Period Poverty in Cambodia
Period poverty affects women and girls around the globe who cannot afford safe, sanitary products or are unable to receive information about safe period practices due to stigma. Poor period hygiene can lead to many health risks, such as urinary tract infections and reproductive infections. About 50% of the people in Cambodia are women, but people do not talk about period poverty as they deem it a taboo subject.

As of 2019, the poverty rate in Cambodia was 12.9%. However, this number could increase to around 20% due to the coronavirus pandemic. This rise in the poverty rate will leave millions of women and girls vulnerable. Here are five facts regarding period poverty in Cambodia.

5 Facts About Period Poverty in Cambodia

  1. Girls are often in shock when they get their first period. Periods in Cambodia are known as “mokrodou” or the coming season. Notably, many public schools do not teach health education or menstrual hygiene. Cambodians view periods as dirty, which makes menstruation a taboo subject within the country. Consequently, mothers pass down information to daughters, which causes the following of cultural, instead of medical norms. Girls may not shower during their period to keep their skin clean. Parents also forbid girls from swimming for fear they will dirty the water. Finally, parents forbid these girls from eating certain foods believed to disrupt the menstrual cycle.
  2. Of schools in Cambodia, 50% do not have a reliable water supply. In addition to not having reliable water, 33% of schools do not have latrines. Period poverty in Cambodia greatly affects girls in school. Even if girls learn about sanitary period practices, it is difficult to maintain sanitation when schools do not have water or toilets. UNICEF has found that a lack of sanitation facilities can increase a girl’s likelihood to skip school during their period. While at school, girls do not have access to clean, sanitary pads or private facilities to properly dispose of products. Therefore, they prefer to use a toilet and have privacy at home.
  3. Most people cannot afford proper sanitary pads. The national poverty line is $0.93 per person, per day. In Cambodia, a pack of six sanitary pads costs around $3 and they are often difficult to find. Consequently, girls and women often use rags for days at a time instead of sanitary products. This, in turn, often leads to infections, which left untreated can cause permanent health problems, like infertility.
  4. Some schools have implemented menstruation education programs. Snor Khley primary school has recognized the issue of period poverty in Cambodia. It has begun to implement menstrual health management classes to help students better manage their periods. The class encourages both boys and girls to talk openly about menstrual health to destigmatize the subject. The school has also introduced new, hygienic school facilities for girls to practice safe hygiene. Additionally, the school distributes the “Growth and Changes Booklet,” which discusses puberty, to all students. The book has helped more than 122,000 students gain a better understanding of the physical and emotional changes that occur during puberty.
  5. Reusable Maxi Pads are emerging as sanitary alternatives. Sovanvotey Hok started a business called Green Lady, which makes environmentally friendly and affordable menstrual products. Apart from making affordable products, the business also employs local housewives to make the products. The reusable pads last up to three years and the business has sold 1,850 pads. Green Lady’s product prevents the use of about 96,000 disposable pads, most of which contain noxious materials such as bleach.

An End to Period Poverty

Period poverty in Cambodia is a threat to women’s health as unsanitary period practices lead to infections. Period poverty also affects women’s ability to receive an education as many schools do not have the proper facilities to support menstruating girls. However, as the use of reusable period products becomes more mainstream and continued education and programs in schools develop — hopefully, the stigma surrounding periods will come to an end.

Rae Brozovich
Photo: Flickr

period poverty
Period poverty is an umbrella term that refers to the inaccessibility of feminine hygiene products, education, washing facilities and waste management, especially for menstruators with low incomes. Menstruators who lack the education or access to resources for safe period management often resort to risky methods such as using rags and clothing, which can lead to bacterial infections that can cause further physical health risks.

Today, there are over 800 million women and girls that have periods every day, yet they still face difficulties to properly manage their menstruation. According to UNICEF, 2.3 billion people across the globe live without basic sanitation services in developing countries. Meanwhile, 73% of people lack access to proper handwashing facilities at home.

COVID-19 affects menstrual health and hygiene by exacerbating pre-existing inequalities regarding period poverty worldwide.

COVID-19 and Period Poverty

As stated by Rose Caldwell, chief executive of Plan International U.K., “the virus is making the situation worse. We already know that the coronavirus outbreak is having a devastating impact on family finances all over the world, but now we see that girls and women are also facing widespread shortages and price hikes on period products, with the result that many are being forced to make do with whatever they can find to manage their period.”

