{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T21:49:52Z","timestamp":1788904192858,"version":"build-2803163510"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Reprod Health"],"DOI":"10.1186\/s12978-024-01901-2","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T03:53:21Z","timestamp":1738814001000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Acceptability of and experiences with menstrual hygiene cups among adolescent girls and young women aged 15\u201324 in two communities in Lusaka, Zambia: an exploratory study nested in the Yathu Yathu trial"],"prefix":"10.1186","volume":"22","author":[{"given":"Melleh","family":"Gondwe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melvin","family":"Simuyaba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mwelwa","family":"Phiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chisanga","family":"Mwansa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albertus","family":"Schaap","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucheka","family":"Sigande","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwame","family":"Shanaube","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sian","family":"Floyd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Fidler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Ayles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musonda","family":"Simwinga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette","family":"Hensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"key":"1901_CR1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/1730964","author":"R Kaur","year":"2018","unstructured":"Kaur R, Kaur K, Kaur R. Menstrual hygiene, management, and waste disposal: practices and challenges faced by girls\/women of developing Countries. J Environ Public Health. 2018. https:\/\/doi.org\/10.1155\/2018\/1730964.","journal-title":"J Environ Public Health"},{"key":"1901_CR2","unstructured":"Gibson L, Yamakoshi B, Burgers L, Alleman P. Menstrual Health and Hygiene. Real Reli Website. 2019."},{"issue":"1","key":"1901_CR3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/26410397.2021.1913788","volume":"29","author":"J Hennegan","year":"2021","unstructured":"Hennegan J, Winkler IT, Bobel C, Keiser D, Hampton J, Larsson G, et al. Menstrual health: a definition for policy, practice, and research. Sex Reprod Heal Matters. 2021;29(1):1\u20138.","journal-title":"Sex Reprod Heal Matters"},{"issue":"1","key":"1901_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12905-018-0527-y","volume":"18","author":"SS Budhathoki","year":"2018","unstructured":"Budhathoki SS, Bhattachan M, Castro-S\u00e1nchez E, Sagtani RA, Rayamajhi RB, Rai P, et al. Menstrual hygiene management among women and adolescent girls in the aftermath of the earthquake in Nepal. BMC Womens Health. 2018;18(1):1\u20138.","journal-title":"BMC Womens Health"},{"issue":"1","key":"1901_CR5","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1080\/23293691.2018.1429371","volume":"5","author":"MG Madziyire","year":"2018","unstructured":"Madziyire MG, Magure TM, Madziwa CF. Menstrual cups as a menstrual management method for low socioeconomic status women and girls in zimbabwe: a pilot study. Women\u2019s Reprod Heal. 2018;5(1):59\u201365. https:\/\/doi.org\/10.1080\/23293691.2018.1429371.","journal-title":"Women\u2019s Reprod Heal"},{"issue":"1","key":"1901_CR6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12978-020-01036-0","volume":"18","author":"D Pokhrel","year":"2021","unstructured":"Pokhrel D, Bhattarai S, Emg\u00e5rd M, von Schickfus M, Forsberg BC, Biermann O. Acceptability and feasibility of using vaginal menstrual cups among schoolgirls in rural Nepal: a qualitative pilot study. Reprod Health. 2021;18(1):1\u201310. https:\/\/doi.org\/10.1186\/s12978-020-01036-0.","journal-title":"Reprod Health"},{"issue":"7","key":"1901_CR7","doi-asserted-by":"publisher","first-page":"3045","DOI":"10.18203\/2320-1770.ijrcog20172932","volume":"6","author":"CR Kakani","year":"2017","unstructured":"Kakani CR, Bhatt JK. Study of adaptability and efficacy of menstrual cup in managing menstrual health and hygiene. Int J Reprod Contraception, Obstet Gynecol. 