Menstrual Cups Help Keep Kenyan Girls in School
spiegel.de
spiegel.de
In a strange sense, while that process helped women gain a bit of control over their bodies and their lives, which is a good thing; and while it probably also helped some girls stay in school, as some girls mentioned feeling ashamed of doing so during their period, I initially felt like a reusable solution would have been more liberating, while also respecting the environment.
But the initial feeling had to do with my westerner point of view, where resources like clean water (to wash the reusable product) are abundant, and where the products can be bought online in a few taps on a glass screen in my pocket. The context for these women is very different: learning how to build a pad-pressing machine and build a business out of it was definitely more empowering than deferring that power to an external entity for the manufacturing of reusable products.
[1] https://www.imdb.com/title/tt6939026/ (available on Netflix)
That's quite a remarkable title.
Honest question: is it disrespecting the environment to harvest cotton/paper from the earth and put it back in the earth? They're both biodegradeable and renewable. If anything, I think that it would take carbon from the atmosphere and sequester it for decades, which is a net positive.
Plus, you need many of those cotton balls in the day, and only one cup you can reuse the whole day.
While it would certainly take a huge effort to create the base silicone product, creating the molds and use them to create reusable cups could be done on-demand and on-location.
My mother has been involved in operating and supporting a network of Kenyan orphanages for decades. She's on the board of directors for the US 501c3 that funds them. The woman who founded this organization (a US citizen) adopted several of the orphans and spent most of her time for 20 years in the country operating the homes until her health decline and dimensia prevented her direct involvement. The board became aware that a director of one of the homes (keynan born man in his mid twenties and the first adoptee of the orgs founder) had been submitting false receipts and not paying land tax, had kicked out orphans and was renting the property, etc. The 93 year old, recently widowed founder did not believe the allegation and a court case (in Kenya) between her the board ensued. Predicting resolution and subsequent board control of the home, my mother quit her job in the US and moved to Kenya (planned for a year) to act as interim director, reestablished the orphanage and transition to a new local director. They instead realized that a case between two westerners, with resources to pay attorneys and court fees, was likely to be dragged out for a long time. She instead volunteered at the nursery at Kenya Children's Home for a short time before going on to help setup and operate a new clinic, built by the Freedom from Fistula[0] foundation, in Madagascar.
In our correspondence, she expressed the vital need for both incontinence and feminine hygiene supplies and consequences of a girls life without them. She explained a tragic situation: that pubecent girls would miss unpredictable amounts of school (often falling behind to the point of withdrawal/failure) without them, and that there was a very real fear of being shunned for failing to control their natural bodily functions. Projects like the one in this article, where minimal targeted investments can result in wide spread life changing outcomes are awesome and inspiring!
(Also, I learned about menstrual cups due to your enticing reference to the progress indicator which tipped the balance in favor of clicking though to the article.)
https://www.dropbox.com/s/o2gj5e44n5tryrt/no-scroll-bars-waa...
I don’t remember the prices exactly, but it’s the range of a year of cup coverage being cheaper than one pack of pads.
https://crosscut.com/2019/02/wa-lawmakers-want-make-tampons-...
Chicago, a small handful of cities and ten states have already eliminated this unfair burden on top of the average $18,000 spent on feminine hygiene over a lifetime [2].
But the most tragically comical story I've found about this is what happened in Utah - the all-male panel rejected eliminating the tax, citing that they would need to recoup those tax funds from other sales, and that it was "unfair to tax the whole population for something that only affects half of it." The representative sponsoring the bill keeps trying every year, and every year the all-male committee continues to say No to her...
[1] https://accountingsolutionsltd.com/faqs/sales-tax-rate-chica... [2] https://www.sapling.com/3308/the-amount-youve-probably-spend...
They should go have a chat with their moms.
Toilet paper is an essential for both genders.
In the UK tampons and pads have VAT charged on them (as they count as a luxury); there is a campaign to remove this and it has been reduced to 5%, but it's still there (due to EU regulations I believe).
