Capturing menstrual health and hygiene in national surveys: insights from performance monitoring and accountability 2020 resident enumerators in Niamey, Niger

Menstrual health and hygiene (MHH) is an emerging public health priority. To support policy and practice, large-scale surveys monitoring water, sanitation, and hygiene and reproductive health have started to incorporate MHH. Insights gained from these surveys are contingent on the quality of the mea...

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Autores principales:	Elizabeth Larson, Shani Turke, Nana Hadiza Miko, Sani Oumarou, Souleymane Alzouma, Ann Rogers, Kellogg J. Schwab, Julie Hennegan
Formato:	article
Lenguaje:	EN
Publicado:	IWA Publishing 2021
Materias:	measurement menstrual health menstrual hygiene national monitoring outcome assessment survey Environmental technology. Sanitary engineering TD1-1066
Acceso en línea:	https://doaj.org/article/b1539573c0fb40afa4098fa73fe3f99b
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spelling	oai:doaj.org-article:b1539573c0fb40afa4098fa73fe3f99b2021-11-05T19:29:47ZCapturing menstrual health and hygiene in national surveys: insights from performance monitoring and accountability 2020 resident enumerators in Niamey, Niger2043-90832408-936210.2166/washdev.2021.177https://doaj.org/article/b1539573c0fb40afa4098fa73fe3f99b2021-03-01T00:00:00Zhttp://washdev.iwaponline.com/content/11/2/295https://doaj.org/toc/2043-9083https://doaj.org/toc/2408-9362Menstrual health and hygiene (MHH) is an emerging public health priority. To support policy and practice, large-scale surveys monitoring water, sanitation, and hygiene and reproductive health have started to incorporate MHH. Insights gained from these surveys are contingent on the quality of the measures used. Performance Monitoring and Accountability 2020 (PMA2020) was one of the first survey programs to include MHH. We undertook four focus group discussions with resident enumerators and one with their female supervisors following the 2018 PMA2020 survey in Niamey, Niger and synthesized their insights on the performance of the MHH measures used. Enumerators reported that questions about menstruation were well tolerated and most were understood conceptually. Discussions identified missing response options for the places used for MHH and suggest that enumerator training should include common brands of menstrual materials to ensure data quality. Further, current questions seeking to capture the privacy and safety of locations used for MHH require modification or more intensive training efforts to consistently capture these concepts. Enumerator perspectives on menstrual needs in Niger highlight topics missing from MHH monitoring. Attending to enumerator expertise has the capacity to strengthen future surveys directed toward understudied health and development challenges such as MHH. HIGHLIGHTS Resident enumerators are a source of expertise on the performance of survey questions.; PMA2020 questions regarding menstrual health and hygiene (MHH) were acceptable to respondents.; Asking respondents to report the ‘privacy’ and ‘safety’ of their menstrual management location was the most challenging question to administer.; Resident enumerators described many MHH needs not captured by PMA2020 questions.;Elizabeth LarsonShani TurkeNana Hadiza MikoSani OumarouSouleymane AlzoumaAnn RogersKellogg J. SchwabJulie HenneganIWA Publishingarticlemeasurementmenstrual healthmenstrual hygienenational monitoringoutcome assessmentsurveyEnvironmental technology. Sanitary engineeringTD1-1066ENJournal of Water, Sanitation and Hygiene for Development, Vol 11, Iss 2, Pp 295-303 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	measurement menstrual health menstrual hygiene national monitoring outcome assessment survey Environmental technology. Sanitary engineering TD1-1066
spellingShingle	measurement menstrual health menstrual hygiene national monitoring outcome assessment survey Environmental technology. Sanitary engineering TD1-1066 Elizabeth Larson Shani Turke Nana Hadiza Miko Sani Oumarou Souleymane Alzouma Ann Rogers Kellogg J. Schwab Julie Hennegan Capturing menstrual health and hygiene in national surveys: insights from performance monitoring and accountability 2020 resident enumerators in Niamey, Niger
description	Menstrual health and hygiene (MHH) is an emerging public health priority. To support policy and practice, large-scale surveys monitoring water, sanitation, and hygiene and reproductive health have started to incorporate MHH. Insights gained from these surveys are contingent on the quality of the measures used. Performance Monitoring and Accountability 2020 (PMA2020) was one of the first survey programs to include MHH. We undertook four focus group discussions with resident enumerators and one with their female supervisors following the 2018 PMA2020 survey in Niamey, Niger and synthesized their insights on the performance of the MHH measures used. Enumerators reported that questions about menstruation were well tolerated and most were understood conceptually. Discussions identified missing response options for the places used for MHH and suggest that enumerator training should include common brands of menstrual materials to ensure data quality. Further, current questions seeking to capture the privacy and safety of locations used for MHH require modification or more intensive training efforts to consistently capture these concepts. Enumerator perspectives on menstrual needs in Niger highlight topics missing from MHH monitoring. Attending to enumerator expertise has the capacity to strengthen future surveys directed toward understudied health and development challenges such as MHH. HIGHLIGHTS Resident enumerators are a source of expertise on the performance of survey questions.; PMA2020 questions regarding menstrual health and hygiene (MHH) were acceptable to respondents.; Asking respondents to report the ‘privacy’ and ‘safety’ of their menstrual management location was the most challenging question to administer.; Resident enumerators described many MHH needs not captured by PMA2020 questions.;
format	article
author	Elizabeth Larson Shani Turke Nana Hadiza Miko Sani Oumarou Souleymane Alzouma Ann Rogers Kellogg J. Schwab Julie Hennegan
author_facet	Elizabeth Larson Shani Turke Nana Hadiza Miko Sani Oumarou Souleymane Alzouma Ann Rogers Kellogg J. Schwab Julie Hennegan
author_sort	Elizabeth Larson
title	Capturing menstrual health and hygiene in national surveys: insights from performance monitoring and accountability 2020 resident enumerators in Niamey, Niger
title_short	Capturing menstrual health and hygiene in national surveys: insights from performance monitoring and accountability 2020 resident enumerators in Niamey, Niger
title_full	Capturing menstrual health and hygiene in national surveys: insights from performance monitoring and accountability 2020 resident enumerators in Niamey, Niger
title_fullStr	Capturing menstrual health and hygiene in national surveys: insights from performance monitoring and accountability 2020 resident enumerators in Niamey, Niger
title_full_unstemmed	Capturing menstrual health and hygiene in national surveys: insights from performance monitoring and accountability 2020 resident enumerators in Niamey, Niger
title_sort	capturing menstrual health and hygiene in national surveys: insights from performance monitoring and accountability 2020 resident enumerators in niamey, niger
publisher	IWA Publishing
publishDate	2021
url	https://doaj.org/article/b1539573c0fb40afa4098fa73fe3f99b
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Capturing menstrual health and hygiene in national surveys: insights from performance monitoring and accountability 2020 resident enumerators in Niamey, Niger

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