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Addressing menstrual waste: challenges and solutions in the Global South

Menstrual health is a fundamental aspect of human well-being, yet it remains a complex and multifaceted challenge in many parts of the world, particularly in the Global South. While efforts to improve menstrual health management (MHM) have gained momentum, there's an often-overlooked dimension that warrants attention - menstrual waste management. In regions struggling with waste management, the added burden of menstrual waste can exacerbate existing challenges. The disposal of menstrual products, if not managed correctly, can lead to environmental degradation and pose public health risks, affecting both communities and ecosystems. A vital but neglected aspect of MHM, menstrual waste management is a critical facet of a comprehensive approach to menstrual health. This article will delve into the issues surrounding menstrual health and waste management in the Global South, exploring the reasons why menstrual waste management is a pressing concern, the impact of menstrual waste on communities already grappling with waste management, and the ways in which these challenges can be addressed. By shedding light on this topic, we aim to provoke thought, foster dialogue, and inspire action towards the development of sustainable and effective solutions for menstrual waste management.



The state of waste management in the Global South

In many countries of the Global South, effective waste management remains a significant challenge. Rapid urbanization, population growth, and increased consumption have led to a surge in the volume of waste generated. However, waste management infrastructure and services have often not kept pace with these changes, leading to significant environmental and public health issues. Inadequate waste management infrastructure is a common issue. Many towns and cities lack formal waste collection services, leaving households to dispose of their waste in whatever way they can. This often means dumping waste in open spaces, rivers, and other water bodies, leading to environmental contamination and health risks. Moreover, open dumpsites are still a common sight in many parts of the Global South. These sites, often located within or near residential areas, pose numerous health and environmental risks. They can contaminate groundwater, emit harmful gases, and attract disease-carrying vectors such as rats and flies. Waste management is also a social issue. In the absence of formal waste services, informal waste pickers often step in to fill the gap. These individuals, who are often among the most marginalized in society, face significant health risks and social stigma. At the same time, waste management in these regions is not just a challenge, but also an opportunity. Properly managed, waste can become a valuable resource, providing livelihoods and contributing to a circular economy. However, realizing this potential requires significant investment in infrastructure, education, and policy reform. While these general challenges are formidable, the specific issue of menstrual waste adds an additional layer of complexity. The next section will delve into the specific challenges posed by menstrual waste in the context of the broader waste management landscape in the Global South.


The impact of menstrual waste on waste management

In the context of the Global South, the issue of waste management is already a significant challenge. This challenge is further exacerbated by the specific and often overlooked problem of menstrual waste. The environmental impact of menstrual products, coupled with the lack of infrastructure and systems for proper disposal, contributes to a complex issue with implications for public health, sanitation, and sustainability. Modern disposable menstrual products, including pads and tampons, are often made from non-biodegradable materials such as plastic, which can take hundreds of years to decompose. In countries where waste management systems are inadequate or non-existent, these products can end up in open dumps, landfills, or even water bodies, contributing to environmental pollution and posing risks to public health. Moreover, in many regions of the Global South, the cultural stigma associated with menstruation complicates the disposal of menstrual waste. Due to the shame and secrecy often surrounding menstruation, menstrual waste is sometimes disposed of improperly or hidden, which can further contribute to sanitation problems. Adding to the complexity is the issue of incineration. In some settings, burning menstrual waste is seen as a solution. However, this approach can lead to the release of harmful toxins into the environment, affecting air quality and contributing to climate change. The impact of menstrual waste on waste management is not just an environmental issue—it is also a social and economic one. The burden of managing menstrual waste often falls on marginalized groups, including waste pickers who face health risks and social stigma. Addressing the impact of menstrual waste requires a multifaceted approach. This includes promoting the use of eco-friendly menstrual products, improving waste management systems, and challenging the stigma around menstruation. Through such efforts, menstrual health can be integrated into broader strategies for improving public health and sustainability in the Global South.


Sustainable menstrual products: a solution for waste management

Menstruation is a natural part of life for half of the world's population, yet the management of menstrual health can pose significant environmental challenges. Traditional disposable menstrual products, such as pads and tampons, contribute to landfill waste and can take hundreds of years to decompose. However, as the global community becomes increasingly aware of the importance of sustainability, many companies and organizations are developing and promoting the use of sustainable menstrual products. These products not only minimize waste but also can be cost-effective and healthier alternatives.

  • Menstrual Cups One such product is the menstrual cup, a bell-shaped container made from medical-grade silicone, latex, or elastomer. Designed to collect rather than absorb menstrual fluid, these cups are inserted into the vagina and can be left in place for up to 8 hours. After removal, they are emptied, cleaned, and can be immediately reused. This makes menstrual cups a long-lasting alternative to disposables, with many brands like Just a Cup which lifespan of up to 10 years with proper care.

  • Reusable Cloth Pads Cloth menstrual pads are another sustainable product gaining popularity. Made from absorbent fabrics, these pads can be washed and reused many times over, reducing the waste associated with single-use pads. They come in various sizes and styles to accommodate different flows and comfort preferences. Some even feature wings and snap fasteners to secure them in place, mirroring the design of disposable pads.

  • Period Underwear Period underwear is a relatively new addition to the realm of sustainable menstrual products. These undergarments feature built-in absorbent layers capable of handling various levels of menstrual flow. Like cloth pads, they can be washed and reused, offering a user-friendly and waste-free alternative. Period underwear can be used alone or as a backup for other menstrual products, and are available in a range of sizes, styles, and absorbency levels.

  • Biodegradable Products For those who prefer the convenience of disposables, there are now options that are more environmentally friendly than traditional products. Certain companies produce pads and tampons that are made from organic cotton and are free from harmful chemicals. Additionally, these products are often biodegradable, making them a less wasteful option when disposed of responsibly.

The shift towards sustainable menstrual products not only helps reduce environmental impact but can also provide economic benefits for users. Although the upfront cost may be higher than disposable products, the long-term savings can be significant over time. However, accessibility and education are crucial factors in promoting these products. There is a need for increased awareness about these options, and they must be affordable and available to all individuals who menstruate. This requires efforts from organizations, businesses, and policy-makers to ensure that sustainable menstrual products are not only produced and promoted but are integrated into menstrual health education and policies. In conclusion, sustainable menstrual products provide a viable solution to the environmental challenges posed by traditional disposable products. As we continue to strive for a greener future, the role of these sustainable alternatives in menstrual health management becomes ever more important.




The intersection of menstrual health and waste management in the Global South is a complex issue that calls for innovative and sustainable solutions. It is clear that the traditional methods of managing menstrual waste contribute to the broader challenges of waste management and can exacerbate existing problems in communities already struggling to manage waste effectively. This additional burden is not only an environmental concern but also a social and health issue that needs to be addressed urgently. Embracing sustainable menstrual products provides a potential way forward. By reducing the quantity of waste generated and offering reusable or biodegradable alternatives, we can lessen the burden on communities, promote more sustainable practices, and contribute to the overall health and wellbeing of individuals and the environment. However, it is essential to recognize that the transition towards sustainable menstrual health management is not a task for individuals alone. It requires the collective effort of NGOs, governments, businesses, and communities to ensure that these sustainable options are accessible, affordable, and acceptable to all who menstruate. Addressing menstrual health and waste management in the Global South is more than an environmental imperative; it is an opportunity to empower communities, improve health outcomes, and foster sustainable development. By tackling this issue head-on, we can help create a world where menstrual health is managed in a way that respects both the dignity of individuals and the health of our planet.


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