Menstrual hygiene management in humanitarian settings (Somalia)

This research investigated the challenges of implementing improved sanitation with integrated menstrual hygiene management (MHM) in humanitarian settings, specifically within IDP camps in Baidoa, Southwest Somalia. The research employed a mixed-methods approach, combining quantitative and qualitative data collection methods. The study focused on women and girls aged between 18-35 residing in IDP camps in the region. The results revealed several factors that impede the implementation of MHM, including resource constraints, lack of proper infrastructure, logistical difficulties, lack of awareness and education, insecurity, population mobility, cultural taboos, gender norms and funding shortages. The study found that 53% of households in the surveyed population have access to their own sanitation facilities, while 47% do not own facilities. Additionally, 78% of respondents reported sharing latrines with other households and not gender segregated, highlighting challenges related to privacy, hygiene, and convenience. The absence of disposal methods within latrine facilities was noted by 94% of respondents, emphasizing the need for dedicated disposal mechanisms. The two most frequently cited disposal methods were garbage pits (33%) and flushing down toilets (31%), which raises sanitation concerns, as this has led to system blockages and contributes to environmental degradation. Several recommendations on how to better manage the menstrual hygiene in humanitarian settings were provided in this thesis.