Women's Health in India
Women’s Health in India is a very interesting and complex topic.
My main curiosity came from the womens health project I first volunteered on with an NGO named JJVS. Mainly because there are so many aspects that play into womens health in India including culture, religion, taboos, education level, social issues, nutrition, financial state and much more.
This has become a huge passion of mine to understand all of the above to be able to assist these amazing but vulnerable women as much as possible.
The JJVS Women’s Health pilot study is covering approximately 11,000 women in villages surrounding Vali in Rajasthan. JJVS aim to close the gap in knowledge about menstruation and hygienic practices among women and girls. Women’s Menstrual Health is still a very taboo topic in India with many reasons surrounding this.
The key issues in India surrounding menstrual health include:
Lack of education and awareness
Lack of access to menstrual health products
Cultural taboos and social issues
Lack of support from government
Firstly let’s discuss education.
Only 20% of rural village women in Rajasthan are literate compared to 80% of men. This rate is mainly due to girls not going to school. This can be for a few different reasons such as financial situations and family and cultural values that the women should stay home to look after the home and younger siblings. A poor statistic is that only 40% of girls are still in school by 12 years old in North India.
The next thing to understand is the religious and cultural views towards menstruation.
It is known in India that menstrual blood is impure and even though this is an old wives tale it is still very much believed. It is known that when you are menstruating you should not visit the temple and you should not enter the kitchen or cook for the family. Some temples that I have visited actually have signs at the entrance advising menstruating women should not enter. It is hard to imagine what growing up with these values taught to you would feel like. A lot of women feel disempowered and definitely feel that having a menstrual bleed is not a good thing.
Menstrual health is a very taboo topic in India so when a girl gets her first period, there is very rarely any education around it or guidance about what is normal and what is not. No one talks about it so it is made to feel like a very private and embarrassing topic for girls.
Many girls and women do not have access to menstrual hygiene products nor would they know how to use them and nor can they usually afford them. As most general stores or corner stores are run by men it would be highly embarrassing to go and buy pads even if someone were to have enough money to.
Did you know that most village women in India have never seen a sanitary pad before and usually use old cloths / dirt/ leaves / mud to soak up their menstrual blood.
The next issue stemming from this is that because menstrual health being so taboo, women are not to dry their menstrual cloths in the open view of others therefore have to dry them inside or underneath other clothes. This means the cloth does not get sanitised properly and this is where infections and health issues can start from.
The lack of education, awareness, support and access to menstrual hygiene products mean many issues arise such as:
Bacterial vaginosis (60% of women in rural Rajasthan experience)
Thrush
Heavy bleeds
Uterine prolapse
Anaemia (51% of girls and women in rural Rajasthan)