The disruption of global supply chains and ceased trading of smaller-scale private sector enterprises has led to product shortages. This shortage is the primary issue affecting women’s access to safe sanitary products. The price of sanitary products has also increased during the pandemic. It is extremely hard for families to afford these products since the pandemic has also affected household incomes.

“As most shops have run out, I sometimes have to substitute in different ways instead,” said a teenage girl from the Solomon Islands.

“Prices went up as soon as there was a confirmed case of COVID19 in Fiji. Sometimes I have to forgo buying hygiene products as money will have to be used on food and bills,” said a young woman in Fiji.

Stigmatization of Menstruation

Most of the world stigmatizes menstruation. Social stigmas and taboos about menstruation is another key factor that prevents women and girls from properly managing their periods. In Nepal, people perceive menstruating women as impure. Their community expels them to huts for the duration of their cycles. In Uganda, non-governmental agency WoMena showed that many girls skip school when they are on their periods. The primary reason: to avoid teasing from classmates.

Since the rise of COVID-19, some people have associated menstruation as a sign of illness. Although having periods is normal and healthy, there are myths stating that menstruation is a symptom of the coronavirus and that menstruators have a higher chance of infecting others. These myths are badly affecting period poverty by increasing the stigma of menstruation. The negative perceptions of menstruation, such that it is a symptom of an illness and that it should be something to hide from others, should change in order to stop period poverty.

A young woman from the Solomon Islands said “Sometimes [I feel shame]. Especially when I am not able to clean myself during water cuts. I feel embarrassed to walk around my family.”

Organizations Making a Difference

I Support The Girls is an organization that collects and distributes bras and menstruation products to people who need them around the globe. The organization mentioned that it has seen a 35% increase in requests for menstrual products, bras and underwear since the outbreak of the virus. In response, the organization collected and distributed over 2,000,000 products, partnered up with businesses to distribute surplus inventory, and more.

Plan International U.K. is another organization that fights period poverty; it distributes menstrual hygiene kits to support women and girls disproportionately affected by the pandemic.

Alison Choi
Photo: Unsplash

Women's Rights in Nepal
To women in Nepal, the thought of gender equality and the solidification of women’s rights is difficult to imagine. In Nepal, people discriminate against women socially, legally, culturally and physically. In an interview with thinkEQUAL, a project by the World Bank, a woman in Nepal said that “Women have fewer rights. If there was equality, life would be easier for us.” Here is some information about women’s rights in Nepal.

Poverty and Land Ownership for Women in Nepal

Nepal, home of Mount Everest, is a small country landlocked between China and India. In Nepal, gender inequality exists in marriages, property, menstruation and occupations. It also dramatically contributes to the number of impoverished women living in the country. The number of impoverished people in Nepal has steadily decreased from 25.2% in 2011 to 21.6% in 2018. However, women and men are nowhere near equal in terms of poverty.

The Nepalese constitution provides some protection for female citizens. However, the country has not fully enforced this protection. For instance, in Nepal, only 19.7% of women own land, and of that percentage, only 11% have control over their land. Thus, many Nepalese women’s lives fall into the hands of their husbands or fathers. The concept of owning land is essential to provide and promote women’s rights in Nepal. This is because it encourages men to see women as equals rather than a sexual or monetary object.

Marriage and Labor for Women in Nepal

Oftentimes, because women have little autonomy, their families arrange marriages for them. In Nepal, child marriage is extremely common, with 37% of girls merrying before 18 years of age. The pervasiveness of child marriage further diminishes women’s rights in Nepal. Child marriage reinforces traditionally domestic practices like staying home and taking care of young children. This is because these adolescents are often quick to become pregnant.

Since these young women are busy at home with their children, this leads to great disparities in the workplace. This further contributes to women’s poverty and, at times, a lack of respect and dignity from their male counterparts. In Nepal, the female labor force is less than half of the male labor force. Only 26.3% of women are in the workforce. Additionally, the national gross domestic product leaves out a woman’s unpaid domestic work. This further devalues the work that women perform, and further entrenching the patriarchal ideal Nepal runs on.

Menstruation in Nepal

Perhaps the most common instance of gender inequality in Nepal is the surplus of period poverty. Chhaupadi, a menstrual taboo custom in Nepal and other Asian countries, still exists despite its criminalization in 2017 by the Nepalese government. Chhapaudi occurs during menstruation and has existed for hundreds of years, despite many attempts for the practice to dissolve. The word Chhaupadi comes from a Nepali word that translates to some type of impurity. The practice of Chhaupadi forbids women and girls from staying in their homes. It also forbids them from participating in family or daily activities because they are menstruating.

