IDEAS home Printed from https://ideas.repec.org/p/hal/wpaper/halshs-04590500.html
   My bibliography  Save this paper

Menstrual Stigma, Hygiene, and Human Capital: Experimental Evidence from Madagascar

Author

Listed:
  • Karen Macours

    (PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

  • Julieta Vera Rueda

    (UCL - University College of London [London])

  • Duncan Webb

    (PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

Abstract

This paper presents results from an RCT in 140 schools in Madagascar that targets both hygiene practices and menstrual stigma. First, we show that a bundle of interventions (sanitation infrastructure, menstrual products, and teacher sensitization) leads to substantial (0.15 SD) improvements in learning tests and school marks, without affecting attendance or health. These learning benefits appear to be driven by reduced stress and an improved psychosocial environment in treatment schools, where girls' heart rate at endline is lower (-0.12 SD), severe bullying is less common (-0.08 SD), and a measure of network integration is higher (+0.24 SD). Second, we evaluate the additional effect of nominating and coaching "young girl leaders" - school girls willing to speak out against menstrual stigma - to spread positive messages about hygiene and menstruation. The combined program generates substantial improvements in hygiene knowledge and behavior (0.33-0.56 SD) and in menstrual stigma (0.74 SD), and the Young Girl Leader component significantly increases the impact on all of these dimensions.

Suggested Citation

  • Karen Macours & Julieta Vera Rueda & Duncan Webb, 2024. "Menstrual Stigma, Hygiene, and Human Capital: Experimental Evidence from Madagascar," Working Papers halshs-04590500, HAL.
  • Handle: RePEc:hal:wpaper:halshs-04590500
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-04590500v1
    as

