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Promotion of Menstrual
 Hygiene in Rae Bareli




                         1
Background
         2
Need for Menstrual Hygiene**
In-case of poor menstrual hygiene:
•     Increased Risk of infection (including
      sexually transmitted infection) is higher
      than normal during menstruation
      (Urinary tract infections UTIs/RTIs) are
      bacterial infections

•     Yeast infections          such    as    Thrush
      (Candidiasis)

•     Using unclean rags leads to the growth
      of unwanted bacteria that could lead
      to infection

•     The risk of passing on blood-borne
      diseases such as Hepatitis B Virus
      (HBV), which causes serious liver
      disease & Human Immune Deficiency
      Virus (HIV), which causes AIDS.
    **Menstrual hygiene matters. Sarah House, Thérèse
                                                        3
                     Mahon and Sue Cavill
Need for Menstrual Hygiene**
      Social, educational and economic
         impacts of menstrual hygiene:

•     Dignity – It is crucial for girls and
      women to feel empowered to engage in
      regular daily work without much
      discomfort. and other daily activities and
      not hide away or have limitations in their
      movements due to menstruation.

•     Education – Lack of menstrual hygiene
      services can lead to girls missing school.

•     Loss of Economic Opportunity – Due
      to monthly illness women lose out on
      economic opportunity.
    **Menstrual hygiene matters. Sarah House, Thérèse
                     Mahon and Sue Cavill

                                                        4
Current Blood Absorption Methods
Facts:
•   One out of every five women (18 %)
    had menstruation related problems
    during the last three months preceding
    the survey**

•   Eight out of every ten (85.5%)
    unmarried women had painful periods
    -mainly caused due to unhygienic
    practices.

•   10% had irregular period while 6.2% of
    the women had problems like frequent
    or short periods

•   The     practices     followed     during
    menstruation period to absorb blood are
    important from the consideration
    of UTI/RTI (Urinary tract infections) and
    personal hygiene.
                                                        5
Districts in Focus
   Sultanpur
   23 blocks
   230 schools
   34500 girls

   448500 napkins/month



                          Rai Bareli
                          21 blocks
                          210 schools
                          31,500 girls

                          409500 napkins/month
                                          6
Steps taken by Government of India
   Saloni Swasth Kishori Yojana
   •   Uttar Pradesh has identified 13 priority districts to take up
       menstrual hygiene scheme amongst school going adolescent
       girls. -Additional 3 new districts (i.e. Amethi, Sambhal &
       Shamli )are being taken up this year.
   •   To mobilize Self Help Groups, in selected districts, Rs. 5.00
       Lacs was budgeted.
   •   Monthly Saloni Sabhas to be held on health, hygiene &
       nutrition behaviors. Girls from rural areas going to the school
       will be trained and advised to use and properly dispose-off
       these sanitary napkins by the trained school teachers.
   •   Menstrual Hygiene and Intervention for Non School Going
       Girls has been planned under ASHAs, ARSH, Media and
       SABLA scheme .
   •   Sanitary napkins were to be provided by GOI and distributed
       through ASHA and ARSH workers at Saloni Sabhas .


                                                                     7
Other GOI schemes on Menstrual Health

                                                     •Kishori Shakti Yojana (KSY) ,MoWCD
                                                     •SABLA : Raiv Gandhi Scheme for Empowerment
                                                     of Adolescent Girls (RGSEAG )
                                                     •The National Population Policy 2000 called
                                                     for developing an adolescent health package.




•   Ensuring that adolescent girls (10- 19 years) in rural
    areas have adequate knowledge and information about
    menstrual hygiene and the use of sanitary napkins.
•   This scheme is being launched in 152 districts across
    20 states in the first phase.

•   The Ministry is procuring sanitary napkin packs from
    Hindustan Lever Limited for 107 districts and would
                                                                                                    8
    be supplied at the block level.
Why should RGF Intervene ?
   The NRHM SAP 12-13 has highlighted
   an issue that presents a opportunity for
   RGF to intervene as the cause is in line
   with the foundation’s vision.