While they are menstruating, people consider these women toxic. Therefore, they must stay in small huts, sometimes smaller than a closet, far from family members and friends. Rocks and mud typically make up the walls of these huts. The women essentially cannot leave until menstruation is over. Yet, due to the construction of these huts and environmental circumstances, at least one female dies every year from Chhaupadi. Oftentimes, it is due to the cold temperatures, animal attacks or smoke inhalation. During menstruation, women cannot return to their homes. This is because the tradition has made them and their families fear that bad fortune will come to them. Despite the efforts for ending Chhaupadi, the tradition is deeply ingrained in the minds of Nepalese people. As many as 89% of menstruating girls face discrimination.

Organizations Helping Nepalese Women

Despite the traditions and societal structure that dampen women’s rights in Nepal, nonprofit organizations based in the U.S. and abroad are hard at work to save, support and uplift Nepalese women. Organizations like the Women’s Foundation Nepal and Womankind Worldwide are making strides for women in Nepal. As a result of the work Womankind Worldwide has done with other Nepalese-based organizations, the Nepali Congress Party has shifted its focus to female leadership, reserving two seats for Dalit (oppressed) women. Additionally, Womankind Worldwide partnered with the Feminist Dalit Organization (FEDO). As a result, three Dalit women trained by FEDO joined the Nepalese Dalit Movement.

Through the Women’s Foundation Nepal, community programs have emerged. These programs provide safe shelter and psychological and legal help to victimized women and children. Since 1995, the Women’s Foundation Nepal has run a women’s shelter that currently houses over 70 women and children.

Nepalese women need more changes to ensure their success and welfare. Until then, several organizations have taken a stand. They will continue to foster a safe, comfortable and liveable environment for Nepalese women.

– Caitlin Calfo
Photo: Flickr

Eritrea’s Lack of Clean WaterEritrea is a northeast country in Africa, bordering the Red Sea coast. Eritrea has faced severe drought issues over the years. In addition, Eritrea’s lack of clean water affects over 80% of its citizens. This problem has negatively impacted its ongoing poverty issue.

Climate

Eritrea’s weather varies depending on the location. The variety of weather conditions is due to the differences in elevation between plains and plateaus. The average temperature by Massawa, or the coast, is around mid-80s Fahrenheit. However, on higher grounds, like plateaus, the average temperature is around low-60s Fahrenheit. The mean annual rainfall in the plateaus is around 16-20 inches. In the west plain, it is usually less than 16 inches. That is below average in many other parts of the world.

Effects of the Lack of Clean Water

Despite the fact that Eritrea has around 16 to 20 inches of rainfall annually, almost half of the country does not have access to clean water. As of 2020, 80.7% of Eritreans lack basic water services. This problem leads to consequential outcomes such as:

  1. Hygiene & the Contamination of Public Water Sources: Without the basic access to clean water, citizens of Eritrea are forced to use public water sources like rivers and streams. Citizens use public water sources to perform their everyday activities since they do not have safe accessible water at their homes. People will cook and shower with the same water. Thus, the sources become contaminated over time. The water contamination can then lead to fatal diseases.
  2. Diseases: Diarrhoeal disease is a type of bowel infection that usually spreads through contaminated water. Bacteria and viruses from water need a host in order to survive. It is unusual for the diarrhoeal disease to be deadly, but death can occur if a person loses over 10% of their body’s water. According to UNICEF, diarrhoeal disease is the leading cause of death for children under the age of 5 in Eritrea. Cholera is an infectious disease that contaminated water sources also cause. The symptoms are watery diarrhea and abdomen pain. This disease can be fatal if a person does not receive treatment on time because the body will eventually become dehydrated.

Effects of Poverty

Eritrea’s lack of clean water and poverty are linked to one another. Access to clean water means being able to cook, bathe and drink. Aside from covering basic needs, it also helps businesses run safely, keep children healthy and reduces vulnerability during a natural disaster.

