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Spatial heterogeneity of menstrual discriminatory practices against Nepalese women: A population-based study using the 2022 Demographic and Health Survey

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  • Geoffrey Barini
  • Sharon Amima
  • Damaris Mulwa
  • Polycarp Mogeni

Abstract

Menstrual discrimination hampers progress toward Sustainable Development Goals. Examining the spatial heterogeneity of menstrual discriminatory practices may present an opportunity for targeted interventions. Here we evaluate geographical disparities in menstrual-related restrictions and assess their association with socio-economic and demographic factors. We used data from the 2022 Nepal Demographic and Health Survey which included 13,065 women aged 15–49 who reported menstruating within the past year. We explored the spatial heterogeneity of menstrual restriction outcomes using the standard Gaussian kernel density approximation method and the spatial scan statistic. The Poisson regression model with robust standard errors was used to assess the association between the different forms of menstrual restriction and the socio-economic, and demographic factors. Overall, the prevalence of women who reported any form of menstrual restriction was 84.8% and was subject to geographical variations ranging from 79.0% in Bagmati to 95.6% in Sudurpashchim. Religious restrictions were the most prevalent (79.8%) followed by household-level restrictions (39.5%) and then Chhaupadi (6.2%). Geographical variations were more prominent for women experiencing Chhaupadi (primary geographical cluster: relative risk = 7.4, p

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  • Geoffrey Barini & Sharon Amima & Damaris Mulwa & Polycarp Mogeni, 2024. "Spatial heterogeneity of menstrual discriminatory practices against Nepalese women: A population-based study using the 2022 Demographic and Health Survey," PLOS Global Public Health, Public Library of Science, vol. 4(11), pages 1-17, November.
  • Handle: RePEc:plo:pgph00:0003145
    DOI: 10.1371/journal.pgph.0003145
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    References listed on IDEAS

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    1. Goli, Srinivas & Sharif, Nowaj & Paul, Samanwita & Salve, Pradeep S., 2020. "Geographical disparity and socio-demographic correlates of menstrual absorbent use in India: A cross-sectional study of girls aged 15–24 years," Children and Youth Services Review, Elsevier, vol. 117(C).
    2. Krenz, Astrid & Strulik, Holger, 2021. "The impact of menstruation hygiene management on work absenteeism of women in Burkina Faso," Economics & Human Biology, Elsevier, vol. 43(C).
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