Assessing the effectiveness of a comprehensive menstrual health intervention program in Ugandan schools (MENISCUS): process evaluation of a pilot intervention study

Nalugya, Ruth; Tanton, Clare; Hytti, Laura; Kansiime, Catherine; Nakuya, Kevin; Namirembe, Prossy; Nakalema, Shamira; Neema, Stella; Alezuyo, Connie; Namuli Musoke, Saidat; Torondel, Belen; Francis, Suzanna C.; Ross, David A.; Bonell, Chris; Seeley, Janet; Weiss, Helen A.

doi:10.1186/s40814-020-00585-2

Pilot and Feasibility Studies

Table 5 Summary table showing fidelity, reach and dose of the intervention components

From: Assessing the effectiveness of a comprehensive menstrual health intervention program in Ugandan schools (MENISCUS): process evaluation of a pilot intervention study

	Fidelity		Dose		Reach
	Measures	Results	Measures	Results	Measures	Results
Puberty Education 1.1.	Was all puberty education content delivered?	Yes	N of puberty training session to teachers delivered	1 (/1)	N of teachers receiving puberty training	S1: 10 (/10) S2: 30 (/30)
	Was an action plan created by the school?	Yes	N of puberty training sessions to students delivered	1 (/6)	How many pupils received puberty education?	S3: 266 from the government school
	Was the action plan followed?	No
Drama Skit 1.1.1.	Were facilitation sessions and practices carried out?	Yes	N of rehearsals	2 (/2)
	Was the performance carried out on annual parents’ day?	No	N of performances	2 (/2)	N of parents attending drama performance N of students attending drama performance	S1: 58 S2: 471 S1: F, 36 (69%); S1: M, 30 (71%) S2: F, 47 (34%) S2: M, 70 (50%)
	Delivered within expected time scales?	No
	Were core topics included?	Yes
MH Kit 1.1.1.1.	Was ToT delivered?	Yes	N of MH kits distributed?	215 (/232)	No of girls receiving a MH Kit	215 (/232)
	Was Training to S2 students delivered by ToTs?	Yes^a	N of student training sessions held	S1: 7 (/6) S2: 10 (/9)	N of girls and boys receiving MHM training	404 (/450) 89% girls and boys 214 (/232) 92% girls
	Were all training components covered in S2 training?	Yes	N of training components covered	10 (/10)
	Were all kit components included?	Yes^b
	Were follow up visits carried out?	Yes	N of follow up visits	S1: 4 (/5) S2: 4(/5)
Pain Management 1.1.	Did all girls receive vouchers?	Yes	N of vouchers given to girls?	232 (/232)	No of girls accessing analgesics	59 (/232) 25%
	Were procedures in place for girls to exchange?	Yes^c
	Was stock of painkillers available?	Yes
WASH improvements	Were all WASH components installed?	Yes	N of WASH components installed?	95(/95)	N of schools receiving all basic WASH items	100%
	Were all WASH components installed in time?	No
	Were the WASH improvements maintained?	No			% of toilets functional, with lockable door and clean at final visit	S1: F, 100%; M, 33% S2: F, 50%; M, 27%
	Was soap & water available >50% of visits	S1: Yes S2: No

^aTraining was delivered by ToTs but needed more support from WoMena than anticipated
^bEthical approval was not awarded to provide the menstrual cup
^cThere was a delay in setting up the facility for girls to exchange vouchers at a pharmacy but exchange was available within the schools

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ISSN: 2055-5784

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