  1. Businesses: Farmers and local business owners rely, to some extent, on the access to clean water. Farmers need to keep their crops clean by washing them. Local businesses also need clean water to create products or sell food. Without accessible clean water nearby, owners and employees have to leave their businesses to find a drinkable water source and sanitation facilities. By doing so, they could potentially lose customers.
  2. Girl’s Education: When girls hit puberty, they begin menstruating. If girls cannot practice proper hygiene or have access to clean water at school, they often miss out on education. Some have to skip class until their menstruation ends, which is around a week. During that week, they do not learn whatever their schools teach.
  3. Vulnerability During Natural Disasters: Clean water promotes good health. If communities lack strength due to unsafe water usage, citizens may have a hard time withstanding times of disasters. Houses would possibly be destroyed and businesses may be ruined. Thus, those in poverty would be forced to leave their homes and find another by traveling long distances. Many, without access to clean water, would struggle along the way because potential diseases from contaminated water would weaken their body.

Government Involvement

Eritrea’s state government has partnered up with UNICEF to improve citizens’ drinking water and sanitation issues. The Millennium Development Goal (MDG) aims to increase accessible clean water and promote safe WASH practices in drought-prone areas of Eritrea. UNICEF is also working to connect many schools to community water supply systems.

With the state government’s involvement, Eritrea’s clean water crisis will eventually improve. The promotion of good hygiene practices reduces the spread of diseases. With many schools being connected to safe water supply systems, students will be healthy and girls will not have to skip school during the week of their menstruation. This brings hope for the future of Eritrea.

Megan Ha
Photo: Flickr

Period Poverty in Venezuela
Having access to menstrual products is essential to a woman’s life. Lacking these products can interrupt women’s daily schedules, including their education and work. As Venezuela’s economy declines, many Venezuelan women are unable to afford feminine products. Period poverty in Venezuela is now a challenge that women must overcome by creating alternative menstrual products.

Venezuela’s Inflation Crisis

Two decades ago, Venezuela took pride in being Latin America’s richest economy, boasting the world’s largest oil reserves. However, the past two governments’ corruption, mismanagement and debts have led Venezuela’s economy to fall apart, causing many companies to stop working and leading to hyperinflation and shortages of many products and basic services.

Feminine hygiene products did not escape this economic crisis. Today, these products are so expensive that many women cannot afford them. Two packs of pads can consume up to a third of a women’s minimum salary, according to a 2018 source. Plafam, an association for family planning in Venezuela, stated that 90% of medicine and healthcare products are in shortage. Many women cannot afford to spend their salary on menstrual products when they also need to buy other essentials. Forced to choose between food or tampons, many women are looking for other affordable options.

Creative Solutions to Period Poverty

In an interview with Voice of America, a young woman named Desiree Rodriguez said that instead of pads, she uses pieces cut from old sheets of cotton and plastic bags. Other women are using similar methods to tackle period poverty in Venezuela. Raquel Pérez said that she can buy either pads for herself or diapers for her children; she chooses to buy diapers and handcraft her own pads.

VICE interviewed women in Venezuela who invented similar ways to deal with menstruation. America Villegas, a past vice-chancellor of the National Experimental University of the Arts, is making her own pads. In 2016, Villegas decided to quit using the low-quality pads that were — and still are — flowing on the market. “They gave me horrible irritation and allergies,” Villegas said.

With her teenage daughter and mother, Villegas began creating ecological pads made of fabric, cotton and plastic, which she sells through MercadoLibre, an online marketplace. Her pads are washable and reusable. Despite a myth that reusable pads are bad for women’s health, according to Women’s Health Magazine, they are safe if cleaned correctly. However, many Venezuelan families lack access to clean water, soap or detergent.

Lahaie Luna Lezama

Three young women decided to tackle period poverty in Venezuela in another way. In 2018, Marianne Lahaie Luna, Véronique Lahaie Luna and Rosana Lezama founded Lahaie Luna Lezama, an NGO dedicated to improving access to menstrual products and rights in Venezuela.

These women partnered with Plafam to distribute an alternative to pads: the menstrual cup. Because of taboo and myths around menstruation in Venezuela, most women are disinclined to use tampons or products like a menstrual cup. But with proper education about women’s health and the sustainable use of menstrual cups — which women can use for up to seven years — women in Venezuela are now using these products as another solution to period poverty.

In 2019, Lahaie Luna Lezama started collaborating with a Colombian organization called CEPAZ, reaching out to Venezuelan women who migrated to Colombia. Because of their uncertain legal status, these women are prone to sexual exploitation and solicitation, lower-wage jobs and poverty. Lahaie Luna Lezama distributed around 400 menstrual and sexual kits to these women, as well as many women in Venezuela’s capital, Caracas.