1. Facilitate teenage women to attend
   school more regularly.

2. Improve health and social life of a large
   section of women.

3. Increase economic productivity of
   women & facilitate poverty alleviation.

4. Social Initiative Focused on women
   producing ripple effect in the entire
   society.
                                               9
Benefits for women
•   Paves way for hygienic way of life.
•   Improved health.
•   Provides means of income to SHGs.
•   Reduced loss of man-days and
    increased attendance in school.
•   Reduction in complications at
    maternity.
•   Greater dignity.




                                          10
Project Plan
          11
Suggested Implementation Model




Rajiv Gandhi Foundation (RGF) and its associated institutions would play the role of
a facilitator and empower women to take necessary action on Menstrual Health.


                                                                                  12
The Machine
         Header                                  Requirement
Electricity         Single Phase Power for 1hp motor
Space               3.5m x 3.5 m
Cost of Machine     Rs. 75,000/ machine (Inclusive of Tax & Installation Cost)
Machine Operation   Wood fiber (raw material) is de-fibrated, core formed and sealed with
                    soft touch sensitive heat control, giving the final shape of the napkins.



Output              2 Napkins/ minute




                                                                                          13
Further Information
Advertisements:

a) Encourage entrepreneurs to buy this machine- Would be done through SHGs/VOs.
b) Along with Entrepreneurs, advertise for workers and get them trained.
c) Advertise to women , so they use such napkins.- This could be done via Health Sakhis, ASHA
   Workers etc. The strategy, poster and everything would be designed.

Training Modules for :

a)Train entrepreneurs and workers.
b)Faculty for initial training and develop a module to train new faculty. To replicate the   model
across the country
c)1-2 days workshops to train ASHA Workers and Health Sakhis on product


                                          COMPLETE COST WORKINGS
                                                 FOR SHGS
           Microsoft Office
        Word 97 - 2003 Document                                                               14
SUCCESS STORY : TOTAL SANITATION CAMPAIGN : TAMIL NADU



                     •   In a move to encourage school-girls in
                         rural areas to continue school after
                         puberty, a program was launched to
                         encourage the use of sanitary napkins.

                     •   Cost of popular brands of napkins
                         discouraged adolescent girls from
                         using napkins, so they had to depend
                         on improvised material which were not
                          very effective. So, the girls simply
                         skipped classes on period days.

                     •   360 Self-Help Groups (SHGs) were
                         trained in napkin production.

                     •   Today, SHGs in 18 districts make and
                         sell the napkins at a price of Rs 20 per
                         packet of 10 napkins. These products
                         sell well.
                                                               15
16

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Promotion of menstrual hygiene