2017;6(7):3045.","journal-title":"Int J Reprod Contraception, Obstet Gynecol"},{"issue":"1","key":"1901_CR8","first-page":"27","volume":"3","author":"E Guya","year":"2014","unstructured":"Guya E, Mayo AW, Kimwaga R. Menstrual hygiene management in secondary schools in Tanzania. Ijst. 2014;3(1):27\u201340.","journal-title":"Ijst"},{"issue":"1","key":"1901_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12978-020-01045-z","volume":"17","author":"C Kambala","year":"2020","unstructured":"Kambala C, Chinangwa A, Chipeta E, Torondel B, Morse T. Acceptability of menstrual products interventions for menstrual hygiene management among women and girls in Malawi. Reprod Health. 2020;17(1):1\u201312. https:\/\/doi.org\/10.1186\/s12978-020-01045-z.","journal-title":"Reprod Health"},{"issue":"1","key":"1901_CR10","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1177\/1757975917694597","volume":"26","author":"D Ssewanyana","year":"2019","unstructured":"Ssewanyana D, Bitanihirwe BKY. Menstrual hygiene management among adolescent girls in sub-Saharan Africa. Glob Health Promot. 2019;26(1):105\u20138. https:\/\/doi.org\/10.1177\/1757975917694597.","journal-title":"Glob Health Promot"},{"issue":"1","key":"1901_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12889-022-12915-5","volume":"22","author":"B Henseen","year":"2022","unstructured":"Henseen B, et al. Access to menstrual hygiene products through incentivised, community-based, peer-led sexual and reproductive health services before and during the COVID-19 pandemic: findings from the Yathu Yathu trial. BMC Public Health. 2022;22(1):1\u201311. https:\/\/doi.org\/10.1186\/s12889-022-12915-5.","journal-title":"BMC Public Health"},{"issue":"12","key":"1901_CR12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0166122","volume":"11","author":"P Montgomery","year":"2016","unstructured":"Montgomery P, Hennegan J, Dolan C, Maryalice W, Laurel Steinfield LS. Menstruation and the cycle of poverty: a cluster quasi-randomised control trial of sanitary pad and puberty education provision in Uganda. PLoS ONE. 2016;11(12): e0166122.","journal-title":"PLoS ONE"},{"key":"1901_CR13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0232935","volume":"15","author":"J Hennegan","year":"2020","unstructured":"Hennegan J, Brooks DJ, Schwab KJ, Melendez-Torres GJ. Measurement in the study of menstrual health and hygiene: a systematic review and audit. PLoS ONE. 2020;15:1\u201332. https:\/\/doi.org\/10.1371\/journal.pone.0232935.","journal-title":"PLoS ONE"},{"key":"1901_CR14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.11604\/pamj.2014.19.253.5313","volume":"19","author":"R Boosey","year":"2014","unstructured":"Boosey R, Prestwich G, Deave T. Menstrual hygiene management amongst schoolgirls in the Rukungiri district of Uganda and the impact on their education: a cross-sectional study. Pan Afr Med J. 2014;19:1\u201313.","journal-title":"Pan Afr Med J"},{"issue":"1","key":"1901_CR15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12889-018-6360-2","volume":"19","author":"J Chinyama","year":"2019","unstructured":"Chinyama J, Chipungu J, Rudd C, Mwale M, Verstraete L, Sikamo C, et al. Menstrual hygiene management in rural schools of Zambia: a descriptive study of knowledge, experiences and challenges faced by schoolgirls. BMC Public Health. 2019;19(1):1\u201311.","journal-title":"BMC Public Health"},{"issue":"6","key":"1901_CR16","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1016\/S2352-4642(18)30143-3","volume":"2","author":"The Lancet Child & Adolescent Health","year":"2018","unstructured":"The Lancet Child & Adolescent Health. Normalising menstruation, empowering girls. Lancet Child Adolesc Heal. 2018;2(6):379. https:\/\/doi.org\/10.1016\/S2352-4642(18)30143-3.","journal-title":"Lancet Child Adolesc Heal"},{"key":"1901_CR17","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/8938615","author":"GH Mohammed","year":"2020","unstructured":"Mohammed GH. Menstrual hygiene management practices and associated factors among secondary school girls in East Hararghe Zone Eastern Ethiopia. Adv Public Heal. 2020. https:\/\/doi.org\/10.1155\/2020\/8938615.","journal-title":"Adv Public Heal"},{"key":"1901_CR18","unstructured":"Management MH, Districts R. Advancing Girls \u2019 Education through WASH Programs in Schools. 