Author Archives: Isabell Hedke

I have finished my studies within the master's programme of Global Health at Maastricht University. My thesis focused on a qualitative study which I conducted in Cambodia about menstrual health and hygiene education in a primary school.
A display of Green Lady Cambodia products: sanitary pads, ‘Season to Blossom- Rohdoh Reak Lut Loh’ book and soap in a store in Phnom Penh.

Green Lady Cambodia: A Small Initiative for A Big Change on Menstrual Health and Hygiene Education

Authors’ Note: The following essay uses the words “women” and “girls” in order to mirror the phrasing and experiences of cited literature as well as the responses of the participants in our studies. We wanted to represent and relay the insights provided by all parties in the manner in which they were expressed to us directly or as they were published. This wording was not chosen to deliberately exclude the range of people who experience menstruation in Cambodia and around the world, as we recognise and understand that menstruation is not a gender-specific experience by any means. If anything, we support that MHH is an effort to be tackled by all. Achieving menstrual health is crucial for attaining good health and well-being, ensuring quality education and promoting gender equality. Although it is slowly gaining recognition on a global scale, menstrual health and hygiene (MHH) needs are still not met in many countries. Particularly in low- and middle-income countries (LMICs), many girls are not informed or prepared before experiencing their first period (Chandra-Mouli & Patel, 2017). In Cambodia, girls and women follow strong cultural beliefs about menstruation, such as avoiding certain foods and drinks when on period (Sommer et al., 2014). Information is seldomly provided, as the topic is not openly discussed at home and teachers lack confidence to educate about reproductive health (Conolly & Sommer, 2013). WASH infrastructure in schools is inadequate with not enough toilets and a lack of privacy, leading to feelings of discomfort and avoidance of facilities (Sommer et al., 2014, Conolly & Sommer, 2013). This results in menstrual accidents like leakages, and being labeled as unhygienic (Daniels et al., 2022). If MHH needs are not met, girls experience fear and shyness throughout menstruation, impacting their lives by having to miss social activities, transit locations to change sanitary pads, and missing school days (Daniels et al., 2022).  (read more...)