Conclusion

Period Poverty in Venezuela causes a great deal of distress. The government has not adequately addressed the importance of menstrual and sexual products. The lack of these products obstructs Venezuelan women’s education and work. Innovative women are introducing creative, handcrafted and sustainable solutions to period poverty in Venezuela, but widespread change is necessary to improve the lives of women who cannot afford traditional menstrual products.

Alannys Milano
Photo: Flickr


New Zealand, a Pacific island country known for its beautiful waters and unique wildlife, is more than just a tropical paradise. By a recent estimate, New Zealand has the 48th highest GDP per capita in the world. Plus, the average New Zealander leaves school when they are between 18 and 19 years old, whereas in many other countries children leave school before they reach the age of 12. New Zealand also puts a relatively high proportion (9%) of the overall government budget toward healthcare.

Though New Zealand is by no means an impoverished country, thousands of women still suffer from a lack of access to sanitary products. An estimated 95,000 young girls in New Zealand don’t go to school during their period because they don’t have access to the necessary sanitary products. However, the government is currently working to move closer toward New Zealand’s solution to period poverty.

New Zealand’s Sanitary Product Problem

A lack of access to safe sanitary products during menstruation is defined as period poverty. Studies have shown that across the globe, one in four women struggle to purchase the products necessary to deal with their menstruation. When women don’t have access to tampons and pads, it can lead to devastating situations. Some women are unable to work or leave the house, or are even shamed for what their bodies are going through. This makes education, employment and other aspects of life very difficult for women — for about a week every month.

In New Zealand, close to 12% of school-age girls between the ages of 12 and 18 have difficulty or are unable to purchase sanitary products. More than that, close to 10% of girls reported that they had skipped school because they didn’t have access to tampons or pads.

The Plan

The number of school-age girls who were missing out on educational opportunities due to their menstrual cycle led New Zealand’s prime minister to take steps towards eradicating period poverty. Prime Minister Jacinda Ardern declared that period products were not a luxury but in fact a necessity for female students. In light of this, New Zealand’s government is using NZ$2.6 million to help relieve period poverty. Eventually, New Zealand hopes to eradicate period poverty, but funds will first go toward making sanitary products free for girls in 15 New Zealand schools.

New Zealand’s Future

The hope for this government initiative is that it will lead to having free sanitary products in all state schools by 2021. While this would be a huge step toward New Zealand’s solution to period poverty, there is still a long way to go. Dignity, a local organization that focuses on women’s rights and access to sanitary products, has voiced its appreciation and support for the government’s efforts to support women’s access to menstrual products.

However, Dignity also pointed out that there is still work to be done. Women throughout the country need access to sanitary products, not just girls in primary and secondary schools. Moreover, Arden’s period poverty initiative is just one part of a plan that aims to halve childhood poverty in the next 10 years. While it may not address every aspect of period poverty or childhood poverty, New Zealand’s plan is moving the country one step closer toward eliminating period poverty.

Lucia Kenig-Ziesler
Photo: Flickr

Period Poverty in MadagascarOn May 28, 2019, Madagascar celebrated Menstrual Hygiene Day and ran a menstrual health workshop to formally begin combating period poverty. Some organizations are on their way to combating period poverty in Madagascar in order to improve life for women and girls.

What is Period Poverty?

Period poverty is where women living in poverty, or on a very low income, have difficulty accessing menstrual products. This is due to the cost of menstrual products and the financial burden that low-income women and girls face to pay for them. Period poverty affects women around the globe and can impact things like a woman’s ability to attend school or work. According to the American Medical Women’s Association, due to a lack of education about menstruation, two out of three girls in other countries may avoid going to school.

How Periods and Poverty Connect

According to the African Development Fund, ”the absence of economic infrastructure,” including water, sanitation, education and basic health services, among others are closely connected to poverty in Madagascar, specifically in rural areas. A 2019 helpdesk report by Kerina Tull of the University of Leeds Nuffield Centre for International Health and Development reported that menstrual hygiene management includes women’s ability to:

  • Change sanitary products as often as needed;
  • Access adequate disposal facilities as well as the necessary sanitation, such as soap and clean water; and
  • Find information, without fear or discomfort, about how to manage their menstruation.