2017."},{"key":"1901_CR19","unstructured":"UNICEF\/UKaid. 1 | MHM National Guidelines \u2013 Zambia 2016. 2016;1\u201329."},{"key":"1901_CR20","unstructured":"Sommer M, Schmitt M, Yamakoshi B, Serrano M. WASH in schools empowers girls\u2019 education: proceedings of the 6th annual virtual conference on menstrual hygiene management in schools. UNICEF Columbia Univ New York. 2017."},{"issue":"8","key":"1901_CR21","doi-asserted-by":"publisher","first-page":"e376","DOI":"10.1016\/S2468-2667(19)30111-2","volume":"4","author":"AM van Eijk","year":"2019","unstructured":"van Eijk AM, Zulaika G, Lenchner M, Mason L, Sivakami M, Nyothach E, et al. Menstrual cup use, leakage, acceptability, safety, and availability: a systematic review and meta-analysis. Lancet Public Heal. 2019;4(8):e376\u201393.","journal-title":"Lancet Public Heal"},{"key":"1901_CR22","doi-asserted-by":"publisher","DOI":"10.1089\/whr.2021.0131","author":"MA Babagoli","year":"2020","unstructured":"Babagoli MA, Benshaul-Tolonen A, Garazi Z, Elizabeth N, Clifford O, David O, Linda M, Emily K, Isaac N, Kayla F. cost-effectiveness of providing menstrual cups and sanitary pads to schoolgirls in rural Kenya. Women\u2019s Health Rep. 2020. https:\/\/doi.org\/10.1089\/whr.2021.0131.","journal-title":"Women's Health Rep"},{"issue":"6","key":"1901_CR23","first-page":"208","volume":"57","author":"C Howard","year":"2011","unstructured":"Howard C, Rose CL, Trouton K, Stamm H, Marentette D, Kirkpatrick N, et al. FLOW (finding lasting options for women): multicentre randomized controlled trial comparing tampons with menstrual cups. Can Fam Physician. 2011;57(6):208\u201315.","journal-title":"Can Fam Physician"},{"issue":"4","key":"1901_CR24","doi-asserted-by":"publisher","first-page":"1382","DOI":"10.18203\/2320-1770.ijrcog20201066","volume":"9","author":"K Sb","year":"2020","unstructured":"Sb K, Bhandary A. Menstrual cup: awareness among reproductive women. Int J Reprod Contraception, Obstet Gynecol. 2020;9(4):1382.","journal-title":"Int J Reprod Contraception, Obstet Gynecol"},{"key":"1901_CR25","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2021.106568","author":"B Hensen","year":"2021","unstructured":"Hensen B, Phiri M, Schaap A, Floyd S, Simuyaba M, Mwenge L, et al. Yathu Yathu (\u201cFor us, by us\u201d): design of a cluster-randomised trial of the impact of community-based, peer-led comprehensive sexual and reproductive health services for adolescents and young people aged 15 to 24 in Lusaka Zambia. Contemp Clin Trials. 2021. https:\/\/doi.org\/10.1016\/j.cct.2021.106568.","journal-title":"Contemp Clin Trials"},{"issue":"28","key":"1901_CR26","first-page":"99","volume":"2","author":"V Bond","year":"2016","unstructured":"Bond V, Chiti B, Hoddinott G, Reynolds L, Schaap A, Simuyaba M, et al. \u201cThe difference that makes a difference\u201d: highlighting the role of variable contexts within an HIV prevention community randomised trial (HPTN 071\/PopART) in 21 study communities in Zambia and South Africa. AIDS Care - Psychol Socio-Medical Asp AIDS\/HIV. 2016;2(28):99\u2013107.","journal-title":"AIDS Care - Psychol Socio-Medical Asp AIDS\/HIV"},{"issue":"8","key":"1901_CR27","doi-asserted-by":"publisher","first-page":"2974","DOI":"10.18203\/2320-1770.ijrcog20193506","volume":"8","author":"L Mason","year":"2019","unstructured":"Mason L, Nyothach E, Van Eijk AM, Obor D, Alexander KT, Ngere I, et al. Comparing use and acceptability of menstrual cups and sanitary pads by schoolgirls in rural Western Kenya. Int J Reprod Contraception Obstet Gynecol. 2019;8(8):2974.","journal-title":"Int J Reprod Contraception Obstet Gynecol"},{"key":"1901_CR28","doi-asserted-by":"publisher","DOI":"10.1177\/17455065211058553","author":"H Manley","year":"2021","unstructured":"Manley H, Hunt JA, Santos L, Breedon P. Comparison between menstrual cups: first step to categorization and improved safety. Women\u2019s Heal. 2021. https:\/\/doi.org\/10.1177\/17455065211058553.","journal-title":"Women\u2019s Heal"},{"issue":"1","key":"1901_CR29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12978-018-0582-8","volume":"15","author":"AM Van Eijk","year":"2018","unstructured":"Van Eijk AM, Laserson KF, Nyothach E, Oruko K, Omoto J, Mason L, et al. Use of menstrual cups among school girls: Longitudinal observations nested in a randomised controlled feasibility study in rural western Kenya. Reprod Health. 2018;15(1):1\u201311.","journal-title":"Reprod Health"},{"issue":"8","key":"1901_CR30","doi-asserted-by":"publisher","first-page":"e361","DOI":"10.1016\/S2468-2667(19)30126-4","volume":"4","author":"J Hennegan","year":"2019","unstructured":"Hennegan J. Inserting informed choice into global menstrual product use and provision. Lancet Public Heal. 2019;4(8):e361\u20132. https:\/\/doi.org\/10.1016\/S2468-2667(19)30126-4.","journal-title":"Lancet Public Heal"},{"issue":"1","key":"1901_CR31","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12905-021-01259-8","volume":"21","author":"M Gharacheh","year":"2021","unstructured":"Gharacheh M, Ranjbar F, Hajinasab N, Haghani S. Acceptability and safety of the menstrual cups among Iranian women: a cross-sectional study. BMC Womens Health. 2021;21(1):1\u20138. https:\/\/doi.org\/10.1186\/s12905-021-01259-8.","journal-title":"BMC Womens Health"},{"issue":"1","key":"1901_CR32","doi-asserted-by":"publisher","first-page":"15","DOI":"10.3362\/1756-3488.2015.003","volume":"34","author":"L Mason","year":"2015","unstructured":"Mason L, Laserson KF, Oruko K, Nyothach E, Alexander KT, Odhiambo FO, et al. Adolescent schoolgirls\u2019 experiences of menstrual cups and pads in rural western Kenya: a qualitative study. Waterlines. 2015;34(1):15\u201330.","journal-title":"Waterlines"},{"issue":"5","key":"1901_CR33","doi-asserted-by":"publisher","first-page":"331","DOI":"10.7196\/SAMJ.9205","volume":"105","author":"M Beksinska","year":"2015","unstructured":"Beksinska M, Smit J, Greener R, Maphumulo V, Mabude Z. Better menstrual management options for adolescents needed in South Africa: what about the menstrual cup? South African Med J. 2015;105(5):331.","journal-title":"South African Med J"}],"container-title":["Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12978-024-01901-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12978-024-01901-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12978-024-01901-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T03:53:27Z","timestamp":1738814007000},"score":1,"resource":{"primary":{"URL":"https:\/\/reproductive-health-journal.biomedcentral.com\/articles\/10.1186\/s12978-024-01901-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,6]]},"references-count":33,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["1901"],"URL":"https:\/\/doi.org\/10.1186\/s12978-024-01901-2","relation":{},"ISSN":["1742-4755"],"issn-type":[{"value":"1742-4755","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,6]]},"assertion":[{"value":"23 August 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 February 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Yathu Yathu study was approved by the University of Zambia Biomedical Research Ethics Committee (ref: 007-04-19) and the London School of Hygiene and Tropical Medicine (ref: 17104). Parents for adolescents and young people aged 15\u201317, provided written informed consent and adolescents written assent. Adolescents 18\u201324 provided written consent form. Verbal consent form was obtained for an adolescent aged 19 due to COVID-19.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Study participants consented to anonymous publication of the information they provided.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"20"}}