Overcoming menstrual hygiene challenges through innovation and empowerment

Dear Editor, We were intrigued by the study “Menstrual hygiene management and menstrual problems among adolescent girls in an urban area in north India: A cross-sectional study” Published in March 2024 issue 13 (3):p 1012–1019.[1] My aim is to extend this disclosure by emphasizing on sustainable ways of menstrual hygiene management focusing on adolescent’s health. Impact of poor menstrual hygiene: Menstrual hygiene issues among adolescent girls in low and middle-income countries (LMICs), such as India, present significant obstacles to their health, education, and overall well-being. These challenges arise from several factors. First, many adolescent girls in LMICs struggle to access affordable and hygienic menstrual products such as sanitary pads, leading them to resort to unhygienic alternatives such as cloth, thereby increasing the risk of infections. Second, inadequate sanitation facilities, especially in rural areas, make it challenging for girls to manage menstruation hygienically. The absence of clean and private toilets, along with inadequate facilities for washing and disposing of menstrual products, contributes to unhygienic practices. Additionally, there is a lack of awareness and education about menstrual hygiene practices because of the stigma surrounding menstruation, resulting in improper menstrual hygiene practices, and raising the risk of infections and other health issues. Moreover, socio-cultural taboos surrounding menstruation further compound the challenges faced by adolescent girls, hindering open discussions about menstruation, and making it difficult for them to seek support and information. Consequently, poor menstrual hygiene practices can lead to various health problems, including urinary tract infections, reproductive tract infections, and menstrual disorders, affecting girls’ physical well-being, education, and overall quality of life.[2,3] Strategies for comprehensive interventions: To address these challenges comprehensively, a multifaceted approach is imperative. First, there needs to be a focus on education and awareness through comprehensive programs targeting both girls and boys in schools. These initiatives should cover essential aspects of menstrual health, hygiene practices, and dispelling myths surrounding menstruation, fostering a more informed and supportive environment. Second, it is crucial to improve sanitation facilities, both in schools and communities, ensuring the availability of separate, clean, and hygienic toilets for girls equipped with proper disposal mechanisms for menstrual waste. Additionally, promoting access to affordable and sustainable menstrual hygiene products, such as menstrual cups, through government initiatives and subsidies can significantly alleviate the financial burden on girls and encourage the regular use of hygienic menstrual products. Community engagement plays a vital role in dispelling cultural taboos and fostering supportive environments for menstruating girls. Educating parents about menstruation can garner their support and create a more inclusive and understanding community. Lastly, establishing rigorous monitoring and evaluation mechanisms is essential to assess the effectiveness of interventions continuously and identify areas for improvement, ensuring sustained progress in addressing menstrual hygiene challenges.[4] The role of menstrual cups in sustainable menstrual hygiene management: The menstrual cup offers a sustainable and cost-effective solution for managing menstruation in low and middle-income countries. Made of medical-grade materials, it collects menstrual flow, reducing the risk of skin irritation and infections associated with inferior products. With proper use and maintenance, cups can last up to 10 years, providing long-term menstrual hygiene management. Studies suggest gradual acceptance among school girls, highlighting the importance of peer support and education. Despite initial challenges, cups offer a viable option to enhance menstrual health, reduce absenteeism, and empower girls and women to reach their full potential.[5,6] Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.