The project will address the interactions between menstrual management and sanitation, using a systems approach that integrates an understanding of the sanitation hardware with women’s practices, needs and willingness to pay for menstrual management products. The scope of work includes: 1) a comprehensive literature review to synthesize current knowledge about the interaction between women's menstrual management practices and sanitation systems, 2) detailed case studies in two urban locations, and 3) a randomized product dissemination and demand trial where women will be offered to opportunity to test and then choose among alternative menstrual management products.
Mission
- Synthesize the state of current knowledge through a review of the literature on women’s perceptions and cultural beliefs around menstruation, and menstrual practices.
- Understand the impact of menstrual practices on sanitation systems through a global survey of sanitation managers.
- Document how menstrual products are disposed of in two contexts: Durban, South Africa and Bihar, India.
- Investigate the acceptability of a reusable silicon menstrual cup among adult women in two contexts: Durban, South Africa and Bihar, India. Understand determinants of, and barriers to, product experimentation and continued use, including experience of peers.
- Test how prior use of a disposable menstrual product (sanitary pads) affects demand for a reusable product (the menstrual cup) through a randomized controlled trial in Bihar, India.
Approach
PATH, Stockholm Environment Institute, Columbia University, Wits Health Consortium, Mount Holyoke College, and the University of KwaZulu-Natal
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Technology comparisonsHealth and hygieneGlobalOtherSanitation systems and technology options (WG4)Sustainable WASH in institutions and gender equality (WG7)Bill & Melinda Gates FoundationPractitionersUniversity, education or research institution
Related Countries
IndiaSouth AfricaUnited States