Hacker News new | past | comments | ask | show | jobs | submit login
Blood Sisters: Menstrual Cups Help Keep Kenyan Girls in School (spiegel.de)
38 points by Tomte on March 18, 2021 | hide | past | favorite | 42 comments



On a side note (haha)...

I tried to get my daughter to use these (single dad here), but no go. I guess the school where she was put it in their head that pads was the only way to go.

Sigh. I guess when she gets older and more independent she'll probably try it.


Also, did your daughter consent to you discussing her choice of menstrual products on the public internet?


It sounds really weird that you're disappointed in your daughter for a choice she's making with her own body that you don't even have any experience with...


Single dad and a child figuring out things for the first time. Making recommendations based on limited knowledge seems like the only real option available. It also sounds like he did in fact let her make the choice she wanted, despite not thinking it was the best one. Sounds like somewhere between "ok" and "good" parenting.


Thanks.


It's his judgment of her choice I have a problem with.


Funny, it's your judgment of this father that clearly cares about his daughter that I have a problem with.


There is also period underwear (https://news.ycombinator.com/item?id=8021090). They are not as resilient/inexpensive as cups. You shouldn't put period underwear in the dryer, and they have a more limited number of washes in them. However, I have it on good information that they are a significant improvement over pads.


The discussion here, earnest and otherwise, is like catnip for ngate.


[flagged]


How do you reconcile your claim that there is "no evidence girls miss significant school because of lack of period care" with the statemment in the article that:

"Kenya's Education Ministry estimates that girls miss a total of 156 school days during four years of high school because they skip classes during their periods."

Where are you getting your data from?


Not OP, but politicians aren't scientists and claim all sorts of things for a variety of reason.

They mentioned a DOI: https://www.journals.uchicago.edu/doi/10.1086/669121

The abstract: The provision of toilets and menstrual supplies appears to be a promising strategy to promote adolescent girls’ school attendance and performance in less developed countries. In this article, we use the first round of the Malawi Schooling and Adolescent Survey (MSAS) to examine the individual- and school-level factors associated with menstruation-related school absenteeism. Although one-third of female students reported missing at least 1 day of school during their previous menstrual period, our data suggest that menstruation accounts only for a small proportion of all female absenteeism and does not create a gender gap in absenteeism. We find no evidence for school-level variance in menstruation-related absenteeism, suggesting that absenteeism due to menstruation is not sensitive to school environments. Rather, coresidence with a grandmother and spending time on schoolwork at home are associated with lower odds of absence during the last menstrual period.


So, that's an abstract single study from Malawi that is coming up for 10 years old and I don't personally have enough information to know whether Malawi is a good proxy for Kenya.

But to use this to dismiss Kenya's own statements is weak and "politicians aren't scientists and claim all sorts of things for a variety of reason" (aka, I don't believe it) isn't sufficient to make strong claims that there is no evidence


Politician are not believable in countries that aren't coming so low in the corruption index. Kenya is about 124th

Obviously skipping school because of periods is not necessarily related to lack of menstrual products, as the DOI indicates it's not.

Menstrual care is a well documented NGO program tried around the world. Do you have a DOI where it has worked? Where is your data coming from?

Where is the Kenya data? What happened when the tax was removed 10 years ago? If it matters then that will have enacted a change you should see school data.

Menstrual cups are 50 years old. Cheap. You don't need many. Why are adults already not using them? Were in developing countries are they used?

How does it relate to virginity, specifically the hymen? That kinda seems important when dealing with children in conservative societies.


When universal education happened for white women in Europe what did white schoolgirls do?

With all the resources at their disposal why can't Africans manufacture their own tampons?

Kenyan girls should look on the bright side. At least they are luckier than the county in Ghana where menstruating girls can't go to school because to cross the river between them and their school is a taboo.

Of course the school could be relocated to the other side of the river, but that would mean girls coming from the other side wouldn't be able to go to school.

Simple solution. Have a school on each side of the river.


I’m happy that instead of the plans in Canada to give out free disposable tampons is not being replicated abroad.

The environmental impact of disposal products is terrible.


Well the relative impact isn't that high, though I was pretty shocked to learn how much plastic is contained in tampons in other countries. My napkin math says that a whole life of using these full-plastics tampons equals about 1000 miles of driving an average-mpg car (11000 tampons, 10g of plastic per tampon, 25mpg as the national average efficiency).