In Madagascar, poverty can be a barrier to accessing both sanitation and education. UNICEF reported that only about 10% of people in Madagascar use basic sanitation facilities. Of the rural population, UNICEF reported that only 36% can access “improved water sources.” For every three children in Madagascar, UNICEF reported that only one completes primary education, and families pay for 40% of the continuing costs of education.

Combating Period Poverty in Madagascar

While some girls can begin menstruating at the age of 8, schools in southeast Madagascar often do not teach about menstruation until students are 13 years old. This education can come too late for some girls.

In March 2019, SEED Madagascar worked with Mpanazava Eto Madagasikara (MEM) to celebrate Menstrual Hygiene Day and run a workshop on menstruation. Around 50 women between the ages of 10 and 23 in Fort Dauphin, Madagascar talked with SEED staff about the reproductive system and puberty. The workshop ran for three hours. It addressed topics like pregnancy, while also debunking some myths about menstruation, such as common beliefs about the age everyone gets their period.

When asked about products used during menstruation, most participants spoke about how “single-use” items such as tampons were unaffordable and that they often used square pieces of cloth or “reusable pads.” Participants received encouragement to share what they had learned at the workshop with other members of the community. The workshop was referred to as a “first step” to combating period poverty by improving the information available to women in Madagascar about their period.

Period poverty is an issue that impacts women globally. In Madagascar, poverty can make it harder for women to access necessary sanitation as well as education about menstruation. The workshop SEED Madagascar and MEM ran in 2019 is a hopeful step toward combating period poverty in Madagascar.

– Melody Kazel
Photo: Flickr

Sanitation in Sierra LeoneSierra Leone is a country on the west coast of Africa with a population of more than 7.5 million people and is perhaps most widely known for its turbulent diamond trade. The country’s heart resides in its lively capital, Freetown and it attracts many visitors with its beautiful beaches and vibrant rainforests. Despite its rich natural resources, the country struggles when it comes to providing adequate sanitation services for its citizens. Here are 10 facts about sanitation in Sierra Leone.

10 Facts About Sanitation in Sierra Leone

  1. A decade-long civil war severely impacted the country’s infrastructure. Ensuring access to safe water and sanitation services has been a top priority during Sierra Leone’s post-conflict governance reform. However, there is still much work to be done to restore services that halted during the war in the 1990s.
  2. Waste management is a major challenge. The Minister of the State, Office of the Vice President, Mohamed Alie Bah said in 2017 that the increasing amounts of solid waste need to be addressed, as the problem will only worsen with expected population growth. The Ministry of Health and Sanitation in Sierra Leone is troubleshooting the most effective and sustainable ways to address the problem with the hopes of improving overall health and wellness in their communities.
  3. Nearly 3 million people lack access to clean water. As a result, millions drink from freestanding water such as ponds and unprotected wells, which increases the likeliness of exposure to infections and parasites. According to a 2017 report, risks associated with poor water, sanitation and health facilities are the second largest cause of death and disability. The Water Project is an example of one nonprofit working to improve clean water access in Sierra Leone. To date, the group has built wells that have benefited 7,000 Sierra Leoneans to date.
  4. Diarrheal disease is a leading cause of child death. Drinking unclean water that contains bacteria or parasites can lead to an infection in the intestinal tract. Diarrheal disease usually results in malnutrition and dehydration, which can become fatal. In Sierra Leone, more than 1,400 children die from diarrheal diseases each year.
  5. Sierra Leone is trying to improve water quality and availability. Officials in Sierra Leone are aware of the importance of providing adequate drinking water and are currently taking steps to conceptualize, budget and fundraise for systems that would hopefully improve the country’s water supply. Due to a lack of funding, it appears that the project will be a collaborative effort between several sectors and organizations. An anticipated $164 million annual investment is needed to create and maintain rural and urban water supply facilities. Even with donations from organizations such as the World Bank and UNICEF, the monetary goal is expected to be missed by a large margin, around $130 million.
  6. Sierra Leone has one of the world’s highest maternal mortality rates. While a majority of maternal deaths are caused by severe bleeding, 11 percent of the deaths are caused by sepsis. Most maternal deaths are treatable and preventable, and this statistic is another indicator of the changes that still need to be made. Over recent years, the Ministry of Health and Sanitation in Sierra Leone has partnered with the World Health Organization to implement several health initiatives, including the Emergency Obstetric and Newborn Care training program, which aims to ensure health care professionals have the knowledge needed to manage child-birth related complications.
  7. Hand-washing facilities are often lacking. According to a report published by the Government of Sierra Leone in 2017, 27 percent of people in urban areas have access to hand-washing facilities with soap and water, and only 15 percent of people in rural communities have the same access.
  8. Household toilet facilities are often inadequate. Nationally, only 16 percent of households have an improved toilet facility, which is defined as “a non-shared facility constructed to prevent contact with human waste.” These facilities reduce the spread of diseases such as cholera and typhoid. Conversely, 18 percent of households nationwide do not have access to any toilet facilities, and instead, must defecate outdoors.
  9. Poor menstruation hygiene management affects girls’ education in Sierra Leone. Girls in Sierra Leone can face several challenges while menstruating, especially while attending school. The quality of restroom facilities can vary at schools, but oftentimes there are not bathrooms with running water or separate facilities for girls. This leads to girls having difficulty disposing of pads and managing their periods, which can leave them feeling embarrassed or distracted during classes. Others miss school altogether during their periods.
  10. Training is being offered to prepare Sierra Leone for future disasters or outbreaks. The CDC offers water, sanitation and hygiene (WASH) training to help at-risk countries strengthen their infrastructure and workforce to ensure they are prepared to prevent, detect and respond to infectious disease threats. There are several facets to the training, such as Outbreak Investigation Training, which trains public health staff to detect and respond to waterborne diseases, and training to teach students how to test water samples for contamination.

