Throughout the world, menstruation shares a common universal feature; women have historically been shamed because of it.
Although female sexual and reproductive health has started to become more important as a topic of study and discussion in the last few decades, many women to this day experience an overwhelming level of stigma around menstruation.
In many low-middle income countries, access to sanitary products such as pads and tampons is extremely restricted, forcing young girls and women to use inappropriate products, such as a piece of old cloth or banana leaves. A dire consequence of using unsanitary products is the development of genital and urinary tract infections that can, if unimpeded, cause severe complications.
While this is a truly worrying situation, it is not highlighted enough as a public health issue – primarily due to the stigma and shame surrounding menstruation.
The lack of proper sanitary products and/or facilities often forces girls and young women to miss school. This in turn affects women’s long-term economic development. This is not only seen in low-middle income countries; in the UK for example, girls and women often cannot afford the sanitary products they need – a problem known as ‘period poverty’.
In many countries across the globe, menstruation is considered dirty and repulsive. In some cultures, it’s even seen as a sign of ‘loss of virginity’ – insinuating moral and ethical depravity. In many countries, women and girls are ordered to leave their homes for the duration of their menses to prevent ‘desecration’ of their homes. In all these scenarios, girls and women find themselves ostracized, humiliated and expected to accept this without question or debate.
Even in parts of the world where the situation may not be so extreme, some degree of stigma remains around menstruation – large enough to prevent girls and women from seeking medical care because they feel too ’embarrassed’. Within the bounds of such societies, menstruators may not seek medical help and may not be able to recognize important health-related problems should they arise.
In the UK, almost 80% of adolescent girls have experienced a distressing symptom relating to their menstrual cycle but have not approached a medical professional for advice.
A large contributor to these misbeliefs is the lack of education and awareness on menstruation. This leads to an inundation of false conceptions and misrepresentations. Due to the restrictive social norms in many parts of the world, it is a topic rarely discussed within the family structure.
Not only does this mean an uneducated society when it comes to female sexual and reproductive health, but it also means that many young girls have no or very limited knowledge on what to expect and how to react when their menses start. Instead, they become more confused, isolated and unable to manage their menstruation in a safe, clean and dignified manner.
Many countries have addressed several of these demanding issues. In Kenya for example, free sanitary products are available and in neighbouring Ethiopia, menstrual hygiene clubs have been established in many schools.
How we are trying to help
The Swedish Organization for Global Health (SOGH) – in association with Uganda Development and Health Associates (UDHA) – has launched a project titled Ekibadha: Our Periods Matter, in recognition of this extremely important matter.
The project aims to understand and highlight the difficulties women and girls in rural Uganda are facing regarding their cycles. The project is in its first stages, but our goal is to develop a community-based initiative that involves the entire community which will be sustainable – economically and environmentally.
“Men should be more involved” said one of the women we interviewed last summer in one of the rural villages in Muyage District. We agree! Men need to be part of the conversation, this is not just a ‘women’s issue’.
To learn more about the project, please visit www.sogh.se/ekibadha-our-periods-matter/
How you can help
You can help us take this project forward. We are currently raising funds to support preliminary data collection, which is fundamental to shaping and guiding the project. Data will also give us the basics to apply for institutional funds. Click here and help us out, every penny is worth it! https://www.gofundme.com/MHproject-Uganda
For any further information or to get personally involved please email us at MHproject@sogh.se. You can also help by spreading the word, sharing this article on social media.