Article Text
Abstract
Introduction Emerging research has linked women’s sanitation and menstrual hygiene experiences with increased vulnerability to violence outside the home. Few studies, however, have investigated the relationship between menstruation and violence perpetrated by family members. This type of violence may be linked specifically to restrictions placed on women during menstruation, which are common in some regions of Nepal owing to shared power differentials that disfavour women, and societal norms that stigmatise menstruation.
Objective To record the prevalence of menstrual restrictions experienced by married women and examine potential associations between intimate partner violence (IPV) in the past year and menstrual restrictions imposed by husbands and/or in-laws among women in three districts of Nepal: Nawalparasi, Kapilvastu and Chitwan.
Methods Baseline data from a larger randomised control trial aiming to reduce IPV in three districts of the Terai region of Nepal (n=1800) were used to assess the prevalence of menstrual restrictions and the association with IPV.
Results Nearlythree out of four women (72.3%) reported experiencing high menstrual restriction, or two or more types of menstrual restriction. When controlling for demographic variables and IPV, no type of IPV was associated with high menstrual restrictions.
Conclusion The experience of menstrual restriction was widespread in this sample of women in Nepal. Future research should seek to identify how best to capture menstrual stigma and deviations around such norms. The global health and development community should prioritise integration with existing water and sanitation programmes to reduce stigma and ensure the well-being of menstruating women and girls.
Trial registration number NCT02942433.
- gender equity
- development
- nepal
- reproductive health
- menstrual health
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Footnotes
Funding This manuscript has been funded by a grant (#P06254) from UK government aid, via the What Works to Prevent Violence Against Women and Girls? Global Programme. The funds were managed by the South African Medical Research Council. The views expressed do not necessarily reflect the UK government’s official policies.
Competing interests None declared.
Patient consent Not required.
Ethics approval George Mason University (802242-1), Emory University (IRB00091115), and the Nepal Health Research Council (178/2015).
Provenance and peer review Not commissioned; externally peer reviewed.
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