Menstrual hygiene management during times of complex humanitarian crisis: Listening to the voices of rural adolescent girls of Assam

ABSTRACT

Menstrual hygiene management (MHM) is an integral component of the reproductive health and hygiene of adolescent girls. Despite being a vital issue that has a multifaceted effect on the well-being of girls, it is often overlooked in the household and community environment. In a disaster-prone zone, the situation further aggravates at the time of emergency situation. The first section of the chapter examines the knowledge, perception, and practices of MHM prior to the coronavirus (COVID-19) pandemic. The second section explores the impact of the COVID-19 pandemic and annual flood on menstrual hygiene practices. The first phase of extensive primary survey using mixed sampling method was done in Biswanath district of Assam in 2019. Furthermore, the second phase of the survey was conducted in 2020 to investigate the impact of a biological and climatic disaster. Poor menstrual hygiene practices are the outcome of knowledge gap, unfavorable cultural milieu, and inadequate resources. In general, menstrual hygiene needs of adolescent girls are neglected in rural settings. Respondents' ability to deal with their menses is severely altered during unprecedented crisis situation. Humanitarian agencies also overlook gender-specific needs of hygiene and sanitation facilities, thus amplifying existing vulnerabilities in the relief camps. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.