A Comprehensive Approach to Menstrual Justice

MeJARa is a groundbreaking initiative aimed at improving the menstrual experiences of women and girls in low-and-middle-income countries

MeJARa is a groundbreaking initiative aimed at improving the menstrual experiences of women and girls in low- and middle-income countries (LMICs). We have designed a comprehensive five-step approach to tackle this important issue, focusing on research, understanding, development, and intervention.

Our project is divided into five interconnected subcomponents:

1. Analysing National and International Menstrual Policies

Our goal is to map and analyse menstrual practices and policies across LMICs. We will critically review existing policies to understand the gaps in knowledge and governance surrounding menstruation.

2. Understanding the Menstrual Experiences of Adolescent Girls

We aim to understand the causes and consequences of different menstrual practices, policies, and taboos in Nepal and Guatemala. Through a multi-modal case study design, we will explore the lived experiences of adolescent girls in various contexts, such as school, work, home, and community.

3. Developing the Theory of Menstrual Justice

Our objective is to create a universal, multidimensional framework of menstrual justice that incorporates LMICs perspectives and priorities. We will explore the critical components of menstrual justice and establish best practices under various conditions.

4. Developing and Validating Tools to Measure Menstrual Justice

We will develop and validate appropriate quantitative survey instruments to measure the dimensions of menstrual justice consistently and comparatively. These tools will help us better understand and prioritize menstruation in achieving global goals, such as the Sustainable Development Goals (SDGs).

5. Developing and Testing Community-Based Interventions

Our final objective is to identify and determine the feasibility of innovative interventions addressing menstrual pain and injustice among adolescent girls in complex contexts, such as Nepal and Guatemala. We will focus on a stratified cluster randomized controlled trial approach to assess the acceptability, feasibility, and effectiveness of the developed interventions.

Over a five-year period (November 2022-October 2027), MeJARa will work diligently in two districts in Nepal’s Karnali and Gandaki provinces, striving to create lasting change in menstrual experiences and justice for women and girls around the world.