  • 1. Promotion of Menstrual Hygiene in Rae Bareli 1
  • 3. Need for Menstrual Hygiene** In-case of poor menstrual hygiene: • Increased Risk of infection (including sexually transmitted infection) is higher than normal during menstruation (Urinary tract infections UTIs/RTIs) are bacterial infections • Yeast infections such as Thrush (Candidiasis) • Using unclean rags leads to the growth of unwanted bacteria that could lead to infection • The risk of passing on blood-borne diseases such as Hepatitis B Virus (HBV), which causes serious liver disease & Human Immune Deficiency Virus (HIV), which causes AIDS. **Menstrual hygiene matters. Sarah House, Thérèse 3 Mahon and Sue Cavill
  • 4. Need for Menstrual Hygiene** Social, educational and economic impacts of menstrual hygiene: • Dignity – It is crucial for girls and women to feel empowered to engage in regular daily work without much discomfort. and other daily activities and not hide away or have limitations in their movements due to menstruation. • Education – Lack of menstrual hygiene services can lead to girls missing school. • Loss of Economic Opportunity – Due to monthly illness women lose out on economic opportunity. **Menstrual hygiene matters. Sarah House, Thérèse Mahon and Sue Cavill 4
  • 5. Current Blood Absorption Methods Facts: • One out of every five women (18 %) had menstruation related problems during the last three months preceding the survey** • Eight out of every ten (85.5%) unmarried women had painful periods -mainly caused due to unhygienic practices. • 10% had irregular period while 6.2% of the women had problems like frequent or short periods • The practices followed during menstruation period to absorb blood are important from the consideration of UTI/RTI (Urinary tract infections) and personal hygiene. 5
  • 6. Districts in Focus Sultanpur 23 blocks 230 schools 34500 girls 448500 napkins/month Rai Bareli 21 blocks 210 schools 31,500 girls 409500 napkins/month 6
  • 7. Steps taken by Government of India Saloni Swasth Kishori Yojana • Uttar Pradesh has identified 13 priority districts to take up menstrual hygiene scheme amongst school going adolescent girls. -Additional 3 new districts (i.e. Amethi, Sambhal & Shamli )are being taken up this year. • To mobilize Self Help Groups, in selected districts, Rs. 5.00 Lacs was budgeted. • Monthly Saloni Sabhas to be held on health, hygiene & nutrition behaviors. Girls from rural areas going to the school will be trained and advised to use and properly dispose-off these sanitary napkins by the trained school teachers. • Menstrual Hygiene and Intervention for Non School Going Girls has been planned under ASHAs, ARSH, Media and SABLA scheme . • Sanitary napkins were to be provided by GOI and distributed through ASHA and ARSH workers at Saloni Sabhas . 7
  • 8. Other GOI schemes on Menstrual Health •Kishori Shakti Yojana (KSY) ,MoWCD •SABLA : Raiv Gandhi Scheme for Empowerment of Adolescent Girls (RGSEAG ) •The National Population Policy 2000 called for developing an adolescent health package. • Ensuring that adolescent girls (10- 19 years) in rural areas have adequate knowledge and information about menstrual hygiene and the use of sanitary napkins. • This scheme is being launched in 152 districts across 20 states in the first phase. • The Ministry is procuring sanitary napkin packs from Hindustan Lever Limited for 107 districts and would 8 be supplied at the block level.
  • 9. Why should RGF Intervene ? The NRHM SAP 12-13 has highlighted an issue that presents a opportunity for RGF to intervene as the cause is in line with the foundation’s vision. 1. Facilitate teenage women to attend school more regularly. 2. Improve health and social life of a large section of women. 3. Increase economic productivity of women & facilitate poverty alleviation. 4. Social Initiative Focused on women producing ripple effect in the entire society. 9
  • 10. Benefits for women • Paves way for hygienic way of life. • Improved health. • Provides means of income to SHGs. • Reduced loss of man-days and increased attendance in school. • Reduction in complications at maternity. • Greater dignity. 10
  • 12. Suggested Implementation Model Rajiv Gandhi Foundation (RGF) and its associated institutions would play the role of a facilitator and empower women to take necessary action on Menstrual Health. 12
  • 13. The Machine Header Requirement Electricity Single Phase Power for 1hp motor Space 3.5m x 3.5 m Cost of Machine Rs. 75,000/ machine (Inclusive of Tax & Installation Cost) Machine Operation Wood fiber (raw material) is de-fibrated, core formed and sealed with soft touch sensitive heat control, giving the final shape of the napkins. Output 2 Napkins/ minute 13
  • 14. Further Information Advertisements: a) Encourage entrepreneurs to buy this machine- Would be done through SHGs/VOs. b) Along with Entrepreneurs, advertise for workers and get them trained. c) Advertise to women , so they use such napkins.- This could be done via Health Sakhis, ASHA Workers etc. The strategy, poster and everything would be designed. Training Modules for : a)Train entrepreneurs and workers. b)Faculty for initial training and develop a module to train new faculty. To replicate the model across the country c)1-2 days workshops to train ASHA Workers and Health Sakhis on product COMPLETE COST WORKINGS FOR SHGS Microsoft Office Word 97 - 2003 Document 14
  • 15. SUCCESS STORY : TOTAL SANITATION CAMPAIGN : TAMIL NADU • In a move to encourage school-girls in rural areas to continue school after puberty, a program was launched to encourage the use of sanitary napkins. • Cost of popular brands of napkins discouraged adolescent girls from using napkins, so they had to depend on improvised material which were not very effective. So, the girls simply skipped classes on period days. • 360 Self-Help Groups (SHGs) were trained in napkin production. • Today, SHGs in 18 districts make and sell the napkins at a price of Rs 20 per packet of 10 napkins. These products sell well. 15
  • 16. 16