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Feasibility Study of a Menstrual Hygiene Management Intervention for People with Intellectual Impairments and Their Carers in Nepal

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Listed:
  • Jane Wilbur

    (International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK)

  • Thérèse Mahon

    (WaterAid, 47-49 Durham Street, London, SE11 5JD, UK)

  • Belen Torondel

    (Environmental Health Group, Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK)

  • Shaffa Hameed

    (International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK)

  • Hannah Kuper

    (International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK)

Abstract

Background: The Bishesta campaign is a menstrual hygiene management (MHM) intervention developed to meet the specific needs of people with intellectual impairments and their carers. It was designed and delivered in the Kavre district, Nepal. This paper explores the campaign’s feasibility and acceptability. Methods: The Bishesta campaign was delivered to ten people with an intellectual impairment and their eight carers. Data on the feasibility and acceptability of the intervention was collected through: Structured questionnaire to participants before and after the intervention, process monitoring data, post-intervention in-depth interviews with all carers, observation of people with intellectual impairments, key informant interviews with all facilitators and staff involved in the campaign, as well as ranking of the perceived appropriateness and acceptability of campaign components by carers and facilitators. Results: The Bishesta campaign was acceptable for the target groups, facilitators, and implementers. It was largely delivered with fidelity. Participants used most of the campaign components; these made the target behaviours attractive and enabled participants to carry them out with ease. There were improvements across all target behaviours. The focus of this study was feasibility, not limited-efficancy; however, indicative positive outcomes from this small sample were observed, such as an increase in young people’s levels of confidence, comfort, and autonomy during menstruation. Conclusion: Within the sample, the Bishesta campaign appears to be a feasible intervention to ensure that one of the groups most vulnerable to exclusion from MHM interventions is not left behind.

Suggested Citation

  • Jane Wilbur & Thérèse Mahon & Belen Torondel & Shaffa Hameed & Hannah Kuper, 2019. "Feasibility Study of a Menstrual Hygiene Management Intervention for People with Intellectual Impairments and Their Carers in Nepal," IJERPH, MDPI, vol. 16(19), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3750-:d:273604
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    References listed on IDEAS

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    1. Jane Wilbur & Tess Bright & Thérèse Mahon & Shaffa Hameed & Belen Torondel & Wakisa Mulwafu & Hannah Kuper & Sarah Polack, 2018. "Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi," IJERPH, MDPI, vol. 15(12), pages 1-21, December.
    2. Jane Wilbur & Belen Torondel & Shaffa Hameed & Thérèse Mahon & Hannah Kuper, 2019. "Systematic review of menstrual hygiene management requirements, its barriers and strategies for disabled people," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-17, February.
    3. Sommer, M. & Sahin, M., 2013. "Advancing the global agenda for menstrual hygiene management for schoolgirls," American Journal of Public Health, American Public Health Association, vol. 103(9), pages 1556-1559.
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    Cited by:

    1. Jui-Che Tu & Ting-Yun Lo & Yi-Ting Lai, 2021. "Women’s Cognition and Attitude with Eco-Friendly Menstrual Products by Consumer Lifestyle," IJERPH, MDPI, vol. 18(11), pages 1-20, May.
    2. Patricia Pérez-Curiel & Eva Vicente & M. Lucía Morán & Laura E. Gómez, 2023. "The Right to Sexuality, Reproductive Health, and Found a Family for People with Intellectual Disability: A Systematic Review," IJERPH, MDPI, vol. 20(2), pages 1-29, January.
    3. Jane Wilbur & Relvie Poilapa & Chloe Morrison, 2022. "Menstrual Health Experiences of People with Intellectual Disabilities and Their Caregivers during Vanuatu’s Humanitarian Responses: A Qualitative Study," IJERPH, MDPI, vol. 19(21), pages 1-17, November.

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