#MenstrualNarratives Storytelling Campaign 2018

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Greetings!

We are hosting another round of #MenstrualNarratives storytelling campaign in conjunction with the Red Elephant Foundation and Tale Weavers  #NoMoreWhispers project. We have learned that storytelling can be a powerful tool to demystify false narratives about menstruation and reduce the stigma associated with #Periods. It is also a critical way to build allyship while creating safe and inclusive spaces for young people around the world. We want to create more opportunities to open dialogue around menstruation and to share stories and experiences.

For this round, we’ve added language support in Spanish, German, English, and French. We welcome your stories in these languages, while we build additional language support in Yoruba, Twi, Swahili, Hausa,  Igbo, Wolof, Pulaar, Hindi, Amharic, and Tigrinya.

Please use this form to share stories on your first #MenstrualExperience in:

Also, if you are an educator and would like training on how to facilitate discussions in the classroom on menstrual health which also include an introduction to reproductive health and healthy relationships, please reach out to us via email (lepainitiative@gmail.com & info@redelephantfoundation.org) or twitter (@LEPA_Initiative & @TheRedElephnt). Our team is ready to help ease these conversations using culturally sensitive and age-appropriate conversations.

Alternatively, we also host workshops and webinars and we would be happy to come on board and explore potential platforms to engage with communities on menstruation and menstrual hygiene.

For an archive of #MenstrualNarratives, please visit https://lepainitiative.org/our-voices-together-as-one/

For more information on #NoMoreWhispers, please visit

http://www.redelephantfoundation.org/p/nomorewhispers.html

To engage with children on Menstruation, do read our story- Menstroo

https://s3.amazonaws.com/online.anyflip.com/ebsa/eria/mobile/index.html#p=1

In Solidarity,

Deborah Dauda

 

Can the Postpartum Doula Care Model Improve a Mother’s Psychosocial Wellbeing, and Responsiveness in Low and Middle Income Countries (LMICs)?

Sustainable feminist futures begin with a healthy birth, an empowered woman and an informed society.  Birth is a feminist issue and a Doula’s core practice is enshrined in the feminist framework that ensures women have the right and control over where, when, and how to give birth. We can’t begin to speak of, or envision a just future of equality, rights and justice for women and families without confronting and dismantling economic and political structures that nurture disparities and inequalities in maternal and child health outcomes in communities of color around the world, especially in Africa and Diaspora communities-Deborah Dauda.

The post below also appears on WorldPulse.Com

Childbirth is a bittersweet experience for many mothers. It can bring joy, happiness, and satisfaction to the home. It can also be challenging, overwhelming and stressful, especially in the context of poor social and physical support networks.  The sound of a baby crying can cause significant stress for a mother ill-equipped to soothe her child. By extension, the type of response the crying child receives from the mother (i.e. holding to feed vs. letting baby “cry it out”) can influence a child’s sense of trust or mistrust. Maternal sensitivity (also known as maternal responsiveness[1]) is the ability of a mother to respond in a timely and appropriate manner to the cue of her child. It is a critical component of the maternal caregiving system[2] and has also been positively associated with mother-infant interaction, attachment and children’s cognitive development[3]’[4].

Historically, through different cultural practices and rituals, pregnant women received free physical and social support during and after childbirth from a community of women, and their families through a process called social birth7. Research by Stern & Kruckman (1983), suggests that postpartum rituals and psychosocial support available to women in non-western settings, for example, among the Ibibio (Nigeria), Punjabi (India), and Mayan (Yucatan) women, contributes to the lower incidence of postpartum mood disorders[5].

