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Dignity for Girls: Helping girls build a better future

Imagine not having any sanitary protection when your period starts. Perhaps you don't even have knickers. No one has taught you about menstruation. Your school toilets don't have water and the doors don't close properly. 

That's the reality for too many girls in the world's poorest countries. That's why we are working with faith groups in Uganda to tackle ignorance, misinformation, stigma and shame. We are also helping them develop policies and practice to support girls in their schools to stay in education.

We're working with faith-managed schools, faith-based women's groups and youth groups, as well as faith leaders themselves, to change the conversation on menstruation.
I used to think this issue was not 
important. Now I know it is very, very important. We must
​break the silence on menstruation
and keep girls 
in school.

Balinda Sirag, Uganda Muslim Youth Assembly 

​'I learned how a girl can manage her menstruation... And they told us that menstruation is not a disease but is normal
and natural for everyone. I feel so good!
​At this time I feel so good!' 

Asima Evers, aged 14, Kitoba Primary School, 
​Hoima District, Western Uganda

Watch our video on our Dignity for Girls programme

Incorporating menstrual health has become a critical component of WASH (water, sanitation and hygiene) programmes in recent years.

This short video illustrates why this subject – unspoken, ignored, hidden for many years – is important.

​It also shows how working with faith groups, which run so many schools in the Global South, enables us to greatly scale up our impact and make a real difference to the lives and future prospects of adolescent girls.

Why starting their periods can be a serious challenge for girls from poor families 

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Above, girls proudly proclaim 'menstruation is natural'. Below, pupils make reusable pads
Many girls in poor communities face great difficulties in managing their periods because of lack of information, lack of resources (such as sanitary pads or clean school toilets) and a crippling sense of stigma and shame.

​Studies show that a significant proportion of girls often miss school every month and some even drop out altogether. Girls who drop out of school early are more likely to become teenage mothers or child brides and remain trapped in a cycle of poverty.

Our Dignity for Girls programme is the first to work with faith groups in Uganda to tackle this problem and help keep girls in education.

​We have been working with three faiths in Uganda – the Catholic 
Church, the Church of Uganda and the Uganda Muslim Supreme Council – all major providers of education and key influencers of opinion. ​Together, we are:
  • Helping faith schools develop policies and practice to support girls to stay in education;
  • Improving teaching on menstruation and puberty – for both boys and girls;
  • Establishing 24 faith-managed schools as centres of excellence on this issue;
  • Addressing stigma and shame by breaking the silence on menstruation and changing attitudes.

Did you know...?

Girls in sub-Saharan Africa miss an estimated 10%-20% of school time because of difficulties managing their periods.

Fewer than two thirds of Ugandan girls complete primary school and even fewer secondary.

Children of uneducated mothers are nearly three times more likely to die before age five than those born to mothers with secondary education.

Working in Uganda with Catholic, Anglican and Muslim schools and communities

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Above, girls show off the reusable pads they are learning to make. Below: Girls scouts at a celebration for Dignity for Girls.
We are delighted to report great results from our Dignity for Girls programme in Uganda. We're working with three major faith groups – the Catholic Church, Church of Uganda and the Muslim community – to reduce the rate of girls dropping out of education by helping them feel more confident and empowered to manage their periods well. The programme has so far:
  • Reached 31,844 people with awareness raising and training on menstrual health
  • Helped 1,788 girls manage their periods better through puberty training and packs of reusable sanitary pads
  • Established 24 schools as centres of excellence on teaching on menstrual hygiene management (MHM)
  • Upgraded school latrines by repairing doors, adding locks and hooks for hanging clothes, installing hand washing facilities and building girls' changing rooms
  • Installed brick built rainwater harvesting tanks in ten schools
  • Worked with faith leaders to improve attitudes to menstruation in the wider faith communities
  • Worked with faith-based women’s and youth groups to reduce the crippling sense of stigma and shame felt by girls ​
Our partners on the Dignity for Girls project are A Rocha Uganda, HEAR Uganda and Hajjat Sebyala Aphwa (Energising Solutions).
Find out more
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Above: Pupils enjoy washing their hands at their new hand washing facility. Below: The new rainwater harvesting tank at Mende School.

This programme began after we held the first consultations of faith groups
​in Uganda on menstrual health in 2016. Read more about them below.
​

First faith consultations on MHM

In 2016, we conducted the first consultation of faith groups in Uganda on how poor menstrual hygiene management (MHM) affects girls' education, health and wellbeing.

​This was the first time that faith groups had been consulted on this issue even though they are major education providers in Uganda, and are involved in half of Uganda's schools.

The response from the Christian, Muslim and Bahai faith representatives who took part was overwhelmingly positive.
They recognised the importance of this issue to girls' health, wellbeing and education, and they endorsed our idea of a faith-based toolkit on menstrual hygiene management for faith schools.

Download our Uganda faith consultation report

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This report outlines the findings of our consultations of 162 schoolgirls, 83 faith leaders, teachers and educationalists and 115 members of faith women's groups, in nine workshops in both urban and rural areas. 

Angela Nakafeero, Gender Technical Advisor at Uganda's Ministry of Education, Science, Technology 
and Sports, was a keynote speaker and said: 'We are aware that over half of our schools are founded by religious groups. We are looking 
 forward to this 
toolkit for religious schools. It is very exciting for us. We feel that this contribution will complement some of our interventions.’

You can access the full report of our menstrual health workshops with Ugandan faith groups by clicking here. (NB: This is a 4.3MB document.)

Girls' biggest challenges

We also consulted 162 Christian and Muslim schoolgirls aged 11-13 to understand better what their greatest challenges, worries and concerns were about their menstruation. Although the group was fairly small, it produced some interesting results.
  • 62% of girls say school toilets are too crowded, dirty and lack water for washing
  • 56% say they can't afford sanitary protection
  • 46% worry about boys making fun of them
  • 41% did not know what was happening when their first period started 
  • 40% say they are not taught about menstruation

Fear, ignorance and stigma

Girls were very worried about being mocked by boys over menstruation – particularly girls in rural schools. Overall, 46% of girls said this was one of their biggest concerns but this figure leapt to 73% of rural girls. 

Another major problem is ignorance and misunderstanding about menstruation. A high proportion – 41% – said they had no idea what is happening when their period started. A quarter of them thought they were suffering from a terrible disease at the time, and ​13% still think menstruation is a disease. In addition:
  • 39% believe used menstrual cloths attract evil spirits
  • 38% think menstrual blood contains harmful substances
  • ​35% believe that if their menstrual cloth is burned, they will become barren.

Images from our Uganda workshops

MHM poster presentation 

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Faith in Water was invited to submit a poster presentation to the 5th Annual Virtual Conference on Menstrual Hygiene Management.

​We focused on the response of girls in our Uganda workshops. You can check out our poster presentation here. 


 ‘We need to 
break the silence on menstruation, just as we did 
on HIV/AIDS.’ 
​
– Participant, 
Faith Leaders’ 
Conference
​
‘Religious leaders need to share this and own it.’
– Participant, Faith Leaders’ Conference 

‘Menstruation is a 
 gift. God has elected 
us as co-creators 
and blessed is the 
fruit of our womb.’ 

– Rev Canon Diana Nkesiga,
 All Saints Cathedral

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Registered Charity no: 1164290
​

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