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menstruation

By Naushalya Rajapaksha

Whilst Scotland has become the first country in the world to make period products free for all, imposing a legal obligation on local establishments to guarantee that tampons and sanitary pads are available to “anyone who needs them”, period poverty is still a taboo topic, with an eternal seat in the line of issues faced by the majority of the young girls and women in Sri Lanka. With a 72nd place ranking in the 2020 UNDP Human Development Report (HDR), and 52% of the population being female, the majority of over 12 million young girls and women in Sri Lanka stand an unremitting trial to either access or afford suitable sanitary products, once a month.

The following are the prices (subject to change) of some of the mainstream sanitary napkin products (10 pc packets) available in Sri Lanka;
Fems – Rs.130/-
Eva – Rs. 145/-
Marvel Lady – Rs. 190/-
Whisper – Rs. 210/-
Soft Night Wings – Rs. 242/-

Therefore, it should be indistinctly clear to anyone with even a moderate sense of calculation, that a family with two female individuals needing sanitary products will have to incur a minimum cost of Rs. 260/- (Rs. 130 x 2) a month. Even though this may be an amount which you and I could devote with our eyes closed, it is imperative to understand that for families who are solely dependent on daily wage earners, this ‘Rs. 260/-’ could be an unaffordable and unwanted luxury. Hence, it has been observed by many academics, and advocates in this field, how young girls and women are compelled to resort to unhygienic methods of sanitation during this time of mensuration. This status quo may even be worsened during this time of the Covid’19 pandemic, which propels daily wage income earners and other low-income earners to stay at home, adding more inability to access and afford sanitary products.

According to a Knowledge, Attitude, and Practices (KAP) analysis of 720 adolescent girls and 282 female teachers in Kalutara district (2015), the following were observed; 66% were not aware of menstruation until menarche (the first occurrence of menstruation), 37% of girls miss at least one or two days of school each month due to their period, in Government-sponsored schools, there were 41% availability of soap and only 1% of principals and 6% of teachers stated that emergency sanitary pads were available, 60% of teachers thought blood impure; 80% thought bathing should be avoided, and 40% thought vaginal insertion of tampons has side effects.

Amidst the religious and other cultural barriers aggravating this situation further, when the subsisting amenities prevalent in schools are considered, the 2017 Ministry of Education (MoE), School Nutrition and Health Branch Survey provides evidence to the effect that the majority of schools have sex-segregated lavatory facilities, 88% of schools have access to water, and 98% of schools have access to adequate sanitation facilities. Nevertheless, there still exists a vast disparity in terms of access, given the destitute levels of operations and maintenance of such lavatory facilities, and the affordability of sanitary products. Thus, it is unambiguous that national-level awareness programmes be conducted to deconstruct the prevailing myths and misinformation regarding menstruation and promote the use of sanitary products and other hygienic alternatives, such as reusable sanitary pads, menstrual cups etc.

Therefore, it is imperative that the importance of Menstrual Hygiene Management (MHM) be not only recognized but be uninterruptedly implemented especially in schools and in other educational institutions, as a primary mechanism that needs fixed allocated funding, training, and persistent awareness, to mitigate if not eradicate this issue of period poverty, especially in all levels of education.

On the other hand, one can only hope that the same be applied even in the sanitary facilities afforded in court premises, legal offices, and departments, where (even paid) clean lavatory facilities, with effortless access to sanitary products be available for the female Attorneys-at-Law and other young girls and women who come to these places seeking just and equity. It will only be ironic, that they inter-alia be expected to ‘come in clean hands’ if there are no adequate places for them to even wash their hands properly.

Images courtesy of UNFPA

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Ashmi Sheth

Freda, a UK-based period organic period product brand has launched Cycle, a new line of period products designed to be inclusive and raise awareness about communities who are impacted by a lack of period inclusivity. Bringing our attention to the fact that “women aren’t the only people who menstruate,” Freda has launched Cycle, a range of pads, pantyliners and tampons that shuns gendered packaging and language. When it comes to period care, the focus is generally on cisgender women, leaving out transgender and non-binary people who also menstruate. Freda affirms that, “If we really want equity, it needs to start with something as basic as period care.”

Freda has partnered with transgender and non-binary activists Kenny Ethan Jones, Jamie Raines and Siufung Law to create short awareness videos highlighting the shame and fear they’ve felt while purchasing and using period products, which are often found in hyperfeminine packaging. They share their experiences of having no access to dustbins in male washrooms to dispose their pads, an experience that Jones shares “felt very shameful.”  Raines points out that the products and the language used by big brands “does not feel inclusive.” Law suggests that the major brands can be more inclusive in terms of product design and awareness campaigns.

Current published research on trans and non-binary menstruation suggests that people may experience deeply negative sentiments and discomfort about their menstruation and that menstrual management can be a source of stress and anxiety for those outside the gender/sex binary. It has also been found that one of the major causes of such discomfort and anxiety is the presence of gendered bathrooms. 

As the discourse on gender equity and inclusivity in healthcare gains momentum, we urgently need to drive our attention to something as basic and biological and period care. As Raines states, “Access to inclusive and sustainable period care is a human right” and we need to appreciate Freda for its thoughtful and inclusive campaign aimed at providing sustainable and reliable period care to “everyone.”