Today, in the U.S., the Doula embodies this role as someone who is experienced and professionally trained to provide non-clinical support to the birthing mother, and family, according to their respective needs and wishes[6]. Doulas who help during childbirth are called birth doulas and those who facilitate the transition into parenthood are called postpartum doulas.  Investigations by Eschel et al., (2006), Zeanah, Stafford, & Zeanah, (2005), and Cooper et al., (2002) show that professionals and trained lay-person (s) can facilitate maternal responsiveness. These studies and others have yet to explore the postpartum Doula care model as an integrated framework that could work in tandem with a mother’s clinical team to mitigate psychosocial stressors associated with the postpartum period. Preliminary studies have shown promising outcomes on maternal-child relationship in western societies utilizing a doula care model in childbirth but not in their non-western counterpart, perhaps due to the lack of empirical data, or poor institutional support for this type of practice. For example, review of twelve randomized clinical trials by Scott K., Klaus P., & Klaus M., (1999) substantiates evidence that the benefits of a Doula supported childbirth extends into the postpartum period, through increased rates and duration of breastfeeding, improved self-esteem, decreased symptoms of depression[7], and increased maternal sensitivity.  In addition, an observational study conducted by McComish & Visger’s (2009) reflects the benefits of the postpartum care model in facilitating maternal capacity and responsiveness in the areas of feeding, attachment and integrating the child into the family.

Since studies amongst impoverished communities in industrialized countries already demonstrate that Doulas help improve birth and psychosocial outcomes[8], contextualizing, and operationalizing this model to fit into an ecological framework for Low and Middle-Income Countries (LMICs), especially in Africa can prove useful in achieving dignity in maternity and motherhood, while increasing the possibilities of achieving promises of the post-2015 development agenda.

Sources:

[1] McComish J., & Visger J., (2009). Domains of Postpartum Doula Care and Maternal Responsiveness and Competence. JOGNN 38(2).

[2] Pechtel, P., et al., (2013). Reactivity Regulation, and Reward Responses to Infant Cues Among Mothers With or Without Psychopathology: An fMRI Review. Translational Developmental Psychiatry (1).

[3] Eshel N., et al., (2006). Responsive Parenting: Intervention and Outcomes. World Health Organization.

[4] Farsi M., & McCarroll E., (2010). Crying Babies: Answering the Call of Infant Cries.

[5] Stern G., & Kruckman L., (1983). Multidisciplinary Perspectives on Postpartum Depression: An Anthropological Critique. Social Science and Medicine 17(15).

[6] Placksin S. (2000). Mothering The New Mother: Women’s Feeling and Needs After Childbirth. Newmarket Press.

[7] Scott K., Klaus P., & Klaus M., (1999). The Obstetrical and Postpartum Benefits of Continuous Support During Childbirth. Journal of Women’s Health & Gender-Based Medicine 8(10).

[8] Gruber K., Cupito S., & Dobson C., (2013). Impact of Doulas on Healthy Birth Outcomes. Journal of Perinatal Education 22(1).

 

#MenstrualNarratives-The Story of Abee (25yo, Trincomalee, Sri Lanka) “I told to mother when I got my first menstruation and of course it was a celebration in my society”

According to my community, the age of 16 was too late to get menstruation. Therefore, I have already aware of menstruation from my mother’s instruction and it was a part of my education in intermediate level. I told to mother when I got my first menstruation and of course it was a celebration in my society. I was not allowed to see any men from outside and I was not allowed to go out for a month. I kept in side my room and fed by healthy and nutrition food. Then after a month. I had puberty ceremony, where so many relatives attended.

The Story of SK ( 22yo, Cambodia; Siem Reap) “mother was telling me to use old shorts to block it. She didn’t get me a pad. It was somehow expensive to her”

The experience was not great. I remember I knew what is was called and that only females have it. That’s all. 
I wasn’t prepared and when I first had it at home, my mother was telling me to use old shorts to block it. She didn’t get me a pad. It was somehow expensive to her and she said if we used clothes, we could wash it and use it again in the future. “Pad, use one and dispose one. Such a waste,” her exact words. 

It felt very uncomfortable. I really hope there are more raising-awareness programs to educate girls at remote areas to be well-prepared and not having the same experience like mine.

