Week 6 RF-Menstruation in Nepal Flashcards

1
Q

What is menstruation media like in Nepal?

A

-Chhau goth – “women who bleed are sent to a cow / goat shed cause of death” dominates media and imagination (false indications, their death could be a result of things like sexual violence, smoke inhalation, snake bites etc.,).

-Avoid stereotypes – consider dignity – avoid ‘poverty porn’.

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2
Q

What is the % of women and girls who experience staying in separate and specific houses during menstruation? (MICS, 2014)

A

-15.1% in Far-Western Mountains

-15.5% in Far-Western Hills

-9.9% in Far-Western Terai

  • 3.1% in Mid-Western Terai

-4.8% in Mid-Western Hills

-71.2% in Mid-Western Mountains

-Shows it is particularly prevalent in the west

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3
Q

What is the importance of understanding menstruation in different areas of Nepal?

A

“Chhaupadi exists in multiple forms. Chhaupadi in the west is an extreme example and has media focus - but there is chhaupadi in many forms. For example in Kathmandu amongst the middle class, girls are secluded for 11 days when they first have [menarche], they cannot see men, they cannot shower, and they cannot see the sun” -Teacher

-Need to not just focus on ‘Western’ Nepal but explore menstruation in all places

 contextual – no 1 religion – no 1 set of beliefs. Complex and intersectional – no 1 narrative.

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4
Q

What happened following the earthquake in Nepal in 2015?

A

-After the earthquakes in Nepal in
2015 there was a rise in gender-based
violence.

-Post-earthquake 2015 – rise in local
women’s organisations distributing menstrual hygiene dignity kits and re-
usable menstrual products (Standing,
K, Parker, S and Bista, S (2016).

-Led to British Academy Small Grant – PI Dr Kay Standing to explore impact of distribution of kits.

-Conducted surveys with school girls in Nepal who had received kits

-Also interviewed more than 27 NGOs and activists working in this area over an 18-month period.

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5
Q

What was found in the BA Small Grant 2016-2018 Assessing the impact of
distributing ‘Sanitary Pad’ kits in Nepal?

A

*Lack of knowledge of reproductive health

*Diverse range of stigmas and taboos being practices.

*Many women are unable to manage their periods with dignity (e.g., leaving washed pads to dry in the sun is disrespecting the sun gods so they hide it underneath mattresses in the dark=becomes mouldy).

*Wide range of kits being made and distributed both locally and donated.

*There is a strong network of NGOs and activists working in Nepal to tackle these challenges.

*Education and working with the local community is key to enable change – BA Blog Standing & Parker

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6
Q

What is “Dignity without Danger BA”?

A

-Dignity Without Danger BA funded
research project - collaboration with
Liverpool John Moores University,
SOAS and Tribhuvan University (2018-
2021)

-Working in first two years with six
local NGO partners led by Global
Action Nepal.

-Collaborating with Menstrual Health
and Hygiene Partnership Alliance and
more recently supported by GiZ-Nepal.

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7
Q

What is the Menstrual Health & Hygiene Management Practitioner Alliance
(MHMPA)?

A

-Formed in 2017 - bring together those
working in different sectors – Sanitation &
Wash, Health and Education

-Connection between practitioners and policy makers share good practice

-Organise MHM Day 28th May each year

  • MenstruAction summit Dec 2018 supported by GiZ
  • Policy recommendations
  • 5 working groups
  • Wide range recommendations
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8
Q

How was rapid collaborative action research achieved?

A

-DWD – 6 researchers - 7 provinces

-Over 200 interviews and 20 focus groups

-Rapid ethnography, immersive
and use of diaries and field notes

-Second visit to some field sites for
further exploration
 Solukhumbu, Kaski and Kanchanpur
 Mountain, Hills and Terai

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9
Q

What is the Diverse range of beliefs, stigma and taboos?

A

-Diverse experiences and interventions
Women themselves uphold their traditions and practices – some pride – religion is very deeply embedded.

Complex and various practices
– not as rigid as assumed, fluidity and evidence of negotiation and change

-Correct knowledge is essential for entire
community on menstruation including all genders e.g., people don’t know where the blood comes from and why period pains differ in individuals.

-Also need community engagement and
awareness i.e., kids currently know more than their parents

-Need creative collaborative outputs to address deeply embedded beliefs

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10
Q

How was there creative engagements for menstruation with artists?

A

-Kaalo.101 – radical art collective Kathmandu

-Workshops with partners and researchers

 Zine making and social media skills, generating menstrual vocabulary, emotions and movement, expressive typography and
sew and tear away taboos

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11
Q

How is there Kaalo.101 community engagement for menstruation?

