving male peers. In Bangladesh, no such intervention has been assessed. The purpose of the study is to assess the effects of male participation on menstrual hygiene management of women and adolescent girls with disabilities in Bangladesh. Methods This will be a quasi-experimental study with a sample size of 120 (60 - control, 60 - intervention). The study will be conducted in a sub-district of Bogura and Chapainawabganj in Bangladesh. Inclusion criteria for the study participants are women and adolescent girls with disabilities (intervention and control groups) and male counterparts (intervention group). The exclusion criteria for this study are women and adolescent girls with mental and intellectual disabilities. Engaging male peers in menstrual hygiene management is the key intervention in the study. No blinding or randomization will be applied. The expected primary outcome in the intervention group will be an improvement in the menstrual hygiene management of women and adolescent girls with disabilities in the selected sub-districts of Bangladesh. Two times data will be collected from the intervention and control groups using the 'Menstrual Practice Needs Scale-36', 'Perceived Stress Scale', and 'Multi-dimensional Scale of Perceived Social Support'. The analysis of variance (ANOVA) test will be applied to a two-point data series to assess statistical significance. Results The result of the study will be published in a scientific journal. The outcomes of the research will be disseminated to local policymakers and health planners. The health administrator will get evidence-based information on gender-inclusive menstrual hygiene management for women and adolescent girls with disabilities through study result dissemination events. Conclusion This protocol for a quasi-experimental study in Bangladesh highlights the potential advantages of involving male peers in the menstrual hygiene management of women and adolescent girls with disabilities. It may promote gender-inclusive behavior in selected subdistricts of Bangladesh.