Menstrual Narratives: The Story of Louisa O. Eikhomun (40yo, Nigeria): “I had by bath and washed very well thinking the flow will stop and went to school”

I woke up from sleep one morning and saw blood stains on me and on my sleeping mat. I did not know what it was as I have not been told about monthly period, not at home nor in school.
I dashed to the bathroom and quicly had my bath trying to see if I had a wound or something.I did not see a scratch on my thighs. I squatted to look into my vagina but could not see exactly where the blood was flowing from. I washed and washed to stop the flow. I had by bath and washed very well thinking the flow will stop and went to school. I was wet with blood before closing. I wrapped my cadigan around my waist as I hurried on the the long treck home to wash again. I was too embarrased to share this experience with anybody. Not even with my mother or elder sisters. I just could not breath a word of it to any one. I suffered for many months in pain, torment and shame hiding it from everyone until one night I was wet all over with blood and and my mother finally noticed and sent for sanitary pads for me.
That was where it all ended. It was not discussed and neither was I asked how I was feeling. Till date I find menstrrual discussion embarrassing.
I have only been able to share this experience with my teen daughters, telling them to confide in me always.

Menstrual Narratives: The Story of Aba E. (30yo, Tema (Ghana): “Mama I have an infection, the bottom of my panty is stained brown”

Dirt in my Panty…
It had been about a week and a half since I recovered from an unknown illness. The doctors did not know what it was but I knew how it felt like. Blinding pain in my abdomen coupled with continuous throwing up, landed me in the hospital, followed by bed rest at home. It was exciting to be back at school and quite pleasant being the centre of attention while I shared the horrors of needles. My day was going quite well till a trip to the bathroom. I noticed a light brown stain in my panty and started running the day through my head, wondering where I sat down during break time. I thought to myself it must have been dirt from that tree root I sat on at break-time and advised myself to start sitting on the school benches. During the day I started getting queasy and my mum’s warning that I needed to rest as much as possible came to mind. I did not want to go back to the hospital and mentally scheduled myself for an early night.
My last trip to the bathroom after school revealed the dirt in my panty had increased and gotten darker. Now I started becoming alarmed. With my mum’s consistent and graphic description of female hygiene and consequences, I was sure I had an infection and I was a little scared. I charged through the house looking for my mum when I got home and told her the bad news:
“Mama I have an infection, the bottom of my panty is stained brown”
“Does it smell? Can I see?”
“Ya”, Pulling my panty down.
“Thank You Jesus!!!! My baby is a woman!” excited pause and relieved laughter followed this.
At this point I was wondering if my mum was alright. What could possibly be joyous about the potential decaying of my vagina?
“AAHHHH that’s why you were ill. You may have been ovulating!”
“I have my period?” I glared at her accusingly. You told me it was blood. Blood is red”
“Yes but the first time is brownish. I didn’t tell you that?”
“Now go take a bath and use a pad as I showed you; if you are in pain, let me know”.
I was mad. Having my period was going to be inconvenient. My mother had given me a detailed description of menstruation and what went into taking care of it. I had never looked forward to the work involved. It was all her fault I had mine so early; always talking about this menstruation thing. She had jinxed me.
While I was sulking in my room and wrapping my wad of cotton with gauze to use (in the 90’s sanitary towels were scarce and expensive in Ghana), I heard my grandma bulldozing through the front door. She came to inspect my DIY pad was firmly in its place and dragged me to the dining table where my parents were sitting looking very happy. She was so excited I started getting a little less angry. She banned me from coming into the kitchen while announcing to anyone in hearing distance that her grand-daughter was a woman. I watched her walk to the dining table after 30 minutes, proudly carrying an earthenware bowl with mashed yam and egg. And that wonderful woman sat me on her lap and fed me; telling me how amazing it was to be a woman. I did not fully understand the excitement but as I looked at my parents’ glowing faces across the table and wrapped my arms around my grandmother’s neck, I thought ” this getting your period thing may not be too bad after all”.

