Monday, December 2, 2019

The Menstrual Campaign Misinterpreted in Nepal and Beyond



I learned the word of `Chhaupadi' when I was reviewing the documents for my thesis for Bachelor of Community Health Nursing, 1998. It composes with two words; `Chhau' (blood) and `Padi' (shed). It is very common word in west Nepal exchangeable use with the words of `Chhui' or `Chhui Pratha'. The blood considered as `impure' no matter whether it is from childbirth or menstruation. Because of the government's priority program of Safe Motherhood Program, Chhaupadi during childbirth is getting unpopular whereas the Chhaupadi during menstruation remained untouched for many years and getting global attention since beginning of the Millennium Development Goals in many ways. My experiences/studies confirmed that the more than forty types of restrictions related with touch, eat, mobility/participation exactly same in Chitwan, Lamjung, Kathmandu and West Nepal but more visible in west Nepal. The reason behind the following restrictions during menstruation is also same that is `impurity' and it is transferred from generation to generation without any dialogue as among of my three senior sisters. I would call `deep level of ignorance' and `silence' around menstruation. Around 1980, I not only observed the more than forty types of restrictions but also observed my three sisters at neighbour's shed for 21 days, 15 days and 11 days during their first three periods in Chitwan.


In 2012, I went to the USA at first where the most of the Nepalese were following same practice during menstruation including sending their daughters at neighbours or relative's house during first menstruation. Among the non-Nepalese community, no one like to engage direct and open discussion around menstruation including the advertisement of menstrual pad with blue liquid in CNN. Likewise, in 2015, I went to the UK, found that Nepalese community were doing same as like US and Nepal and non-Nepalese people also could not discuss about it due to deep level of stigma and taboo. The studies took place in 2018 by Plan UK declared that the issues related with menstruation are more or less same in many ways.

Many reports often mentioned that the menstrual restriction is old Hindu tradition. I also have same understanding for many years. Indeed, its myth. The Muslim community in Nepal, do not allow to touch any religious people and material, not allow to pray during menstruation which is similar in other Muslim countries as well. In Bangladesh, girls and women do not allow to eat banana, pineapple, coconut and pickle during menstruation where majority of people represent Muslim. In public life, the stigma is same either in Indonesia or Pakistan or anywhere. Likewise, the Buddhist majority countries such as Vietnam, Thailand, China have also had stigma and some forms of restrictions during menstruation. The various reports showed that the restrictions during menstruation is practicing in other religions as well such as Christianity, Jews too but neither visible nor discuss as like in Nepal.

The menstruation is not only side-lined in Nepal but also globally till 2014. Only few academia, individuals and NGOs talked about menstruation. In 2014, human right council, in UN office, Geneva, the water and sanitation unit recognized as a barrier for gender inequality. Even the SDG did not spell the need and urgency of menstruation except referring the girl friendly toilets under goal six. Because of menstruation, this universe is existing and moving forward but no one dare to bring forward as a priority human right concern. It remained as private and women's issue here in Nepal and everywhere. Personally, I was threatened and blamed in many ways here in Nepal and aboard due to speaking up about dignity during menstruation. I wrote two books exclusively on dignified menstruation, started to produce the re-usable cloth pad and bio degradable disposable sanitary pad first time in Nepal as role model though never got support until 2017. Eventually, the ministry of Water Supply and Sanitation appointed me as a core member for policy drafting though always remained in minority due to speaking up the dignity during menstruation. The all elements such as health, education, disaster, disability, empowerment, human right, water, sanitation, products, waste have to go simultaneously and discussed by putting the dignity at centre. Thus, I appealed for `menstrual talk, dignity first which is only way to ensure the state of `dignified menstruation' in order to save our daughters, grand daughters and entire planet.  

In Nepal, because of the intervention by external partners, the Chhaupadi is reported by international media then national media without having deeper level of understanding and analysis. The menstrual blood hold same level of understanding across globe with diverse names as like in Nepal. As different people called differently for good morning (Bonjure in French, Gorten Morgan in German, Salam Alekham among Muslism), people called menstruation with various names such as menses, red dot, pakha sareko (separated), panchhiyeko (excluded), par sareko (going far), nachhune (contaminated), acchut (untouchability), maharani bhayeko (become grand queen), panditini bhayeko (become priest), minus etc.  The underlying cause of stigma, taboos and restriction is `impurity' therefore the chhaupadi or menstrual restriction is everywhere existing in Nepal and beyond with vary in ranges (visible vs Invisible, private vs public', long list vs short list).

In this connection, if anyone even use of the word Chhaupadi for west Nepal, it is affirmed for either discrimination to people who live in west Nepal or have deep ignorance. It should be menstrual practice in (positive form) or Menstrual Restriction (negative form). The UN documents e.g. CEDAW shadow report also keep using the word Chhaupadi under the traditional harmful practice. Due to having menstruation among the half of the population globally, and some forms of taboo/stigma and restrictions across globe, it should not account under harmful practice. It should acknowledge as an inevitable, biological phenomena among girls where each girl, women and individual (Transgender) deserved dignity during menstruation.

