India has started talking about menstruation. Padman, a film about low cost and accessible sanitary napkins for all, had various celebrities posing with sanitary napkins on social media, normalising the discourse around it and urging to shed the stigma and myths around the same. It is not going to be an easy task. This was seen in the recent incident of cyber bullying of a young law student from Kerala after she posted a poem attacking taboos around menstruation.
Stigmas around menstruation go beyond denying entry to women in temples. They pervade their daily lives. Women on their periods are often not allowed to enter kitchens, worship rooms or even step outside their homes. They are not allowed to touch certain foods and many of their routine activities are simply hampered or barred.
The situation is much worse in rural India, where apart from stigmas women face the additional discomfort associated with lack of sanitary products. Low cost sanitary napkins are supposed to be procured from Accredited Social Health Activists or ASHAs, but more often than not, they are unavailable. Even if they are available, these
are of poor quality, necessitating either expensive purchases from the market of better quality napkins or forcing women to use old rags and cloth. The latter is often unsanitary and causes infections and pain.
This compounds the already restricted mobility of rural girls. If the girl gets her period in school there is seldom any facility for sanitary products or equipped toilets. In fact, inconvenience around periods becomes one of the major causes of school absenteeism among young girls and their eventual drop out. An FSG report states that the
percentage of out-of-school boys and girls in the age group of 6–10 years was 5.51 per cent and 6.87 per cent respectively; however, for the adolescent age group of 11–13 years, the percentage of out-of-school children was much higher among girls (10.03 per cent) than boys (6.46 per cent). Thus, stigma and lack of sanitary products to ease the menstruating girl not just impacts her health and well being but also her education in the long run.
In recognition of menstrual health and hygiene as a major health issue for adolescent girls and women, the state has been mandating programmes and guidelines. The Ministry of Women and Child Development has been training
anganwadis for generating demand of sanitary napkins and aims to make these available in schools and shelter homes. National Adolescent Health Strategy or Rashtriya Kishor Swasthya Karyakram (RKSK)) has included menstrual health and education as part of package of health services to all adolescents.
Menstrual Hygiene Management: National Guidelines (2015) have been prepared by the Ministry of Drinking Water and Sanitation. This document has attempted to develop a framework for access to knowledge and information regarding menstrual products. It also aims to generate societal, familial and community awareness and informed and trained support for girls. For this it intends to train at the state level (departments of health, education and Panchayati Raj), district and block level (health workers, teachers) and schools. The guidelines aspire to help secure dignity of girls and help them stay in school.
Yet in reality the situation remains dismal. According to UNICEF, around 90 per cent of women are unaware of the importance of using sanitary napkins, 87 per cent continue to use old pieces of cloth as absorbents, with the result
being that 79 per cent suffer from low confidence, 60 per cent miss school and 44 per cent feel humiliated. According to FSG report, there are over 355 million menstruating women and girls in India. However, 71 per cent reported having no knowledge of menstruation before their first period and while mothers remain the first source of information and support, almost 70 per cent of mothers considered menstruation dirty. Almost 88 per cent of women used home-made alternatives such as old cloth, rags or sand and ash. Either quality commercial products are unaffordable or not consistently accessible for women and girls in low-income communities. Moreover, there
are 63 million adolescent girls living in homes without toilets and thus lack appropriate facilities and community support to manage their menstruation privately and in a safe manner.
Prioritising menstrual health and hygiene for women will necessitate a shift in the way women’s health is perceived in policy discourse. Often, most women’s health programmes are centred on their reproductive years – reproduction, childbirth and subsequent mother and child health care. This is also important since indicators of maternal health are unfortunately poor. However, this can end up discounting the health needs of the vast majority of adolescent girls and postmenopausal women.
The issue of menstruation becomes even more complicated since it is not just a health issue, but an issue shrouded in secrecy and stigma. When notions of purity and pollution get associated with menstruation, it leads to further marginalisation of an underserved subject. It leads to myths and taboos and prevents young girls and women from realising their full potential. Normalising ‘period talk’ has started and will no doubt be impactful in the long run, yet at the moment it seems limited to urban spaces and social media. To reach vast majority of rural India, extensive dialogue and campaign to address stigma and give health and hygiene information will need to be undertaken. Communities and local influencers should be involved for IEC activities.