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Picture Credit: Monika Kozub

Pragya Jain discusses #MenstrualRights over the world and some hilarious euphemisms

Sitting down to write this piece has been quite a delight, especially when the quest to find an appropriate title ended at daybreak with a bout of hushed laughter shared with my laptop screen. Oh Internet, you beauty! A curious study titled “Talking about periods: an international investigation findings” conducted by Clue with The International Women’s Health Coalition in 2016 caught my eye. It sought to understand international period perceptions and one of the key findings remained that Menstruation was still far from being a topic of common parlance and was thus emphasized to make it palatable. The Report discovered as many as 5000 euphemisms for the word Period, mind you, each exceeding the other in the overall hilarity. I must say – Denmark remained my personal favourite with the clever “Der Er Kommunister i Lysthuset” (“There are Communists in the funhouse”). Appreciation for the French is necessitated for their clever historical nod by using “Les anglais ont débarqué!” (“The English have landed!”) to refer to the bloody battles and the Red of the English during the napoleonic wars. While the English speaking diaspora remained a tad less creative with “Aunt Flo” and “Crimson Tide”.

Hilarious though they may be, the pertinent fact remains – the 2016 study found that women resorted to such euphemisms as a response to the stigma that still surrounds menstruation. These euphemisms are testament to how far this stigma can go and manifest in other forms. The one I seek to particularly address is Period Poverty and the attitude of law-makers and general populace towards the needs of persons that menstruate. 

Period Poverty is quite obviously a transcontinental issue. It is a mighty impediment for unemployed or underemployed persons that menstruate trying to break back into the workforce, or such persons seeking educational opportunities. If they can’t afford pads and tampons, they might have to miss interviews or days on the job. A look at developed countries like the USA tells the tale of how menstruating persons still struggle to afford menstrual hygiene products as a result of dozens of states still implementing a “pink tax” that treats period products as luxury goods, adding an extra fee to every purchase. 

In India following the widespread uproar caused due to levy of taxes on menstrual hygiene products, sanitary napkins in particular were exempted from GST in 2018. While the move was hailed as empowering, the need for a deeper look into the ramifications of such a move is necessary. Quite noticeably, the prices of such essential items remain the same, the obvious question that comes to the fore is – where has the impact of such benefits landed? While the tax levy on the final product may have been exempted – the inputs (raw materials) are still taxed. This implies that  the manufacturer will not be able to avail the input tax credit thereby it follows that a reduction in the rates of such hygiene products will be meagre. In simpler terms, it means that the manufacturer will pay the input tax but wouldn’t get the tax credit back. Thus, with no considerable difference in the manufacturing cost, the manufacturer will be restricted and thus the benefits that can be passed down to the consumers will hardly translate into anything substantial. Which directs our attention back to the original problem – households that were previously unable to access sanitary napkins will still leave it on the aisles of the local stores. The host of diseases that such inaccessibility further translates to is enough to bring a chill down anyone’s spine. 

So what do we do? Maybe drawing inspiration from countries that have recently taken sweeping steps to ensure that menstrual hygiene products are indiscriminately available across public institutions and assessing their feasibility in the Indian context would be the way forward. For example, members of the Scottish Parliament unanimously passed The Period Products (Free Provision) (Scotland) Act which makes it legally mandatory for all public institutions to provide period products, including tampons and pads to all those who need them. Never mind the economic costs on the state for such a move! While such decisions come at great economic costs, evidence that carefully demonstrates why such costs will be offset by the long-term increase in workforce and the consequent increase in contribution also exists.

Another debate that dominated the Indian discourse recently surrounded Zomato’s decision to introduce menstrual leave for its female and transgender employees. The CEO Deepinder Goyal in an email to employees announced, “Zomato understands that men and women are born with different biological realities. It is our job to make sure that we make room for our biological needs, while not lowering the bar for the quality of our work and the impact that we create.” The move received mixed reactions from the public – with renowned Journalists such as Barkha Dutt speaking out against the policy while on the other end of the spectrum, political organizations such as AIPC launching petitions to call for such measures to be instituted in all Public and Private enterprises. The move has triggered a pointed debate among persons that menstruate themselves on whether this is a progressive move, mere tokenism, or a regressive move. 

While arguments can be made in equity, emotion and, acknowledging the regressive notions that come with instituting something that has been historically used to disadvantage women in the workforce, a look at statistics also demands a mention. “Delivering through Diversity”, a study undertaken by McKinsey and Company shows that greater gender diversity has set companies ahead than the ones that don’t. “Companies in the top-quartile for gender diversity on executive teams were 21% more likely to outperform on profitability and 27% more likely to have superior value creation. The highest-performing companies on both profitability and diversity had more women in line (i.e., typically revenue-generating) roles than in staff roles on their executive teams.” Julia Wuench, writing for Forbes, puts it quite succinctly, “enabling and empowering women to stay in leadership positions is statistically proven to improve profits, and having concrete, inclusive policies in place opens more job opportunities to women and members of the transgender community.” It is undeniable that employees that feel heard and valued are more likely to stay and perform well in their roles, hence boosting the growth of the company. 

Instituting a cultural change around Menstrual Leave policies by acknowledging the biological fact is the first step. The logical way forward would be to harmonize the interests of the diverse groups that are present. A systemic change, perhaps in the form of overall leave policies can be effected to acknowledge the needs and realities of all such groups. 

But the starting step I reckon should be chipping away at the wall that stigmatization creates barring access to the world and the possibilities it has to offer for the persons that menstruate. With a bulldozer. Period. 

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