So car-sharing one month for a 20 mile commute has about the same impact as never using disposable tampons for the whole life.


But the choice isn’t car sharing or tampons, it’s tampons vs a reusable reply device that lasts forever.


> it’s tampons vs a reusable reply device that lasts forever

... but you have to wash it with water and cleaning products, and possibly carry around dirty.

Does it still come ahead? Probably. I don't know. We had this conversation with my wife around cups and reusable pads, and we're still not 100% sure which is the most environmental-friendly option.

I raise this as a general point: I've never seen any good resources to help people estimate full environmental impact of disposable vs. reusable things, accounting both the difference of {emissions, energy, water, plastics} used in manufacturing of disposable vs. reusable item, and then the difference of those in ongoing maintenance.

It's important we learn to figure this out as consumers, because I fear otherwise our civilization will die on lots of bad decisions driven by not knowing the total costs. Things like not realizing you'll have to use a reusable bag a couple thousand times before you're ahead energy-wise over single-use plastic bags (the correct answer here being, treat your reusable bag with respect, and find other ways to reduce packaging churn - otherwise you'll likely lose or destroy your eco bag before you achieve a net environmental win).

(On that note, I recommend watching videos about how things are made - it's a good way to calibrate your sense of how much plastic actually goes into a thing. In case of e.g. disposable trash bags, my brain can't really internalize information like "10 microns thick", but actually seeing the process of making a big roll of plastic film and turning it into unending stream of bags made the relative amount of material involved intuitively comprehensible. Also, videos of industrial machines are relaxing to watch.)


> I raise this as a general point: I've never seen any good resources to help people estimate full environmental impact of disposable vs. reusable things, accounting both the difference of {emissions, energy, water, plastics} used in manufacturing of disposable vs. reusable item, and then the difference of those in ongoing maintenance.

It's a very good point. This kind of stuff is impossible for the lay person to estimate.

Here's one example for nappies. It's 37 pages long. https://assets.publishing.service.gov.uk/government/uploads/...


> It's important we learn to figure this out as consumers, because I fear otherwise our civilization will die on lots of bad decisions driven by not knowing the total costs

I don't think it is feasible to figure these things out as a consumer in any way that scales to the range of products that we use, changes in manufacturing and materials over time, and the available attention that each consumer can dedicate to the problem.

I would like to see more externalities incorporated into the price of goods, via taxes or other market intervention. Of course, that's hideously difficult as well, but I feel it's closer to being feasible than consumers estimating externalities of each product themselves.

(Probably we need both approaches, and more besides.)

Edit: a good thing about incorporating externalities into prices is that to a large extent it should naturally aggregate through the whole production/supply chain. If plastic is a problem and you tax plastic feed-stock (probably someone who knows about plastic manufacture would have a better suggestion, sorry), then that naturally will be incorporated into the price of everything made out of plastic, proportionately to the amount of plastic the thing required.


Indeed. The switch to reusable options comes with its own challenges, though (says my social circle, I don't menstruate). So if the goal is to change things in one's own life for the sake of sustainability, there are lower hanging fruits than menstrual hygiene.


To chime in here and elaborate a bit further:

Generally we have 2 “traditional” choices for menstruation products: tampons and sanitary pads. Reusable options for both are the menstruation cups (as already mentioned) and washable thus reusable sanitary pads. As far as I know there are also reusable tampons but I don’t know anyone who uses them and they aren’t that widespread.

Menstruation cups are - especially when starting to use them - a bit messy. One has to empty them when they are full and ideally you should at least rinse it after every use. This is a bit uncomfortable and bloody in public bathrooms. Secondly, finding the correct size can be quite tricky especially since the cups are a bit more pricey. Thirdly, when a woman gets an IUD doctors generally recommend against using cups in the first few weeks/ months after insertion. And lastly, they’re simply not comfortable to wear for everyone.

Reusable sanitary pads are a bit different but in my experience don’t replace the traditional pads. Particularly during heavy flow days those simply don’t have the capacity to “catch everything”. Further, if you have to change the pad in public you will have to carry around the used one.

So yes, I agree with you, there are simpler ways to start taking care of one’s rubbish production :)


+1 hi, menstruating human here. I don’t represent all of my gender, but can say from experience that yes reusable options aren’t always the best option. You have the issue of needing (ideally) clean running water & clean hands each time you empty the cup... maybe more relevant to the discussion than the sustainability argument. (Try getting your period at Burning Man.) Also many women never use menstrual cups because they can be difficult to insert and remove.

