SuSanA - Forum Kunena Site Syndication Sun, 20 Apr 2014 16:43:19 +0000 Kunena 1.6 SuSanA - Forum en-gb Re: Impacts of female genital mutilation (FGM) on menstrual hygiene management (MHM) - and links to sanitation - by: Nancy as well as a menstrual cup to get her feedback. She seemed quite intrigued by both, but said with sadness that the menstrual cup would never work with many of the women because of the very small opening left after the extreme form of FGM. I had not even considered the impact the small opening would have on the menstrual flow and the pain this could cause.

On a positive note, with UNFPA/UNICEF funding, a remarkable community-based process took place to review the Koran for examples of FGM. When none were found, and after lengthy discussions with the religious and community leaders, the leaders agreed to stop FGM. It was a powerful example of respecting and working with community leadership and culture to end such a damaging practice.

Best wishes,
Menstrual hygiene management (MHM) Tue, 01 Apr 2014 20:42:06 +0000
Re: Impacts of female genital mutilation (FGM) on menstrual hygiene management (MHM) - and links to sanitation - by: muench Thanks for your post (Pakistan, Egpyt,... where else did you travel to "back then"? Impressive!! ).
I like your page with the Advocacy Days, maybe we should have a similar page on the SuSanA website somewhere. There could be a few more related days (e.g. on nutrition, soil, intestinal worms), but I don't know exactly when they are (need to search in Google for a list of all UN Days!).

About those doctors in Cairo who learnt in the 70s how to do "safe" surgical procedures to cut off parts of women's genitalia*: doing it safely with pain relief is better than those procedures with dirty, blunt knives and no pain relief at all (I shudder just thinking about it!). But maybe nowadays, doctors in Egypt and other countries should learn how to "reconstruct" female genitalia in order to give cut women back a sense of feeling, and thus dignity and womanhood (let alone improve their peeing experience!). Now that would be a worthwhile thing to learn for student doctors in such countries. Like those doctors in Berlin, Germany (which are mentioned in this article which I linked to earlier:


* What was it like in the 70s at that mentioned grad school? Did anyone question the justifications for these cutting procedures? Did the students have any debates about it with their lecturers? Just wondering.]]>
Menstrual hygiene management (MHM) Mon, 31 Mar 2014 19:50:58 +0000
Re: Reusable Sanitary Pads - by: Carol McCreary I didn't find the article right away; here is the link. Good article.]]> Menstrual hygiene management (MHM) Sun, 16 Mar 2014 02:00:09 +0000 Re: Reusable Sanitary Pads - by: KaiMikkel
[Of particular interest to those working in Africa, "Miacup" is manufactured in South Africa.]

"DivaCup" (Silicone menstrual cups and reusable pads) -

"The Keeper" (Natural latex and silicone menstrual cups) -

"Lunette" (Silicone menstrual cup) -

"Miacup" (Silicone menstrual cup) -]]>
Menstrual hygiene management (MHM) Sun, 16 Mar 2014 00:38:55 +0000
Acceptability - by: Maxie And to be honest I cannot give a definite answer or mention a percentage because it depends. It really depends on the region, on the tribe on the culture and, of course, the girls as independent individuals themselves.

This is why we at Ruby Cup always work in close cooperation with local partners, such as the Golden Girls Foundation in Kisumu (Kenya), the Danish Refugee Council in Uganda, or with schools based in the slums (Kawangware, Kibera, Korogoche). And we listen to what the girls say about insertion, the hymen, water to mention but a few. And we listen to their parents and their teachers. Education is one, if not the most important part of our work. We believe our local partners know better about water, hygiene, culture and customs than any other. And surprisingly insertion is not as much of an issue than explaining that girls can use the cups while going to the toilet and that it will not fall out during sports.

Let me know if you have other questions.

Thanks for now.

Menstrual hygiene management (MHM) Wed, 12 Mar 2014 19:50:34 +0000
Equip 5000 girls in Kenya with a Ruby Cup - and acceptability - by: Maxie Note by moderator (EvM): to read the conversation on the Ruby cup business idea that preceded this thread please have a look here:, and another older thread here:


Second Generation Ruby Cup users teaching their peers about usage while our field officer, Rachael Mwakalio is watching (see photo below).

