Every day, more than 800 million women between the ages of 15 and 49 are menstruating. And yet monthly menstruation is a globally stigmatised issue shrouded in silence, secrecy and shame. It’s a topic which can be embarrassing to talk about and some cultures have developed harmful ideas and beliefs about menstruation.

The average adolescent girl will be affected by menstruation for 3,000 days in their lifetime. That works out to more than eight years! The basics which make a period bearable – having a private place to manage it, knowing there are people to talk to who understand and having clean materials to use – aren’t a reality for many girls and women in some countries.

By not talking about periods, girls are missing out on school, which is impacting their futures. Here are just three personal and societal aspects of life which are restricted when menstruation becomes an unmentionable part of being female.

1) Education

Girls are missing school due to completely preventable reasons. The availability of good hygiene facilities in schools makes a big difference to whether or not girls attend during their periods. If girls don’t have access to sanitary pads they will often choose to leave school early, or stay home altogether. UNICEF estimates that a shocking 1 in 10 school-age African girls ‘do not attend school during menstruation’. This puts girls at an immediate disadvantage and can lead to lower grades, some may eventually drop out of school altogether.

In Uganda a staggering 28 percent of girls don’t go to school when they have their period, meaning they miss an average of four days of school each month, 20 percent of the school year. Imagine the impact on your education if you had to miss 20 percent every year.

2) Health

When a girl reaches puberty, access to a safe, private toilet can make a huge difference to her health. It’s hard for us to get our heads around when we have safe drinking water on tap, hot showers in the morning and toilets which flush.

But one in three of the world’s population doesn’t have access to adequate sanitation – which means 1.25 billion women around the world do not have access to a toilet during their periods. Girls need clean water to wash themselves or their menstrual cloths and a place to dispose of their sanitary pads if they are using them.

Unfortunately many women and girls do not have access to feminine hygiene products to use and only 12 percent of girls and women have access to commercial sanitary products.

3) Dignity

Stigmas and taboos around menstruation directly affect a girl’s dignity, confidence and self-esteem. Many cultures do not talk about periods openly. This means that girls often never hear of menstruation before their first period, making it a confusing and scary experience. That is the reality for an incredible 68 percent of girls in Ghana who knew nothing about menstruation when they started their periods.

Taboos around menstruation can also mean that girls are often told they can’t do certain things whilst on their period. The women in the semi-nomadic Maasai region of Kenya are not allowed to enter goat pens or milk cows while they menstruate, while in many Southeast Asian communities, menstruating girls are not permitted to use the same water facilities as the rest of the community. These restrictions add to the isolation, shame and loneliness of menstruation.

We’re passionate about investing in girls through providing vital health education and support. Thanks to education provided by our Child Sponsorship Programme and extra facilities from our RESPOND ministry, we’re empowering girls to overcome some of these obstacles. Jesca, who attends the Magu Student Centre in Tanzania, explains the difference a block of 12 private toilets has made to her project: “As a growing girl I have lots of needs and must take care with my hygienic practices. I was not comfortable with the available toilet, since it exposed us to various diseases and there was no privacy. These changes mean a lot to me and to other children in the centre as it will ensure a safe and comfortable place for our needs.”

In Magangué, Colombia, their new bathrooms offer better sanitary conditions and safe water for the project. Pastor José says: “we want to teach good hygiene, and the bathrooms are a means to do so. He adds, “we are offering children the opportunity to learn proper hygiene habits, and they become motivators for improving practices in their homes.”

_{Sources: We can’t wait: a report on sanitation and hygiene for women and girls, UNESCO, Puberty Education & Menstrual Hygiene Management, WHO, Water Supply & Sanitation Collaborative Council}

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