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Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and Lebanon

Margaret L. Schmitt; David Clatworthy; Ruwan Ratnayake; Nicole Klaesener-Metzner; Elizabeth Roesch; Erin Wheeler; Marni Sommer

Title:
Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and Lebanon
Author(s):
Schmitt, Margaret L.
Clatworthy, David
Ratnayake, Ruwan
Klaesener-Metzner, Nicole
Roesch, Elizabeth
Wheeler, Erin
Sommer, Marni
Date:
Type:
Articles
Department(s):
Sociomedical Sciences
Volume:
11
Persistent URL:
Book/Journal Title:
Conflict and Health
Geographic Area:
Lebanon
Burma
Notes:
Keywords: Menstruation, Menstrual hygiene management, Myanmar, Lebanon, Humanitarian response
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.
Subject(s):
Menstruation
Women--Health and hygiene
Women refugees--Health and hygiene
Humanitarian assistance
Publisher DOI:
https://doi.org/10.1186/s13031-017-0121-1
Item views
23
Metadata:
text | xml
Suggested Citation:
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, Columbia University Academic Commons, .

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