Sexual and reproductive health and rights and climate change about menstrual discrimination: a policy review in the context of Nepal.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-06-16 eCollection Date: 2025-01-01 DOI:10.3389/fgwh.2025.1560404
Radha Paudel, Devaraj Acharya, Tejaswi Mili Adhikari
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Abstract

The conversation around climate, sexual and reproductive health and rights (SRHR), and menstruation is increasing more than ever in Nepal. The discussion between climate and SRHR is more visible and it endeavors to develop the relationship between them. The claim of the role of menstrual discrimination (MD) is the construction and reinforcement of power and patriarchal demands unveiling MD as an underlying barrier for gender-responsive climate or SRHR interventions. In this vein, this study reviewed the national policies of climate change (CC) and SRHR with MD. It aims to examine the positioning of MD in ongoing policies around SRHR and CC. It is crucial to accelerate the impact of interventions related to SRHR and CC to achieve broader gender justice and human rights. The policy-related documents regarding CC and SRHR are reviewed. The visible and invisible MD is rampant across the country regardless of class, caste, region, or religion. The Government of Nepal started to work on SRHR in 2000, although the specific policies on dignified menstruation were made in 2017. MD is missed across all the conversations of CC although it talks about gender equality and social inclusion policies (GESI). The GESI policies and programs do not spell out the discrimination related to menstruation and its impact throughout life, and the SRHR policy has a similar impact. MD is one of the missing dimensions regarding power relations, patriarchy, climate, and SRHR. This study recommends a thorough unpacking of MD, including its impact, incorporating the strategies to dismantle MD in both SRHR and ensuring CC-related policies and programs for real equality and inclusion. The findings of this research become helpful to policymakers during intervention planning to overcome the situation.

关于月经歧视的性健康和生殖健康及权利和气候变化:尼泊尔背景下的政策审查。
在尼泊尔,围绕气候、性健康和生殖健康及权利(SRHR)以及月经的讨论比以往任何时候都多。气候与SRHR之间的讨论更为明显,并努力发展两者之间的关系。经期歧视(MD)的作用主张是权力和父权要求的构建和强化,揭示了MD是性别敏感气候或SRHR干预的潜在障碍。在此脉络下,本研究回顾了国家气候变化政策(CC)和性别平等政策(SRHR)与性别平等政策(MD)的关系,旨在探讨MD在围绕SRHR和性别平等政策(CC)的现行政策中的定位。加快与SRHR和性别平等相关的干预措施的影响,以实现更广泛的性别正义和人权至关重要。审查了有关CC和SRHR的政策相关文件。无论阶级、种姓、地区或宗教,可见或不可见的MD在全国各地都很猖獗。尼泊尔政府于2000年开始开展性健康和生殖健康问题的工作,尽管有关有尊严月经的具体政策是在2017年制定的。尽管CC讨论的是性别平等和社会包容政策(GESI),但在CC的所有对话中都遗漏了MD。GESI的政策和方案没有详细说明与月经有关的歧视及其对整个生命的影响,性别和社会人权政策也有类似的影响。MD是关于权力关系、父权制、气候和SRHR的缺失维度之一。本研究建议对医学医学进行彻底的拆解,包括其影响,结合在SRHR中废除医学医学的策略,并确保与疾病相关的政策和计划实现真正的平等和包容。本研究结果有助于决策者在制定干预计划时克服这种情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.70
自引率
0.00%
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0
审稿时长
13 weeks
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