Tuesday, September 01, 2015

Menstruation Innovation: Lessons from India

By Jennifer Weiss-Wolf September 1, 2015 3:20 pm

The New York Times
Jennifer Weiss-Wolf, right, with Annie Lascoe and Arunachalam Muruganantham
at his factory in Coimbatore, India.Credit

In recent months, a wave of period-positivity has captured headlines – from Kiran Gandhi’s bold free-bleeding run of the London Marathon, to the successful repeal of Canada’s national “tampon tax.” Donald Trump catapulted menstruation smack into the middle of  the Republican presidential debate when he ridiculed Megyn Kelly’s inquiry about his prior sexist rants, telling CNN she had “blood coming out of her wherever.”

This spike in media attention has helped promote a dialogue about eradicating the stigma around menstruation in the United States, as well as addressing the financial burden it often poses. Visible progress has ensued, including: introduction of legislation to eliminate sales tax on feminine hygiene products in Ohio and New York, two of the 40 states that impose it; convening of New York City’s first-ever roundtable on menstrual health, with a forthcoming pilot project in the public schools; a proliferation of creative donation and “buy one-give one” initiatives; and an array of savvy hashtag campaigns, including #TheHomelessPeriod and #JustATampon (both gone viral after starting in the U.K.).

In the quest to address issues of menstrual health and hygiene, however, most of the ingenuity and innovation has been spearheaded in the developing world, where millions can’t access sanitary products, often resorting to dirt, leaves and bark to absorb menstrual blood. Lack of plumbing and access to toilets further exacerbate the problem, and superstition and religious tradition leave countless women isolated and ashamed. In fact, India — where only 12 percent of women in India use sanitary products — offers many lessons that can be adapted here in the United States.

This summer I had the opportunity to join Annie Lascoe, founder of Conscious., an organic tampon business that will partner with Los Angeles-based community organizations and shelters to help low-income and homeless women meet menstrual needs, on a trip to India. We went directly to the source: Arunachalam Muruganantham, the creator of a menstrual micro-enterprise model that is nothing short of revolutionary. A school dropout from a poor family in southern India, Muruganantham first became aware of the issue in 1998; newly married, he was shocked to witness his wife’s struggle to manage (and hide) her monthly bleeding. At great personal cost – financial and social – he dedicated himself to inventing a machine to make low-cost sanitary pads out of pulverized wood fiber. Today he supplies machines to more than 400 production sites serving 1,300 villages in the poorest and most under-developed regions of India. All are managed and staffed by women, who make and sell the pads at minimal cost (approximately 2.5 rupees per pad, mere pennies in U.S. currency).

Muruganantham’s work has been celebrated by world leaders and philanthropists, including the Bill and Melinda Gates Foundation, and last year he was named one of TIME Magazine’s 100 Most Influential People.

The New York Times
Amitaben, owner of a Sakhi production site based in Vadodara, India.Credit Jennifer Weiss-Wolf

Appreciating the vast and desperate need for sanitary products, Muruganantham is refreshingly open to allowing others to build on his model. One such innovator is Swati Bedekar, a former science and math teacher in the western state of Gujarat. After observing that girls missed school several days every month due to menstruation, Bedeker sought to help. She started with Muruganantham’s machines – but went on to simplify the production process, and also created a slimmer, more modern pad with “wings,” beloved by Indian women who adore the American touch. Shes since launched 40 production sites, run by women who are paid per pad they produce – which are sold in packages of ten for 20 rupees (around 35 cents) under the name “Sakhi” (Hindi for “generous). The workers also receive training in menstruation education – which they impart to women and girls, men and boys alike – as well as in basic financial management.

Bedekar’s husband, Shyam, a textile engineer and farmer, invented a special incinerator to dispose of the pads. Made from terracotta or cement and resembling a flower pot, the incinerator is brilliant in its simplicity: Because it doesn’t require electricity, it can be operated discreetly, burning the used pads and turning them into ash without spreading smoke and eliminating odor. Other benefits: production of the incinerators has become a source of livelihood for local potters; and the ash that is produced, when mixed with soil, is beneficial to locally grown plants.

The New York Times
One of Aakar Innovations’ production sites, based in the Dharavi slum of Mumbai.Credit Jennifer Weiss-Wolf

Aakar Innovations, a Mumbai- and Delhi-based hybrid social enterprise founded by Jaydeep Mandal, employs a similar model – and has created pads that are 100 percent compostable and biodegradable, meeting a higher environmental standard than much of what is on the commercial market. Aakar’s 40 women-run and women-staffed production sites are often established in partnership with local NGOs, which provide a full array of social and educational services. The NGO partnership also enables women to be paid a regular, reliable stipend, rather than on a per pad basis. Each site employs 15 to 30 women who produce 1,600 to 2,000 pads per day, enough to meet the needs of 5,000 women each month. Aakar is being recognized by the United Nations next month for its socially responsible and sustainable programs that empower women.

The work happening in India and elsewhere in the developing world provides lessons for us here at home:

Collaboration: we must aspire to be as forward-thinking and generous as Muruganantham in sharing a winning model and letting others improve upon it.

Education: we must be as holistic as all three of these innovators, linking dialogue and information to any product, whether purchased or donated.

Ownership: we must think about charity not just as a way to provide for those in need, but also to enable them to participate and take the reins of their own destiny.

The slew of period-focused news spiraling the Internet – what I’ve come to refer to as 2015’s Menstruation Sensation – stands in contrast to how little is being done to meet the menstrual needs of poor women here at home. Those who are homeless or incarcerated in the United States face similar health risks when they can’t access or afford sanitary products. Our current public benefits system often leads women to trade food stamps for tampons. Are a handful of sales tax reform bills – saving women eight cents on the dollar – and community donation drives the very best we can do? I hope not. Women in America, and around the globe, deserve a comprehensive and innovative policy agenda that addresses the very real crisis of menstrual hygiene management.

Jennifer Weiss-Wolf (@jweisswolf) is vice president for development for the Brennan Center for Justice at NYU School of Law.

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