Menstrual Narratives-The Story of Akyaa N. (29 yo, Accra): I was very sad and devastated by the fact that it had come

It happened at home and my mother had explained to me what is would be like previously so I knew but I was very sad and devastated by the fact that it had come. I thought I was too young. I wasn’t ready to be a woman yet. I told my mother and she assured me that everything would be ok. That was it

Engaging #Men&Boys to #EndVAWG (Violence Against Women and Girls) Tweetathon June 15-16, 2014

Dear Friends,

Join us! On Father’s Day (June 15th) and the Day of the African Child (June 16th) to highlight ways in which men and boys are engaged in and can mobilize to end/prevent Violence Against Women and Girls (VAWG). VAWG is a grave violation of human rights and bodily integrity, that not only affects the well-being of women, but their families, their community and country-causing greater healthcare/legal expenses, losses in productivity and overall development.

This conversation is a follow-up and a response to the following ongoing campaigns: #EndChildMarriageNow (Africa Union 2-yr campaign), #TimetoAct, #MenstruationMatters, #BringBackOurGirls, #JusticeforLiz, #WEA and #TheAfricaWeWant. This is also the first in our series to raise consciousness for gender equality using hashtags #Men&Boys to #EndVAWG.

We want to know how your country is engaging #Men&Boys to #EndVAWG | what the challenges are | why it is important to engage #Men&Boys? | And is violence against women and girls a #Men&Boys issue?

Join in from June 15-16 to engage in dialogue that illustrates the progress, challenges and solutions to #EndVAWG. Please use the hashtags: #Men&Boys and #EndVAWG on Twitter and Facebook. Find our social media toolkit here, and invite your friends on Facebook.

Importantly, to help us stay in touch with you, and improve the sustainability of #EndVAWG via #Men&Boys as allies, take 2 minutes to participate in this survey.

We look forward to engaging with you on Twitter and Facebook.

In Solidarity,

Joanne Oport, MPA | @awuoroport

Deborah Dauda, MA/MPH| LEPA_Initiative@LEPA_Initiative

Kennedy Otina | Men 2 Men Program, @FEMNETProg@jakateng

#EndVAWG #Men&Boys As Allies Flier June 15-16 2014

The Story of Phillomen N. (31yo, Uganda): My Sister Called and asked if I was Raped, I was so Embarrassed.

I applaud the 28th May initiative and ask God to permanently break the silence. 
My 1st menstrual experience was a horrible one. I was living with my sister and when I realized something that seemed abnormal then; blood on my under wear I was so scared! I could not tell her because I felt so ashamed. I got some old clothes padded myself but this caused more embarrassment because I think I used such a big clothe that I could hardly walk. My sister called me and asked if I was raped I was so embarrassed. I did not know what to tell her. Then I thought that may be it is to. I thought everybody is going to laugh at me just as it happened to girls at school then I would not go back to school again. My sister showed me what I should do but that made me feel more embarrassed. We need to break the silence.

The Story of Victoria A. (34yo, Los Angeles): I was told if I looked at a Boy or Allowed a boy to Touch me, I would get Pregnant and Ruin my Life Forever

 I started my period at the age of 12 years-old.  It arrived around three in the afternoon, while I was doing my chores. All I can remember is the vivid red spot on my panties and thinking wow I really need to tell someone. My mother wasn’t around so I told my Aunt Tudy a close family friend…I just couldn’t hold it in. My mom arrived a few hours later and before I could tell her my Aunt Tudy spilled the beans. My Mother walked away, called me into her room and asked why I didn’t wait until she got home first, for she was my mother and had the right to know first. She was disappointed in me and I was disappointed in myself. She stayed upset for a while, and then she proceeded with her chilling African style lecture on my new journey into womanhood. Essentially I was told if I even looked at a boy too closely let alone allowed a boy to touch me, I would get pregnant and ruin my life forever. There was no sex education, no hugs, no welcome to womanhood rite of passage pow wow. This is essentially how I remember my first period.