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The 2010 WHO PMTCT ARV guidelines are based on the need to distinguish between treatment and prophylaxis. Consistent with the 2010 WHO adult ART guidelines (2), they recommend and prioritize starting all women with CD4 counts ≤350 cells/ mm3 or WHO Stage 3 or 4 disease (approximately 40–50% of all HIV-infected pregnant women) on ART for life for their own health as well as for the prevention of infant HIV infection. For women with CD4 counts 350 cells/mm3, who are not eligible for treatment according to current criteria, the PMTCT ARV guidelines recommend starting ARV prophylaxis early in pregnancy and, in breastfeeding settings, providing extended ARVs to either the mother or. | Volume 13 3 2011 A community based study on menstrual hygiene among adolescent girls Keerti Jogdand Pravin Yerpude www.ijmch.org INDIAN JOURNAL OF MATERNAL AND CHILD HEALTH What are menstrual hygiene practices among adolescent girls 1 INDIAN JOURNAL OF MATERNAL AND CHILD HEALTH 2011 JUL - SEP 13 3 A community based study on menstrual hygiene among adolescent girls Keerti Jogdand Pravin Yerpude Assistant professor Dept of Community Medicine Katuri Medical College and Hospital Katuri Nagar Chinakondrupadu Guntur AP . Correspondence Dr. Keerti Jogdand Email drrajupravin007@yahoo.com ABSTRACT Research Question What are menstrual hygiene practices among adolescent girls Settings Urban slum area under urban health training centre of Katuri Medical College and Hospital Guntur Andhra Pradesh. Study design A community based cross sectional study Participants 360 adolescent girls Methodology One slum area out of four selected by simple random sampling and all adolescent girls in that slum area selected for study Results Age of attainment of menarche ranged from eleven to sixteen years. Only 36.19 girls were aware regarding menstruation prior to the attainment of menarche. Mother was found to be the first source of information regarding menstruation in 61.29 of girls. 34.63 girls reported use of old cloth for protection during menstruation. 78.99 girls were restricted to attend religious occasions during menstruation Key words Adolescent girls menstrual hygiene menstrual practices 2 INDIAN JOURNAL OF MATERNAL AND CHILD HEALTH 2011 JUL - SEP 13 3 INTRODUCTION WHO has defined Adolescence as the period between 10-19 years of life. 1 Adolescent girls constitute about 1 5th total female population in the world. Adolescence in girls has been recognized as a special period in their life cycle that requires specific and special attention. This period is marked with onset of menarche. Menstruation is a phenomenon unique to all females. 2 It is still considered as something unclean or