A

-Covid-19 impacted on workshop plans – online art call-out 2020

-Submission from children to people in 60’s
58 individuals and organisation’s submitted
“without a doubt the involvement of people outside of the Kathmandu Valley, such diverse ages groups and backgrounds, this exhibition became the most inclusive and diverse show we have ever facilitated”

-Wider reach over 32,000 clicks reached

-Final event planned for December to celebrate menstrual experiences and rituals and engage wider public via creation 7 murals with augmented reality to continue to ‘Break the Silence

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12
Q

What are the Stories of Nepal? Jay Poudyal

A

-13 stories gathered – male and female

-Captures humanity of stories plus visual element adds extra layer of depth

-Shared on social media platforms
 18 posts reached between 17120 and 83160
 Over 600,00 reached (due to Jay Poudyal who is famous in Nepal)

-Accessed by those outside of our networks
Covid & limited budget presented challenge
 ideally wanted to also do in other areas

“I have no authority to declare the blood coming from a women impure when I know that I am made from women’s blood”

“We used to stay away for 10 days but we
collectively agreed that we needed to break this mentality………… We were doing it at our own pace, following our own communal realizations. We are doing it in a way that does not anger the Devis and the Deutas (Gods). We are doing it in a way that we do not completely abandon our traditions and insult our ancestors”

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13
Q

What were the activist interviews?

A

-31 Menstrual activists
 interviewed and being edited now to
share on social media online and hard
copy including exercises for children and comparing different types of products

-English and Nepali

-Plan to record and video to make as inclusive as possible

-Budget challenges
 Extra GCRF funds LJMU
 Needs funding from start

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14
Q

How is Collaborative film making for menstruation being achieved?

A

-Two films & 5 songs
 one drama and a documentary available on DWD youtube

-Premier at KIMFF on Dec 2021

-High local impact and will continue to
monitor and evaluate

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15
Q

What are some challenges that still remain?

A

-Main message of drama is touching
someone who is menstruating does not
make you ill – ‘Grandma’ is main character

Grandma also said:
“I will not change my practices till my
death ……. I can’t stop all of a sudden.
Women should not be discriminated
against like keeping away from house and
not giving them enough food …. But not going to the temple, sprinkling cow urine and touching god I will never change that”

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16
Q

What efforts in Nepal are being made to reduce menstruation stigma?

A
  • Establishment MHMPA (civil societies, INGOs and UN organizations)
  • Radha Paudel Foundation – Global
    South Coalition for Dignified
    Menstruation
  • Legal provision and policy in place
  • Government distribution of sanitary
    pad in school
  • Including Menstruation in Nepali
    Curriculum from year 10 (Grade 4 -
    12) & revising curriculum
  • DWD with GAN taking the lead
    supported by GiZ and MHMPA
    bringing all menstruation related
    products published by I/NGOs
    together to develop a toolkit
17
Q

What Global action for Nepal’s efforts to reduce menstruation stigma have been implemented?

A

-GAN believes that Religio-cultural change does not happen through forceful action, it should be through. Internalizing process therefore Education has taken a means to reach to end the discrimination.

-DWD project tried to bring all menstruation related products published by I/NGOs together and their use.

-GAN has been using Radio/social media to make the menstruation a public discussion

-Sister for Sister approach has been quite useful to mentor small sisters and educate community through community dialogue and street drama.

-National Girls Education Network has been established – Radio & TV being used.

18
Q

What is the Education toolkit?

A

-GAN is in the process of developing Menstruation Education Toolkits in collaboration with Ministry of Education, Ministry of Health and MHMPA with the financial support of Liverpool John
Moore University and GIZ.

-The toolkits consist of reference materials , teachers guide book for teachers to deliver class without hesitation using interactive
and joyful methods.

-It will have materials like stories, comic books, drawing books, quiz etc for children

-Teachers will be given 5 days training course including practicing teaching using guidebook and tool kits. Currently in
pilot stage.

-Piloted now – launch plan for May 28th 2022

19
Q

What are the take-away lessons?

A

-Educating people is the solution for change

-Multi level Interventions ( Formal Education/Non formal and Informal Education) is required

-It should be a public discussion
Inter-ministerial Coordination ( Edu/Health/Water and Sanitation)

-I/NGOs coordination / sharing Learning / materials / successful modalities / stories between themselves and liaise with Government.

-Also need formal and informal engagement –educate the younger generation on their rights but also need awareness at community level and across generations.

20
Q

What is the DWD Creative impactful
engagement?

A

Radio - GAN
 Between August and Nov 2020 15 radio
programmes aired
 Partners, journalist and activists talking
about menstruation
 27 Radio stations broadcast these on a
weekly basis
 Estimated reach 250,000

TV – GEEN self initiated
 National network for girls – menstruation
awareness and have run their own events in
all 7 provinces
 Also covered on TV programme - run by
youth group and reaches different audience

21
Q

What are the key lessons?

A

-Collaborative action research based on participatory principles can lead to
impactful creative outputs and create strong links between academics and
activists.

-Creative methods help to embed the process of generating knowledge and
analysis at local level and respect peoples agency.

-To engage diverse audience and be inclusive need multimedia approach
and creative engaging outputs
 Need to be mindful of inclusivity and accessibility from the onset – requires funding

-Process important - continuous interaction between concerned researchers,
activists, local women groups and an alliance of committed organisations is
needed in order to improve menstrual health and human right.

-Need to all work together to ‘Break the Silence’ and promote dignity with
focus on self-determination and respect agency.