    Download full text from publisher

    File URL: https://shs.hal.science/halshs-04590500v1/document
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Aboud, Frances E. & Singla, Daisy R., 2012. "Challenges to changing health behaviours in developing countries: A critical overview," Social Science & Medicine, Elsevier, vol. 75(4), pages 589-594.
    2. Sule Alan & Ceren Baysan & Mert Gumren & Elif Kubilay, 2021. "Building Social Cohesion in Ethnically Mixed Schools: An Intervention on Perspective Taking," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 136(4), pages 2147-2194.
    3. Katy Bergstrom & Berk Özler, 2023. "Improving the Well-Being of Adolescent Girls in Developing Countries," The World Bank Research Observer, World Bank, vol. 38(2), pages 179-212.
    4. David K Evans & Fei Yuan, 2022. "What We Learn about Girls’ Education from Interventions That Do Not Focus on Girls," The World Bank Economic Review, World Bank, vol. 36(1), pages 244-267.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Zvonimir Bašić & Parampreet C. Bindra & Daniela Glätzle-Rützler & Angelo Romano & Matthias Sutter & Claudia Zoller, 2021. "The Roots of Cooperation," ECONtribute Discussion Papers Series 097, University of Bonn and University of Cologne, Germany.
    2. Langford, Rebecca & Panter-Brick, Catherine, 2013. "A health equity critique of social marketing: Where interventions have impact but insufficient reach," Social Science & Medicine, Elsevier, vol. 83(C), pages 133-141.
    3. Zenou, Yves & Boucher, Vincent & Tumen, Semih & Vlassopoulos, Michael & Wahba, Jackline, 2020. "Ethnic Mixing in Early Childhood: Evidence from a Randomized Field Experiment and a Structural Model," CEPR Discussion Papers 15528, C.E.P.R. Discussion Papers.
    4. Stephanie L. Martin & Jennifer K. Arney & Lisa M. Mueller & Edward Kumakech & Fiona Walugembe & Emmanuel Mugisha, 2013. "Using Formative Research to Design a Behavior Change Strategy to Increase the Use of Improved Cookstoves in Peri-Urban Kampala, Uganda," IJERPH, MDPI, vol. 10(12), pages 1-19, December.
    5. Simon Briole & Marc Gurgand & Eric Maurin & Sandra McNally & Jenifer Ruiz-Valenzuela & Daniel Santin, 2022. "The making of civic virtues: a school-based experiment in three countries," CEP Discussion Papers dp1830, Centre for Economic Performance, LSE.
    6. McMichael, Celia & Robinson, Priscilla, 2016. "Drivers of sustained hygiene behaviour change: A case study from mid-western Nepal," Social Science & Medicine, Elsevier, vol. 163(C), pages 28-36.
    7. Bhargava, Palaash & Chen, Daniel L. & Sutter, Matthias & Terrier, Camille, 2022. "Homophily and Transmission of Behavioral Traits in Social Networks," IZA Discussion Papers 15840, Institute of Labor Economics (IZA).
    8. Tumen, Semih & Vlassopoulos, Michael & Wahba, Jackline, 2025. "The Power of Language: Educational and Mental Health Impacts of Language Training for Refugee Children," IZA Discussion Papers 17593, Institute of Labor Economics (IZA).
    9. Bennell, Paul, 2023. "The attainment of gender education equality: A preliminary assessment of country performance in sub-Saharan Africa," International Journal of Educational Development, Elsevier, vol. 98(C).
    10. Yasuharu SHIMAMURA & Hiroshi NISHINO & Hirofumi TSURUTA & Keitaro AOYAGI, 2017. "Effect of Groundwater Development Project on Diarrhea Incidence in Rural Zambia," GSICS Working Paper Series 31, Graduate School of International Cooperation Studies, Kobe University.
    11. Höckel, Lisa Sofie & Schilling, Pia, 2022. "Starting off on the right foot: Language learning classes and the educational success of immigrant children," Ruhr Economic Papers 983, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    12. Nichols, Carly E., 2021. "Spaces for women: Rethinking behavior change communication in the context of women's groups and nutrition-sensitive agriculture," Social Science & Medicine, Elsevier, vol. 285(C).
    13. Anjali Adukia & Alex Eble & Emileigh Harrison & Hakizumwami Birali Runesha & Teodora Szasz, 2023. "What We Teach About Race and Gender: Representation in Images and Text of Children’s Books," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 138(4), pages 2225-2285.
    14. Kırdar, Murat Güray & Koç, İsmet & Dayıoğlu, Meltem, 2023. "School integration of Syrian refugee children in Turkey," Labour Economics, Elsevier, vol. 85(C).
    15. Zhuxuan Yan & Juliann Cortese, 2023. "I Can Feel Your Pain: Investigating the Role of Empathy and Guilt on Sustainable Behavioral Intentions to Reduce, Reuse, and Recycle Plastic Bags among College Students," Sustainability, MDPI, vol. 15(8), pages 1-18, April.
    16. Shan, Xiaoyue & Zölitz, Ulf, 2022. "Peers Affect Personality Development," IZA Discussion Papers 15257, Institute of Labor Economics (IZA).
    17. Siddique, Abu & Islam, Asad & Mozumder, Tanvir Ahmed & Rahman, Tabassum & Shatil, Tanvir, 2022. "Forced Displacement, Mental Health, and Child Development: Evidence from the Rohingya Refugees," SocArXiv b4fc7_v1, Center for Open Science.
    18. De la O, Ana & Rossel, Cecilia & Manzi, Pilar, 2023. "Opting Out from Public Services and the Social Contract in Latin America," IDB Publications (Working Papers) 13285, Inter-American Development Bank.
    19. Freddi, Eleonora & Potters, Jan & Suetens, Sigrid, 2024. "The effect of brief cooperative contact with ethnic minorities on discrimination," Journal of Economic Behavior & Organization, Elsevier, vol. 222(C), pages 64-76.
    20. World Bank, 2023. "Unlocking the Potential of Women and Adolescent Girls in Madagascar - Challenges and Opportunities in Education [Libérer le Potentiel des Femmes et des Adolescentes à Madagascar - Défis et Opportun," World Bank Publications - Reports 40428, The World Bank Group.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:wpaper:halshs-04590500. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.