Developing the menstrual justice agenda: Insights from a mixed method study in the mid-western region of Nepal

Research output: Contribution to journalArticlepeer-review

86 Downloads (Pure)


This article develops the concept of ‘menstrual justice’. The legal scholar Margaret E. Johnson has developed an expansive approach to menstrual justice incorporating rights, justice and a framework for intersectional analysis, with a focus on the US. This framework provides a welcome alternative to the constrictive and medicalised approaches often taken towards menstruation. However, the framework is silent on several issues pertaining to menstruation in Global South contexts. This article therefore develops the concept of menstrual justice in order to extend its relevance beyond the Global North. It presents the findings of mixed-methods research conducted in April 2019 in the mid-western region of Nepal, particularly concerning the practice of chhaupadi, an extreme form of menstrual restriction. We conducted a quantitative survey of 400 adolescent girls and 8 focus group discussions, 4 with adolescent girls and 4 with adult women. Our findings confirm that dignity in menstruation requires addressing pain management, security issues, and mental health plus structural issues including economic disadvantage, environmental issues, criminal law, and education.
Original languageEnglish
Article number2204025
JournalSexual and Reproductive Health Matters
Issue number1
Early online date9 Jun 2023
Publication statusPublished - 31 Dec 2023

Bibliographical note

Ethical clearance for this research was obtained from the Nepal Health Research Council (reference no. 2237) and the Social Science Research Ethics Committee at the University of Bath (reference no. S19-001). This work was supported by the GCRF 18/19 (project title ‘Menstrual Taboos and Menstrual Hygiene Policy in Nepal: A Multi-Method Scoping Study to Understand the Barriers to Good Menstrual Hygiene for Adolescent Girls’)


Dive into the research topics of 'Developing the menstrual justice agenda: Insights from a mixed method study in the mid-western region of Nepal'. Together they form a unique fingerprint.

Cite this