Girls’ Menstrual Management in Five Districts of Nepal

Implications for Policy and Practice

Bibliographic Data

ID12967398
AuthorsJoanna Morrison (0000-0002-9241-8863, corresponding author), Machhindra Basnet (Nepal Red Cross Society), Anju Bhatt, Sangeeta Khimbanjar, Shishir Chaulagain, Nepali Sah, Sushil Baral (0000-0002-3425-6915), Thérèse Mahon (0000-0002-5996-2664), Marian Hodgkin
Year2018
Volume12
Issue2
Pages251-272
Publication date2018-12-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueStudies in Social Justice (JOURNAL)
Journal identifiersISSN: 1911-4788 • E-ISSN: 1911-4788
PublisherBrock University Library (PUBLISHER)
DOI10.26522/ssj.v12i2.1623
OpenAlexW2908086316
LanguageEN
Citations received7
References cited10

Discriminatory practices related to menstruation affect the social, mental and physical wellbeing of girls in many low-and middle-income countries. We conducted mixed methods research in five districts of Nepal to explore how menstruation affected girls’ ability to fully participate in school and community life. We conducted 860 structured interviews, 26 group interviews and 10 focus group discussions with schoolgirls in rural areas,14 semi-structured interviews with girls’ mothers, and 10 interviews with health teachers. Girls in all districts experienced social, material and information barriers to confident menstrual management. Menstrual blood was believed to carry diseases, and girls’ movement was restricted to contain ritual pollution and protect them from illness, spirit possession, and sexual experiences. Taboos prevented girls from worshipping in temples or in their home, and some girls were not allowed to enter the kitchen, or sleep in their home while menstruating. Teachers and parents felt unprepared to answer questions about menstruation and focused on the maintenance of restrictions. Teachers and students were embarrassed discussing menstruation in school and classes were not question-driven or skills-based. Gender disaggregated teaching of menstruation and engagement of health facility staff may have positive effects. Community participatory approaches that engage girls, their families and the wider community are necessary to address harmful cultural practices. Cross-sectoral approaches to provide clean, private, safe spaces for girls and increased availability of preferred materials could enable confident menstrual management

Citizen journalism · Focus group · Medical education · Menstruation · Political science · Possession (linguistics · Sociology · Adolescent Sexual and Reproductive Health · Gender Roles and Identity Studies · Medicine · Menstrual Health and Disorders · Psychology

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