Unpacking the policy landscape for menstrual hygiene management: implications for school WASH programmes in India.

Unpacking the policy landscape for menstrual hygiene management: implications for school WASH programmes in India.
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DOI:
10.3362/1756-3488.2015.008
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发表时间:
2015-01-01
期刊:
影响因子:
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通讯作者:
Patnaik, S.
Patnaik, S.
中科院分区:
其他
文献类型:
--
作者:
Arundati Muralidharan, Arundati Muralidharan;Hemalatha Patil, Hemalatha Patil;Patnaik, S.

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经期卫生管理涉及女孩和妇女如何管理她们的月经,并需要获得有关月经的信息、清洁和安全的月经吸收剂以及厕所和水等便利设施和废物管理,以保持卫生。总的来说,印度的产妇保健很差,知识水平低,存在许多误解,经期吸收剂的使用多种多样,少女的做法不卫生。由于近50%的学龄女童入学,必须在学校创造一个有利于促进产妇保健的环境。这项政策范围界定工作研究了印度政府实施的政策举措如何解决MHM,特别是在学校的背景下。该文件审查发现,少女是大多数针对产妇保健的政策举措的重点,主要侧重于硬件(即基础设施、卫生巾)或软件(即健康教育)部分。大多数方案在学校一级实施,但实施准则并不总是明确的。各项方案表明与其他政府方案相衔接,但衔接机制尚未投入运作。
Menstrual hygiene management (MHM) relates to how girls and women manage their monthly period, and require access to information about menstruation, clean and safe menstrual absorbents, and amenities and facilities such as toilets and water, and waste management to maintain hygiene. In general MHM is poor in India, with low levels of knowledge and many misconceptions, varied use of menstrual absorbents, and unhygienic practices among adolescent girls. With almost 50 per cent of school-aged girls enrolled in schools, creating a conducive environment in schools to promote MHM is imperative. This policy scoping exercise examines how select policy initiatives implemented by the Government of India address MHM, especially in the context of schools. This document review found that adolescent girls are a focus of most policy initiatives addressing MHM, with a focus primarily on the hardware (i.e. infrastructure, sanitary napkins) or software (i.e. health education) components. Most programmes are implemented at the school level, though guidelines for implementation are not always explicit. Programmes suggest convergence with other government programmes, yet operationalization of convergence mechanisms is lacking.