The good news is that apart from government, civil society and NGOs have also started becoming active in contributing to this important subject. For instance, Goonj, an NGO, produces napkins from simple, reusable pieces of cloth under ‘Not Just a Piece of Cloth Programme’. Water Aid India, besides ensuring access to products, provides information about the same and involves multiple stakeholders in the dialogue. WASH United India addresses
hygiene through ‘Menstrual Hygiene Day’ and ‘The Great WASH Yatra’. Menstrupedia is a for-profit enterprise that has aimed to tackle awareness by developing a comic book adapted to local contexts. On the part of the state, most vital will be improving access to free or affordable and good quality sanitary products for all women. This will
ensure equity and better educational opportunities for them. Poverty, want of information, and lack of
access should not impede menstrual health and hygiene.
Dr Swati Saxena is a researcher at a non-profit. She has a PhD in Public Health from University of London and a MPhil in Development Studies from the University of Oxford. The views expressed are her own
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Karnataka: A stage to get set for all upcoming polls
BJP Strategy
The forthcoming assembly polls in Karnataka are significant for the BJP because it had been in power in the state in the recent past, from 2008 to 2012. Some analysts feel that though winning the state may not be very crucial to the BJP’s overall dominance at present, losing it may affect its future in other southern states of India. The BJP is focusing its entire attention on specifically targeting chief minister Siddaramaiah, rather than the Congress, because it is the popularity of this Congress leader that can prevent the juggernaut of BJP’s electoral victory.
One expert has opined that in a state like Karnataka where religious pluralism has often played truant to the homogenising call of Hindutva, the BJP is projecting Siddaramaiah as being ‘anti-Hindu’ and trying to polarise the electorate by playing the card of thick Hindu identity with a view to keep its flock together in a religiously pluralistic state bequeathed with diverse religious forms such as Shaivism and linga worship traditions, Jainism and Buddhism, bhakti and devotional sects and rich folk-cults.
The early entry of UP chief minister Yogi Adityanath into the electoral arena is seen as part of the BJP’s strategy of polarising Hindu votes. Apart from levelling charges of corruption against Siddaramaiah and exhorting the people to choose between “Commission Government” (Congress) and “Mission Government” (BJP), the BJP is also sharply focusing on its ‘Vikas’ mantra, promise of change in northern Karnataka, and a vow to remove all constraints in Bengaluru to attain the status of a megapolis.
Undoubtedly, the national leadership of the BJP has claimed that the party would win more than 150 seats in the coming assembly elections in Karnataka; nonetheless, some experts are skeptical about this claim in the wake of internal fissures within the state unit of the BJP unless much of the organisational work is entrusted to the RSS.
Congress’s Prospects
A favourable verdict in the elections to the Karnataka assembly is crucial for the Congress, which has not won any state election, barring Punjab, after 2014. A victory here would help it capitalise on it elsewhere, boosting its campaigns in other states which go to the polls later this year. Congress is now making efforts to forge a distinct social support base across the country which entails overt recognition to religious belonging as a counterweight to the Hindutva agenda, reaching out to the farming community as a whole, and holding forth as the champion of the backward classes, the minorities and the poor. In other words, the Congress is increasingly veering round a package of values such as respect to religious commitment, social justice and equality, and human dignity as its mantras, without necessarily disowning secularism.
Media reports make it discernible that the Congress, under the leadership of Siddaramaiah, has introduced numerous schemes to alleviate distress, waived small farm loans, regularised squatter holdings on government lands, and conferred title deeds on the settlements of itinerant pastoral communities. It has also assiduously cultivated symbolisms, conferring public recognition on heroes and saints, and banning rituals that it has regarded as superstitious and inappropriate to human dignity. Siddaramaiah has also succeeded in keeping the Dalit flock together by balancing the representation of major Dalit castes.
Siddaramaiah’s intervention on four fronts has been politically very savvy. He has kept the volatile Kannada lobby in good humour, utilised the addition of the Hyderabad-Karnataka region to Article 371 of the Constitution to ensure that the demand for a separate state does not resurface, taken the battle straight to the BJP camp by making Basava, founder of the Lingayat sect, the icon of Karnataka, covertly stoking the popular demand of the Lingayats to be recognised as a separate religion, and ensured that the fallout of riparian conflicts does not boomerang on the Congress by cultivating farmers’ leaders.
