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Date of Presentation

5-7-2026

Document Type

Poster

Department

Medicine

Faculty Mentor

DenYelle Kenyon, PhD, University of South Dakota Sanford School of Medicine

Keywords

medical history taking, access to menstrual products, screening tool, privacy, socioeconomic status

Subject Categories

Equipment and Supplies | Medicine and Health Sciences | Women's Health

Abstract

Menstrual Hygiene Screening Needs Assessment In South Dakota

Mariah M. Shafer, MD | DenYelle Kenyon Ph.D. Assoc Dean, Community Health and Engagement, MPH Program Director.

 Introduction: Menstrual hygiene management (MHM) is essential to women’s reproductive health; literature demonstrates there are mental, social, and economic consequences to inadequate MHM in rural and developing countries. Emerging studies show that US women who are impoverished, experiencing homelessness, or incarcerated also face poor MHM. To understand implications of poor MHM in South Dakota, a largely rural state, a thorough gynecologic health history is essential; this needs assessment explores the scope of MHM questions asked by South Dakota providers.

 Methods: This study used survey methodology to determine quality and depth of gynecologic health histories commonly taken regarding hygiene. The electronic survey was sent to local primary care providers and nursing staff via email. The survey records the provider's awareness of their patients' menstrual hygiene and frequency of specific questions asked. The results of this needs assessment led to the development of a waiting room screening tool that would allow providers efficient access to their patients’ MHM information.

 Results: Providers’ (N = 70) awareness of MHM in South Dakota varied. The maximum score (57) denotes a respondent who selected “very aware” and “always” for each question. The average score was 22.11; scores ranged from 9 to 47. 24% said they were not at all aware of their patients’ access to MHM products. 74% report never asking their patients if they have access to adequate water and sanitation resources. 15% report never asking their patients which type of hygiene product they use.

Discussion: This needs assessment demonstrates providers lack vital information with the potential to inform patient care. While poor MHM is considered in lesser developed nations, it persists unidentified in populations in South Dakota.

Menstrual Hygiene Screening Needs Assessment in South Dakota

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