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Our Theory of Change

If we

De-stigmatise menstrual and sexual reproductive (MHH & SRH) health at a household, community and ecosystem level

By

Creating safes spaces for menstruators and the wider community for uninhibited conversations around MHH & SRH, gaining credible knowledge and access to tele-healthcare via PeriodShala and Aarogya Saathi

Mentoring high potential leaders and start-ups via The Period Fellowship and PeriodPreneurship

Innovating evidence-based approaches to normalise MHH & SRH in highly marginalised groups via The Period Lab

PeriodShala

Aarogya Saathi

The Period Fellowship

PeriodPreneurs

The Period Lab

It will lead to menstruators

Advocating for their needs and making informed choices around beliefs, practices and MHH & SRH products

Gain access to a stronger menstrual health ecosystem with greater advocacy for ending menstrual stigma

Participating in school, the workforce and societal activities equitably

Prioritising their MHH & SRH, self-care and health-seeking behaviour

Improving their menstrual hygiene practices (SDG 6.2)

Experiencing supportive environments where they can seek support from men and community members during menstruation

And eventually

GOOD HEALTH AND WELL-BEING

Improved health and wellbeing of menstruators

GENDER EQUALITY

Reduced gender inequity

Our Beneficiaries & Partners

Marginalised Groups

Menstruators, men and adolescents living in low-income or rural communities communities

Sex Workers

LGBTQ

Differently abled People

Enablers

Teachers & Frontline Workers (AAAs)

Community Leaders

Governments & Institutions

MHH & SRH Ecosystem

Teachers & Frontline Workers (AAAs)

Community Leaders

Creating a Movement

To date, the number of menstruators and influencers we’ve reached in marginalised communities across India. Hover over each beneficiary to view our 2025 impact goals.

200,000

Adult children and menstruators
Discover Our Impact

Proof of Concept

Our mission is underpinned by a desire to see sustained behaviour change within a community. We develop rigorous monitoring and evaluation (M&E) frameworks in consultation with Nilekani Philanthropies and consultants from IIM Bangalore to ensure that we create meaningful impact for marginalised menstruators over the long-term.

The below diagram captures the results and M&E tools utilised to conduct a Proof of Concept in urban low-income communities in Bangalore from November 2018- March 2019.

MONITORING AND EVALUATION

Periodshala

Community Intervention that is delivered by our frontline resource persons through MHH/SRH workshops

The prog is designed to achieve the following

 

OUTCOME
Adult menstruators have dialogue with other stakeholders like husbands and daughters about menstruation

 

IMPACT

Menstruators advocating for their needs and rights

 

IMPACT
Increase in hygiene practices

Baseline conducted with 160 menstruators

56% adult menstruators and 80% adol menstruators consider menstrual
blood impure

54% adult menstruators don't about menstruators with anyone

Aarogya Saathi

Telemedicine and informational helpline for menstruators and non-menstruators

Aarogya Saathi is designed to achieve the following

 

OUTCOME

Menstruators focus
on self care and seek support

 

 

OUTCOME

Menstruators prioritize and practice

hygiene practices which are most

beneficial to them

PRE-PROGRAMME M&E

Baseline surveys conducted with the menstruators over phone

70% menstruators could articulate what self care meant to them, only after prompting

None of the menstruators were doing the following hygiene practice- Washing vagina with warm water, taking care of intimate hygiene

Automated Dashboard were also created to contonously monitor data such as issue causes, demograhics, doctor consultations

Enabling uninhibited conversations and safe space for behaviour change through the intervention

 

3 months after the programme

Post test data collected from 285 menstruators

Endline done with 77 adult and 60 adol menstruators

18 months post programme

Follow up endline surveys conducted by the FLWs with 63 adult and 38 adol menstruators

1. Major hygiene pratice like washing private part with just water increaesed from 8 to 93% post intervention

2. Post intervention, 53% adult menstruators received support from their husbands during PMS/Menstruation

3. Adolescent menstruators continued to sustain major hygiene practices at 80% post intervention.

 

Endline surveys done with 250 adult menstruators

In-depth interviews done with 30 adult menstruators

Focus Group Discussion done with 10 adult menstruators

All data collected by the Governance third party volunteers and internal team

1. 90% adult menstruators were able to articulate their unique self-care needs, thereby emphasizing their health

2. 30% menstruators started new hygiene practices since the intervention

 

To understand the long term impact

Tracking incoming and outgoing info on our tech platform by the operations team

Collecting primary data from the beneficiary towards outcomes and design by the Governance team on a monthly basis

Tracking subscription data on the tech platform

Our Impact

During a PeriodShala session with Junior High School students in Bhopal, Priyanka, a 2019 Period Fellow listened as two adolescents confessed, “We feel afraid going to the washroom alone”. Priyanka was surprised as Amita (name changed for anonymity) shared “our toilet doesn’t have a latch so we’re afraid anyone can come in! It’s right next to the boy’s toilet, we feel scared. We ask our friends to wait outside for us. The lights don’t work properly, the toilets are dirty and don’t function. There are no dustbins for us to dispose of our sanitary pads”

Riya in 6th standard shared an instance where one of the boys opened the toilet door unknowingly - it made her feel so embarrassed and ashamed, she stopped going to school for the next 12 days. Kalki in class 7th chose to skip school or she’d have to carry her used pad in her pocket, or not change her pad all day.

Priyanka asked them whether they had spoken to their family or teachers about this, they shook their heads. Priyanka encouraged them to speak up and advocate for their menstrual hygiene needs.

When she visited the school the following week, Kalki explained that students had been having conversations with their teachers about their menstrual hygiene needs and showed Priyanka a letter they had written to the principal asking for a better WASH facility in the school.

The principal agreed to implement the changes over the upcoming holiday break and thanked Priyanka for drawing attention to how the school could create a more supportive environment for menstruators, furthermore enabling their students to take accountability for their menstrual health and enact change.

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