Third Front
Janata Dal (Secular) or JD(S) leader and former Prime Minister H.D. Deve Gowda has entered into electoral alliance with BSP, NCP and the Left parties which it is touted as the Third Front — an anti-BJP, anti-Congress formation to be tested in the political laboratory of Karnataka in the forthcoming assembly polls. In view of the fact that both BSP and NCP have little or no presence in Karnataka, and that the JD(S) vote share in Assembly elections since 2004 has hovered around the 20 per cent mark, many experts feel that this political arrangement is nothing more than an alphabet soup and JD(S) leadership could hope only to damage the two national parties to the extent of forcing a hung Assembly in the state when it goes to the polls.
The JD(S), apart from being short of star campaigners to woo the Dalit space, is also starving for funds. One analyst has observed that undoubtedly, the JD(S)-BSP-NCP alliance wears the mask of being an ideological tie-up and a serious effort to indulge in social engineering; however, in reality, it seems need-based, driven by political arithmetic.
Way Forward
The ensuing state assembly elections in Karnataka are crucial for both the BJP and Congress. For Congress, this is the only big state where it is in power after Punjab. Thus, its victory will be a great morale-booster and open new political avenues for the party in other states and a loss could entail serious long-term political implications. The election is crucial for the BJP too, as Karnataka was the first state in South India where the party stormed to power in 2008 and its victory could act as the party’s gateway to southern part of India.
Since 1985, the state has never re-elected the incumbent party, which means that power changes hands every five years in Karnataka. From 1985 to 1999, power oscillated between Janata Dal constituents and the Congress. The trend was broken in 2004 when the people delivered a hung verdict. The Congress however, managed to retain the Chief Minister’s chair with support of the JD(S) under a formula for sharing the top post.
Caste factor has played a decisive role in state assembly elections in Karnataka in the past and in the ensuing scenario it will also be a decisive factor. Lingayat plus Brahmins, known by the acronyms LIBRA and Alpasankhyataru plus Hindulidavaru Mattu Dalitaru (Dalits, Backward Classes & Muslims) also known by the acronym AHINDA, the commonly used terms in Karnataka politics, are potential groups that often decide the fate of the elections in Karnataka.
Some political pundits are of the view that LIBRA has traditionally been the strong supporter of the BJP, whereas the AHINDA has traditionally supported the Congress. With Siddaramaiah at the helm of the Congress, AHINDAs, which had fully backed the party in 2013 resulting in its resounding victory, are likely to go with the Congress again. The Vokkaligas, comprising about 12 per cent of the total population, have traditionally extended support to JD(S) led by Deve Gowda. BJP’s chief ministerial candidate Yeddyurappa is a Lingayat, and SM Krishna, former Congressman who is now in BJP, is a Vokkaliga. Current CM Siddaramaiah is a Kuruba and belongs to the OBC community.
The Lingayats are dominant in North Karnataka, Hyderabad-Karnataka (north-east Karnataka) and Old Mumbai region (Bombay-Karnataka). The Vokkaliga is a dominant peasant caste of Old Mysuru. According to some experts, the Congress and the BJP have a base vote share of 24 percent each, while the JD(S) has started with five percent only. They further argue that the Congress has half the support of the AHINDA, while the BJP has 60 percent of the support of the LIBRA, and in order to win both parties need an additional 10-12 per cent votes and it is for this reason that both the parties are focusing their eyes on the balance seven percent Vokkaliga vote to win.
Keeping in view the fact that the period spanning 2004-2008 witnessed an era of instability and the state saw three Chief Ministerial tenures, one from each party, the question is raised as to whether this trend will be repeated in 2018 and if it does, who will be the beneficiary — the BJP or the JD(S) or will there be a hung assembly situation like in 2004. In case of a hung verdict, JD(S) could be in a position to dictate its terms to the party that wins the largest number of seats, provided it manages to win over 50 seats in a house of 240 seats. However, some experts, while agreeing with the surmise of a hung assembly, affirm the emergence of the Congress as the largest party. Amidst these speculations, it is worthwhile to wait and watch.
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