Reproductive Health Practices Among Adolescent Married Girls Of Birhor And Kolha Communities In Oupada Block, Balasore

Abstract

Reproductive health practices among tribal adolescent married girls are shaped by cultural traditions, resource availability, and limited health infrastructure access. This descriptive survey investigated practices related to menstrual hygiene, sexual behavior, and nutrition among 100 adolescent married girls (50 Birhor, 50 Kolha) in Oupada Block, Balasore District, Odisha. Using purposive sampling and structured interview questionnaires, the study hypothesized significant differences in reproductive health practices between the two tribes. Results demonstrated that 100% Birhor girls used only undergarments during menstruation versus 88% Kolha girls using old cloth. Menstrual pad washing occurred exclusively in ponds for both groups, with traditional cleaning agents (termite soil, Eukyl potash fruits) preferred over soap. Sexual practices revealed 100% both tribes considered vaginal sex as primary mode, with 64% Birhor and 68% Kolha practicing sex during menstruation. Contraceptive use was absent among Birhors while 70% Kolha girls used temporary methods. Nutritional practices showed universal non-vegetarian preference with 100% consuming Handia and alcohol during menstruation/pregnancy for energy. The study concluded that unhygienic menstrual practices, risky sexual behaviors, and inadequate nutritional practices necessitate urgent culturally-sensitive interventions addressing tribal-specific constraints.

DOI: https://doi-ds.org/doilink/12.2025-43719147