Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and Lebanon
Abstract Background There is a significant gap in empirical evidence on the menstrual hygiene management (MHM) challenges faced by adolescent girls and women in emergency contexts, and on appropriate humanitarian response approaches to meet their needs in diverse emergency contexts. To begin filling...
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| Format: | Article |
| Language: | English |
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BMC
2017-10-01
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| Series: | Conflict and Health |
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| Online Access: | http://link.springer.com/article/10.1186/s13031-017-0121-1 |
| _version_ | 1818513436507635712 |
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| author | Margaret L. Schmitt David Clatworthy Ruwan Ratnayake Nicole Klaesener-Metzner Elizabeth Roesch Erin Wheeler Marni Sommer |
| author_facet | Margaret L. Schmitt David Clatworthy Ruwan Ratnayake Nicole Klaesener-Metzner Elizabeth Roesch Erin Wheeler Marni Sommer |
| author_sort | Margaret L. Schmitt |
| collection | DOAJ |
| description | Abstract Background There is a significant gap in empirical evidence on the menstrual hygiene management (MHM) challenges faced by adolescent girls and women in emergency contexts, and on appropriate humanitarian response approaches to meet their needs in diverse emergency contexts. To begin filling the gap in the evidence, we conducted a study in two diverse contexts (Myanmar and Lebanon), exploring the MHM barriers facing girls and women, and the various relevant sectoral responses being conducted (e.g. water, sanitation and hygiene (WASH), Protection, Health, Education and Camp Management). Methods Two qualitative assessments were conducted: one in camps for internally displaced populations in Myanmar, and one with refugees living in informal settlements and host communities in Lebanon. Key informant interviews were conducted with emergency response staff in both sites, and focus group discussion and participatory mapping activities conducted with adolescent girls and women. Results Key findings included that there was insufficient access to safe and private facilities for MHM coupled with displacement induced shifts in menstrual practices by girls and women. Among staff, there was a narrow interpretation of what an MHM response includes, with a focus on supplies; significant interest in understanding what an improved MHM response would include and acknowledgement of limited existing MHM guidance across various sectors; and insufficient consultation with beneficiaries, related to discomfort asking about menstruation, and limited coordination between sectors. Conclusions There is a significant need for improved guidance across all relevant sectors for improving MHM response in emergency context, along with increased evidence on effective approaches for integrating MHM into existing responses. |
| first_indexed | 2024-12-11T00:01:24Z |
| format | Article |
| id | doaj.art-99b4e180a4dc4221ad314de14781d972 |
| institution | Directory Open Access Journal |
| issn | 1752-1505 |
| language | English |
| last_indexed | 2024-12-11T00:01:24Z |
| publishDate | 2017-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Conflict and Health |
| spelling | doaj.art-99b4e180a4dc4221ad314de14781d9722022-12-22T01:28:27ZengBMCConflict and Health1752-15052017-10-0111111110.1186/s13031-017-0121-1Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and LebanonMargaret L. Schmitt0David Clatworthy1Ruwan Ratnayake2Nicole Klaesener-Metzner3Elizabeth Roesch4Erin Wheeler5Marni Sommer6Mailman School of Public Health, Columbia UniversityInternational Rescue CommitteeInternational Rescue CommitteeInternational Rescue CommitteeInternational Rescue CommitteeInternational Rescue CommitteeMailman School of Public Health, Columbia UniversityAbstract Background There is a significant gap in empirical evidence on the menstrual hygiene management (MHM) challenges faced by adolescent girls and women in emergency contexts, and on appropriate humanitarian response approaches to meet their needs in diverse emergency contexts. To begin filling the gap in the evidence, we conducted a study in two diverse contexts (Myanmar and Lebanon), exploring the MHM barriers facing girls and women, and the various relevant sectoral responses being conducted (e.g. water, sanitation and hygiene (WASH), Protection, Health, Education and Camp Management). Methods Two qualitative assessments were conducted: one in camps for internally displaced populations in Myanmar, and one with refugees living in informal settlements and host communities in Lebanon. Key informant interviews were conducted with emergency response staff in both sites, and focus group discussion and participatory mapping activities conducted with adolescent girls and women. Results Key findings included that there was insufficient access to safe and private facilities for MHM coupled with displacement induced shifts in menstrual practices by girls and women. Among staff, there was a narrow interpretation of what an MHM response includes, with a focus on supplies; significant interest in understanding what an improved MHM response would include and acknowledgement of limited existing MHM guidance across various sectors; and insufficient consultation with beneficiaries, related to discomfort asking about menstruation, and limited coordination between sectors. Conclusions There is a significant need for improved guidance across all relevant sectors for improving MHM response in emergency context, along with increased evidence on effective approaches for integrating MHM into existing responses.http://link.springer.com/article/10.1186/s13031-017-0121-1MenstruationMenstrual hygiene managementMyanmarLebanonHumanitarian response |
| spellingShingle | Margaret L. Schmitt David Clatworthy Ruwan Ratnayake Nicole Klaesener-Metzner Elizabeth Roesch Erin Wheeler Marni Sommer Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and Lebanon Conflict and Health Menstruation Menstrual hygiene management Myanmar Lebanon Humanitarian response |
| title | Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and Lebanon |
| title_full | Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and Lebanon |
| title_fullStr | Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and Lebanon |
| title_full_unstemmed | Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and Lebanon |
| title_short | Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and Lebanon |
| title_sort | understanding the menstrual hygiene management challenges facing displaced girls and women findings from qualitative assessments in myanmar and lebanon |
| topic | Menstruation Menstrual hygiene management Myanmar Lebanon Humanitarian response |
| url | http://link.springer.com/article/10.1186/s13031-017-0121-1 |
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