As a side point, in many parts of the world, toilet paper is not an essential; it's regarded as a dirty and unclean western practice.
In contrast, I can spend an order of magnitude less on razor blades, as a pack of Harry's blades end up being something like $2/each, and that's basically about a dollar or two a month (or less).
For menstruation, you can do free bleeding.
For defecation, you can use a bidet, or go old-style with corn cobs. You can use an odd number of stones, as specified by Muhammad.
The same goes for shampoo (don't need it), deodorant (don't need it), and many other things.
What this all boils down to is a fear of having other people think you are weird, defective, dirty, gross, etc.
In walked the bidet.
My partner introduced me to them, and when I saw how expensive they were I immediately wondered how much it would cost to 3D print moulds for them so that entrepreneurial Kenyans could mass produce them as a cottage industry. I only got as far as a first print of a positive before someone pointed me to (I think) an Alibaba listing where they cost 5¢ each if you bought 1,000 at a time. I can’t find them quite so cheap any more, but I have just found them at €0.18 each. Perhaps a “buy one for yourself, get a hundred more for Kenya” marketing strategy could help? I have no idea how to do that without the annoying and condescending out-of-touch white-male saviour stereotype though.
Now if there's a way to make money, suddenly it becomes an attractive subject for some, but the liberation of women with reusable products (menstrual cup, washable pads and period pants) will always come second to potential wealth increase with single-use solutions, especially for someone who does now experience the "problem" in the first place.
Worse than all that, the people in charge of pushing single-use products genuinely believe they are helping out women, when in reality we see cases of toxic shock syndrome due to chemicals in tampons, and the ecological impact of such single-use products.
My wife has been using reusable solutions for a few years now, the cup and period pants being the most liberating according to her.
More basically, men simply won't know or the importance won't cross their mind, even if they do kind of know.
I do my best to leave informative comments on HN with details men are unlikely to know, such as this comment:
https://news.ycombinator.com/item?id=19594977
I will add that the high cost of feminine hygiene products is a problem for a lot of poor American women. It isn't covered by Food Stamps. Homeless services have limited quantities of such things. Etc.
That being said, I'm on the fence about believing this is more than a question of habit vs an actual thing that will bug you. After all, the average US woman seems to be completely thrown about how you can use a tampon without an applicator. In Europe if you ask for them, most people won't even know what you mean and I don't see what their appeal is, but if that is what you grew up with....
(edit) Just to clarify, I also use a cup and it has upsides and downsides, but overall to me it is a net win.
I now live in Vietnam and know the owner of one of the leading brands here. She said that her biggest challenge is the fact that a lot of women don't even use tampons because of the whole fear of losing their virginity cultural stigmas.
1. The number of donated cups is very low. Several thousand people are living better, but millions more are still struggling. Is this an effort that can scale up to provide a more universally accessible benefit? Or are there unstated assumptions, like that publicizing the magnitude of the issue will trigger outrage and bring about reform, or genuine ongoing efforts to follow through with that reform?
2. Personal hygiene products costing such a high proportion of average earnings points to a serious failure of society, government, markets, or perhaps all of the above. The government can't seem to provide, the markets can't seem to adapt, and society doesn't seem to care enough to force the issue. This isn't an exotic reason: we're talking basics for half the population here. There are people in poverty in advanced economies who have trouble with access to menstrual hygiene products, but the scale of the problem highlighted in the article is astounding. It points to an ever-present serious divide between those who greatly benefit from a connected world, and those who are having to reconcile absurd economic realities of the transition.
3. With a little help, one could bootstrap change. There is will among those most affected to ensure the continuity of ventures that make this issue better, but an injection of capital seems necessary to bring such a venture to fruition. The donation of finished products helps people immediately, but it's worth considering whether donating to bootstap local production of similar (or even inferior) products would work better such that the effort can eventually evolve to sustain itself without outside help. Sometimes, when this kind of bootstrapping is attempted, the effort falters quickly once the outside help leaves, because there's a lack of well-developed local institutions and capital necessary to sustain it. But this seems different, the institutions exist. It's the capital that's lacking.