Improving sanitation in Sierra Leone has been a priority for the nations’ leaders for decades. While finances continue to be a challenge, improvements have been made thanks to the efforts of organizations within the country, such as the Ministry of Health and Sanitation, as well as organizations outside of the country, such as the World Health Organization.

– Lindsey Shinkle
Photo: Flickr

Girls' Education in Vanuatu: Putting a Stop to Social Stigmas
The Republic of Vanuatu is an island in the South Pacific Ocean with a population of only 283,558 people. Of that, 49.1 percent are females. With no effective care and knowledge, addressing menstruation is taboo and handling it is more complex than usual. While it is one of the most important and common changes all women experience, women in Vanuatu are at their most vulnerable during their menstrual cycle. In fact, 75 percent of girls miss school for three to seven days per month when they are on their period due to the social stigma that girls are unclean and unfit to work around the house or go to school.

Girls’ Education in Vanuatu

Education is a main tool for success, but girls’ education in Vanuatu is not guaranteed. According to Spain Exchange, Vanuatu schools have the lowest attendance and enrollment rate in the Pacific because attending school in Vanuatu is not mandatory. Even when given the opportunity to go to school, girls don’t have the proper support system they need to finish because schools lack access to proper bathroom facilities, toiletries and feminine hygiene products. Eventually, girls are forced to drop out because they are falling behind from missing school, making it difficult to catch up with the rest of the class. To make matters worse, young girls can’t turn to their mothers for help because mothers barely understand what is happening to their own bodies.

When girls miss school, they are at home trying to use the little resources they have as menstrual pads, usually using rags or leaves. However, these methods are unreliable and unsanitary. Throughout this process, these young girls are feeling sad, ashamed and confused. Fortunately, there are several organizations that have created effective ways for the girls in Vanuatu to feel protected and clean at school during their menstrual cycle.

CARE for Girls’ Education in Vanuatu

CARE is an international humanitarian campaign that fights global poverty. To help girls in Vanuatu, CARE raised $20,349 to help over 300 girls in 10 different schools. Each girl received a hygiene kit filled with various feminine products including pads, washable and reusable pad liners, soap, laundry detergent and a bucket to wash her clothes and pads.

CARE Australia states that the pads are made by Mamma’s Laef, a Vanuatu business that employs local women. Mamma’s Laef sews reusable and eco-friendly pads that are expected to last up to four years for women all over the country. Australian ABC News reported that, at first, this company was making just a few kits a week, but after high demand for its products, business was booming and catching the attention of the government.

Now, Mamma’s Laef holds educational sessions and programs as part of girls’ education in Vanuatu to inform the students about the reproductive system and the natural changes the human body experiences. Girls learn about the menstrual cycle and how to handle it while boys are taught self-care and how to respect women in their country.

With the help and knowledge of organizations such as CARE and Mamma’s Laef, Vanuatu is one step closer to becoming a successful, self-sufficient country. The girls in Vanuatu prove every day that, with just the help and support of each other, anything is possible.

– Kristen Uedoi
Photo: Flickr