Since 2012 We have equipped 1500 girls with Ruby Cups and learned about education (safe storage is important otherwise rats will eat the cup), and that quality education is equally important as the mere distribution of cups. So now, with various partner involved, we want to do more.

In order to finance the educational part and the production of more Ruby Cups, we are raising money via Indiegogo. This will support 5000 girls in Kenya, meaning education about menstrual hygiene and give them a 10 year long lasting MHM solution.

Check out the campaign: and join our call for action to #keep girls in school.

Direct link to our video:

Thanks a lot!

Menstrual hygiene management (MHM) Wed, 12 Mar 2014 19:40:16 +0000
Re: Reply: Reusable Sanitary Pads - by: RachelTTextiles
Up until now, we have spent the time to develop a product that overcomes many of the challenges faced by the re-usable sector.

We have sent multiple pilots and are at the practical fact-finding stage of customs brokers and HS Code Import rulings to get these products in at the lowest Duty/VAT rates

We have designed our products (both the Underwear and the leakproof shield to be compatible with other's offerings ie. our leak-proof shield houses an Afri-pads liner. Our underwear automatically come with the shield so existing pad-making operations could benefit from this.

We will have our own brand, but are happy to have our products work in unison with others.

We are seeking Distribution partners/HUB centers so that costs of containers could be kept extremely low, with many smaller organizations benefiting .

We would love to be in Uganda and hope to develop these relationships soon.

Menstrual hygiene management (MHM) Tue, 11 Mar 2014 13:27:25 +0000
Re: Reply: Reusable Sanitary Pads - by: JKMakowka Menstrual hygiene management (MHM) Mon, 10 Mar 2014 10:12:16 +0000 Re: Reply: Reusable Sanitary Pads - by: RachelTTextiles
Transformation Textiles, has been in the back-ground of the MHM scene for the last 5 years as we have been working at taking the concepts of FHP (Feminine Hygiene Protection) line of products to a truly mass-produced model.

To ensure insanely low prices, affordable to $2/day income earners, Transformation Textiles (TT) utilizes off-cuts from partner factories, drastically reducing raw costs by more than 50%. With FHP solutions that cater to both disposable and reusable markets, TT kits can reduce the amount girls spend by up to 75% over 3 years. Our current monthly capacity is 20,000 kits. This is easily scaled up by booking more production lines as needed. We have multiple factories on stand-by for when this is need.

TT is sustainable as benefits are realized throughout the supply chain. Major brands (For Western export) benefit from the CSR marketing and environmental message, factories gain realized profit from their waste, and mass production ensures scalability to accommodate container shipments to distribution hubs in multiple countries

Our trials quickly confirmed that without a pair girls couldn’t effectively use any kind of FHP solution with confidence. We have designed a tie-on underwear (one size fits most), that is compatible to both disposable and washable FHP solutions. These underwear have a life-cycle of 3+ years. Each pair of tie-ons is accompanied by a leakproof shield that can withstand 100's of washes, lasting 3+ years as well.

The leakproof shield can accommodate many existing grass-roots designs of pads (or could simplify them in the future as features such as wrap around wings, snaps, velcro are not needed due to the built in security bands of the tie-on underwear. We have taken into account water-scarcity challenges and have developed absorbent solutions that require less water to wash and dry quickly for re-use.

We also offer High Performance Fabrics, that absorb 7 - 8 times that amount of cotton, and dries in half the time.

Our initial countries of focus are Kenya, Uganda, Ethiopia and Zimbabwe.

We are looking at utilizing existing 'last-mile' distribution networks, to keep the cost of our various product offerings extremely low, so that 'last-mile' women can not only afford them ... but could sell them in a peer to peer sales model.

If you would like to receive more information on introductory trial orders of 1000 kits. Please email This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Our next container of 20,000 kits will be ready to ship Mid-may 2014. If you need this type of quantity please email This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Our product offerings of Kits can be customized to suit your needs.