While TSS has ceased to be common in most places, our education about not leaving tampons / menstrual cups in for too long likely has a lot to do with it. If you have limited access to tampons or necessary resources maybe you leave them in longer than you should, harboring bacteria, etc. So idk, I care about sustainability too it’s clearly an important issue, but so is gender equity & women’s basic health & access to education...


And yet if society is pushing a change in distribution of these products why not go with the environmental option that is also more economical?

Is Big Tampon really a thing?


> And yet if society is pushing a change in distribution of these products why not go with the environmental option that is also more economical?

Because the "environmental" option is difficult if not impossible sometimes:

1) not all vaginas are created equal. Finding the correct type and size of cups that fit can easily consume over a hundred € or more, and that's with Amazon shopping in a developed country. In a poor country with dysfunctional infrastructure? Good luck finding a cup in the first place and pray it somewhat fits. In the end, it's the classical "cheap shoe problem" - a poor person can't afford 100$ for a shoe that lasts 10 years and so has to spend 10$ a year on cheap shoes, while a rich person buys a decent shoe and doesn't have to worry for 10 years... the end result is, both spend the same amount of money, but the poor person has a poorer quality of life and causes more resource waste.

2) You need to clean reusable cups or panty liners. This requires access to clean boiling water and some sort of container to boil the product in - and I'd bet 99% of people aren't exactly fond of using containers they use to prepare food in for cleaning period products, especially in regions where women on their period are banished from the house / village.


Is [0] the cheap shoes story you were thinking of?

Here is an excerpt from it.

> “The reason that the rich were so rich, Vimes reasoned, was because they managed to spend less money.

> ...

> But the thing was that good boots lasted for years and years. A man who could afford fifty dollars had a pair of boots that'd still be keeping his feet dry in ten years' time, while the poor man who could only afford cheap boots would have spent a hundred dollars on boots in the same time and would still have wet feet.

[0] https://www.goodreads.com/quotes/72745-the-reason-that-the-r...


Yep, thanks, it's that one.


All sources I could find about that topic indicate the plan is to offer free menstrual products. Nowhere did it state anything about them having to be disposable.

It wouldn't matter anyway, because the environmental impact of giving away those products for free is exactly zero: Women won't start to menstruate more to get free tampons.


_or_ hey, why not give women the options to decide for themselves?

Yes big tampon is really a thing (more about flow than size) but also so are slender/junior tampons for teenagers.


We also use toilet papers, do you plan not to use that as well?


Toilet paper is barbaric and uncivilized. We can and absolutely should discontinue it everywhere. If you got poop on your arm, you wouldn't smear it off with dry paper. You'd wash with soap and warm water. Bidet all the way.


I use a bidet when possible and only resort to Environmentally less friendly TP when forced to do so out.


I’m very skeptical about water supply (and related infrastructure) being more environmentally friendly than tp.


It seems like it's the same with the article: cup when possible, less env friendly tampon if not.

Seems reasonable.


Real question: don’t you need TP even when using a bidet? Bidets seem to make it easier to clean via wiping, but doesn’t seem to clean enough by itself.


If you're washing it, I guess you could use a towel like you would in the shower after equivalent washing.


I’m not sure how everyone does it but I shit then shower, so no need to dry my butt


You can't do that every time though, can you??


The products are used anyway. Paid or free.


But if they have a cost, there is an incentive to use environmentally friendly and reusable options.

Like plastic bags at the grocery store. I think the default should be reusable cotton bags, and rarely use plastic bags when required.

The world is going green, why should female sanitary products not be included?


There‘s no such thing as „free“. Everything is associated with a cost, it‘s just a question of who has to pay for it.


> The environmental impact of disposal products is terrible.

No. Modern society is terrible for the environment. Disposable tampons or lithium batteries in AirPods or driving a 1/2 mile to the corner store are not terrible for the environment.

Either we make the big sweeping global societal changes that are needed to protect the environment or we don’t. The idea that we’re going to piecemeal tiny pointless changes into something that matters is insane to me. Just not going to happen.

Don’t drive. Don’t fly. Don’t have kids. Don’t eat meat. Live in small dense housing. Those are the things an individual can do to have the biggest impact — and even those things don’t matter.

Just do whatever you want and enjoy the ride. Shaming others for doing a tiny wasteful thing when our entire society is unsustainable isn’t doing anyone any favors.




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: