Effects of latrine safety and menstrual stigma on school attendance among adolescent girls in South Sudan

Abstract

This study examined the factors influencing school attendance during menstruation among adolescent girls in Panyijar County, South Sudan, using secondary data from an International Rescue Committee survey of adolescents aged 10–20 years attending primary schools in the region. Key findings reveal that feelings of safety in school latrines are critical predictors of attendance, with those feeling safe while menstruating exhibiting notably higher odds of attending school during menstruation. Conversely, feelings of shame significantly decreased the odds of attendance. Age also played a positive role, with each additional year correlating with an increased likelihood of attending school. In a comprehensive model, safety in school latrines during menstruation emerged as the most influential factor, whereas the negative impact of shame, although reduced, remained significant. These findings underscore the importance of addressing both physical infrastructure (e.g., safe, private latrines) and psychosocial barriers (e.g., stigma and shame) to support educational outcomes for menstruating girls. This study provides actionable insights for policymakers and educators in low-resource, and humanitarian contexts.