Please view some of our relevant links: (main website) (to see videos of our process and current impact to date)

Looking forward to dialoguing with so many of you in the future.

Rachel Starkey
Transformation Textiles
Chief Visionary Officer & Heretic to Status Quo

This e-mail address is being protected from spambots. You need JavaScript enabled to view it ]]>
Menstrual hygiene management (MHM) Mon, 10 Mar 2014 09:32:37 +0000
Re: Impacts of female genital mutilation (FGM) on menstrual hygiene management (MHM) - and links to sanitation - by: Carol McCreary
Do any of you know how med schools in Egypt and elsewhere are now dealing with FGM as a medical issue? Seems like by now medical training would be a good place for anti-FGM research and advocacy.

Re Advocacy Days. Agree Elisabeth, they seem to work - from editorials in the New York Times to activities in primary schools. For best results, we just need to get the commentaries and op-eds submitted on time to the media, including local media with which individuals and small groups have some influence. Research and advocacy organizations can do a service by making available the talking points well in advance to on-the-ground, citizens' and grassroots groups.

That said, I'll suggest to the PHLUSH editorial team that we include Feb 6 and May 28 on our International Advocacy Days page.

Menstrual hygiene management (MHM) Fri, 07 Mar 2014 14:49:11 +0000
BBC features Mr MENstruation - by: inajurga

if you are in New York and Vancouver you might be able to catch a movie about him . Read more here.]]>
Menstrual hygiene management (MHM) Wed, 05 Mar 2014 15:14:19 +0000
Menstrual Hygiene Management in household water & sanitation programs - by: inajurga
How can we assure the integration of MHM into household-based WASH programmes?

I recently discussed with Lindlyn Moma, advocacy officer WaterAid SouthAfrica, that there is a huge gap when it
comes to integration of MHM into programs promoting water, sanitation and hygiene at household level.
The gender perspective stresses absolutely rightly the importance of privacy and safety for women when it comes to WASH facilities. Within this context is MHM explicitly and adequately addressed?

Have you in your WASH projects targeting households integrated and addressed menstrual hygiene management?

Such as by addressing women's needs during menstruation (such as water & soap requirement, disposal, drying of rags, etc) and involved women during the design such as of urine-diversion toilets ?
Or have conducted research ?
has it come up in CLTS triggering ?

Or have you avoided MHM, because it is too much of a taboo ? or have you not had, because you miss information on how to ?

Looking for your experience and ideas.

(references: SuSana Factsheet on gender perspective :]]>
Menstrual hygiene management (MHM) Tue, 25 Feb 2014 16:45:07 +0000
Re: Impacts of female genital mutilation (FGM) on menstrual hygiene management (MHM) - and links to sanitation - by: DaniBarrington
It's so sad that they consider it 'normal' as it is common in their society.]]>
Menstrual hygiene management (MHM) Sun, 16 Feb 2014 23:00:47 +0000
Re: Impacts of female genital mutilation (FGM) on menstrual hygiene management (MHM) - and links to sanitation - by: muench
One more thought I had about the link to sanitation: Some of the reports state that women who have been cut badly (so-called Type III according to WHO classification, see often have real problems empyting their bladder: It takes them a lot longer than normal, e.g. up to 15 minutes to empty the bladder (peeing)! And because it is the same for the other women, they even consider it "normal" (that's what the UNICEF report said).

In any case, the net effect would be that in areas where the majority of women are cut we would need to provide even more toilets at schools or public places for the girls/women - or more female urinals - to avoid long queues. And the girls would need longer toilet breaks at school (?).

Menstrual hygiene management (MHM) Fri, 14 Feb 2014 10:12:12 +0000
Re: Impacts of female genital mutilation (FGM) on menstrual hygiene management (MHM) - and links to sanitation - by: DaniBarrington
An alternative to female genital mutilation that prevents girls sufferingCutting is embedded in Kenya's culture but there are more humane rites of passage that the entire community can embrace]]>
Menstrual hygiene management (MHM) Thu, 13 Feb 2014 22:24:06 +0000