We must have saved thousands of dollars on condoms at this point, and intercourse is much more enjoyable for both parties (with no unexpected risk for my career). For some unknown reason (cultural?), while the UID is very popular and obviously the best choice in parts of Europe, there remains some taboo around it in the US... anyway, I wish I could save all this money on disposable products with the cup, but I do not want to risk pulling it out or entangling it.
[1] https://www.nytimes.com/interactive/2014/09/14/sunday-review...
Another method whose safety approaches that of oral contraceptives is cervical mucus tracking. But this also requires education. The method is also not suitable for all women and lifestyles. In one study[1], around 5% of prospective participants had to be excluded due to irregular menstrual cycle. Dropout rate due to dissatisfaction or for other reasons was 9.2%.
Also note that with IUDs there can be spontaneous expulsion, and there are health risks associated with it. So while very good compared to other methods, they are not best in all categories.
https://www.nationalgeographic.com/photography/proof/2017/03...
Women are expected to work around the clock there, carry heavy things and do all the cooking. This system means that you actually don't have to work while possibly in pain and probably unwell, and you don't have to explain yourself to anyone. Yes, it is a bad taboo system that assigns women a 'dirty' status, but there are some positive effects as well (in a patriarchal society).
I really don't agree this is "better." Given these two horrible choices, I would rather be afforded freedom to roam (even with heavy things), get food and go on a walk than this. There's no kitchen, so the women have to wait for someone to bring them food or water. They're not safe in these huts - many are exposed to the elements, and these "sinful" women are apparently free taking for raping (which is why they try to coordinate and not go alone). Many die from heat stroke or poisonous snakes. There aren't even beds or mattresses... these are prison cells.
Menstruation, Sanitary Products, and School Attendance: Evidence from a Randomized Evaluation (AEJ: Applied 2011)
https://4d30f248-a-383b438b-s-sites.googlegroups.com/a/illin...
When you are a young woman just getting your period, it's confusing and messy. Society doesn't help in that it's also taboo. There is a lot of fear and worry involved with having your period that lasts for many women through their lives. I have friends who won't use a tampon that doesn't include the applicator [1] (it helps insertion without needing to get your hands dirty). So using a cup means, you are 100% going to get blood on your hands and you are going to be very intimate with the inside of your body. For many women who were brought up conservatively, and for those who remain conservative, this will never be an option. I try and promote the cup among my friends and encourage young girls to experiment in safety. Long-term, it will become more popular.
There is also the issue of needing clean running water or wet wipes. Hygiene is crucial in cleaning the cup between changes and of course, you need to be able to clean your hands and have running water to deposit the menstrual liquid [2]. I'm not sure how this would work with a non-flushing / compost toilet actually, I found this article [3] which concludes that of course, blood is good for compost. I don't know what the sanitary conditions are in the kind of home these girls live in, in Kenya.
[1] http://becomingagirl.weebly.com/applicator-tampons.html
[2] https://store.lunette.com/blogs/news/how-to-clean-menstrual-...
[3] http://minimotives.com/2016/11/10/periods-composting-toilet/
e.g.:
Virginia: "All materials removed from a composting privy shall be buried," and "compost material shall not be placed in vegetable gardens or on the ground surface.[0]
Rhode Island: "Solids produced by alternative toilets may be buried on site," while, "residuals shall not be applied to food crops.[1]
I'm all for doing it regardless, as it seems more sustainable than traditional sewage treatment!
[0]https://en.wikipedia.org/wiki/Composting_toilet#cite_note-26
[1]https://en.wikipedia.org/wiki/Composting_toilet#cite_note-25
I also wear reusable cloth pads on light/spotting days. I wash my pads in the wash machine.
In urban areas where you have younger teachers and more conversation about these taboo topics, cups are popular enough that you can buy them in every bigger drug store by now, but in rural areas it's as simple as nobody knows that this is an option.