Many media and NGO worried and reported that the menstrual girls and women are staying in dirty place and wearing dirty clothes in Nepal which is dangerous for their health. With the reference from Nepal, the most of the people have not have facility to take bath or change the cloth every day. They considered the menstrual blood itself `impure' and `dirty' that is why they put the menstrual girl in shed and wear the dirty or ragged clothes for menstrual days including hiding the blood. In terms of cleanliness, there is no vast difference between shed and house where the menstruate women live in separate shed or huts. Even the girls who are living in fancy houses they occupied with the ragged clothes during period. If they were using the clean cloths or clean houses or flat as like five-star hotel, are the eligible to touch their young brothers or fathers or can enter in to the kitchen or touch the refrigerator when they hungry or thirsty. Cleanliness is important element but not guarantee the dignity. 
I often wondering with the campaign of Chhaupadi or menstrual cup or sanitary pad toilet or water supply. I also thinking of them why they are not seriously analysed the complexity of the menstruation. Because of practices around menstruation, girls and women and entire planet facing the various issues every day at the immediate and long-term level. Due to multifaceted complexity of menstruation, these kinds of projects or activities are lagging behind as expected because these activities are not associated with dignity or `menstrual talk, dignity first'. By this piece, I can give guarantee that our work would further sluggish if we won't cross the assumptions behind the menstrual restriction.

One of my friends who joined from Italy, just recently shared that she uses the word `guest coming' instead of having menstruation. Since 1947, Japan has leave for menstruation but not using at all due to stigma. If we would have dialogue on menstruation and its priorities, it would not be like that. More importantly, menstruation is an entry point for all sexual and reproductive health issues or rights. If we were discussed about menstruation openly and frankly, the entire planet could save many girls and women from the preventable diseases and conditions related with sexual and reproductive health.  I often confused with the groups of gynaecologist and obstetricians too. Even in Nepal, they are organized and worked since 1989 but the menstruation is never become an agenda for them.
To me, the menstruation is the first and foremost feature in society where the power not only construct but also shape between girl and boy. Eventually, the girl converted as victim and boy converted as perpetrators. This is not the problem of neither girl or boy but the problem of society which reinforce the restrictions, abuses, discrimination related with menstruation. Because both girl and boy knew the menstruation as a strong indicator for status of ` purity' vs impurity in between 6-12 years from their mother, aunt, or any female members at home and society. Since day one, mostly, girl considered herself as `powerless', inferior' than boy where the boy consider himself as `powerful' `pure' and `superior'.  Girl socialize in way of curse, no voice, no questions, no challenge, tolerable for all where as boys socialize with just opposite directions. Later, they become addicted and do not like change or status quo for the sake of family or culture etc.

Girl bleed for five days but live with dehumanization and inferiority throughout the life because not having knowledge that the menstruation is an inevitable natural phenomenon as like beard for boys. In other hand, the boy lives with superiority and privileges where keep violated the human rights at family, and community.

Because of deep level of ignorance, silence and surrounded with varieties of stigma, taboo, restrictions associated with menstruation where the interpersonal peace is destroying since the girl knew about menstruation. The level of invisible conflict is increasing when she experienced the first menstruation and suddenly change her status at family. The tensions or conflict between herself and mother, or herself and other family members are increasing but often remained as subsidence. It will be the silence killer of confidence, self-esteem, dignity etc. of the girl.

Menstruation is a complex and multifaceted phenomenon of this universe and simple truth of human life.  It is not simply the average 5 days of bleeding or approximately 7 years of bleeding. It is also not only one’s reproductive years; it is the whole experience of human life.  Thus, `Dignified Menstruation' is simply a holistic approach or comprehensive approach to encompass menstruation and mitigate discrimination against menstruation and the subsequent consequence. This framework applies from the womb to the tomb and is not only limited to “women” but to all individuals who menstruate, including transgender men as well as individuals who do not menstruate, thus the whole planet. Therefore, `Dignified Menstruation' is everyone's business. It is the way of perceiving menstruation as a human rights issue and holding all of us accountable to eliminate discrimination and assure dignity. Each individual deserve dignity during menstruation where there is no form of any discrimination, abuses, stigma, shame, restrictions or any form of harmful act during menstruation and inevitably outside of menstruating days too. Simply, it is a form of no differentiation between 25 days and 5 days in a month. It is the concept beyond hygiene, menstrual products, and clean infrastructure where health, education, water, sanitation, human rights, empowerment and environment have to simultaneously intersect.

I concluded that the none of the country in this globe is free from any kinds of abuse, discrimination, exploitation at public and private life during menstruation. In many countries, the forms of discrimination interpreted differently or activists, academia and actors never considered the menstrual restrictions is an important underlying cause for the power imbalance since childhood from family. Additionally, there is huge gap in understanding violence of dignity or human right, destroy the intrapersonal and interpersonal peace and pre condition for the SDGs.

Ministry of Health and Population, Nepal invited for facilitated the session on Dignified Menstruation in Jansewa Secondary School, Kirtipur...