Evidence map›Paper›PMID 30445767›Full record

ReviewInternational journal of environmental research and public health2018

Menstrual Hygiene Management and Waste Disposal in Low and Middle Income Countries-A Review of the Literature.

Myles F Elledge, Arundati Muralidharan, Alison Parker, Kristin T Ravndal, Mariam Siddiqui, Anju P Toolaram, Katherine Pierson Woodward

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Adolescent Menstrual Health Literacy in Low, Middle and High-Income Countries: A Narrative Review.International journal of environmental research and public health · 2021
    Pooled it
  3. Pooled it
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  6. Article
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  12. Thyroid-stimulating Hormone Levels in Women with Uterine Fibroids: A Healthcare Setting Perspective from Coastal Karnataka.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
    Article
  13. Article
  14. Article
  15. Adolescent menstrual health must go beyond pads.BMJ (Clinical research ed.) · 2025
    Article
  16. Article
  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Myles F ElledgeHealth and the Environment, Biomass Controls, Durham, NC 27701, USA. myles@biomasscontrols.com.
Arundati MuralidharanWater Aid India, New Delhi 110029, India. arundatimuralidharan@wateraid.org.
Alison ParkerCranfield Water Science Institute, School of Water, Energy and Environment, Cranfield University, Cranfield MK43 0AL, UK. a.parker@cranfield.ac.uk.
Kristin T RavndalRTI International India, New Delhi 110037, India. kristin.t.ravndal@cranfield.ac.uk.
Mariam SiddiquiRTI International, Seattle, WA 98104, USA. msiddiqui@rti.org.
Anju P ToolaramCranfield Water Science Institute, School of Water, Energy and Environment, Cranfield University, Cranfield MK43 0AL, UK. anju.p.toolaram@cranfield.ac.uk.ORCID 0000-0003-1121-412X
Katherine Pierson WoodwardRTI International, Seattle, WA 98104, USA. kwoodward@rti.org.ORCID 0000-0003-4828-3663

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Menstrual hygiene management (MHM) has gained some attention and several literature reviews have been published. However, both original papers and reviews tend to focus on absorbent access and use and not on the disposal of menstrual waste. This review aims to fill a gap in the water, sanitation and hygiene (WASH) sector by bringing a focus specifically on menstrual hygiene safe disposal in low- and middle-income countries (LMIC). We reviewed published literature since 2002 on menstrual hygiene with a focus on menstrual waste management and menstrual absorbent disposal in LMIC. Database searches were conducted of both peer reviewed literature and grey literature, in addition to hand searching of references of relevant earlier literature reviews. In total 152 articles and reports were identified and 75 met the inclusion criteria and was included in the final review. Existing polices on MHM was also reviewed with a focus on India and South Africa. The review showed that disposal of menstrual waste is often neglected MHM and sanitation value chains, leading to improper disposal and negative impacts on users, the sanitation systems and the environment. Findings call for further research to gain better understandings of MHM waste streams, disposal behaviors, absorbent materials and waste management technologies to deliver health, safety, mobility and dignity for women and girls.

Indexed as

Developing CountriesHygieneMenstrual Hygiene ProductsEnvironmental HealthFemaleHealth PolicyHumansWaste Managementenvironmental healthgendermenstrual hygiene managementmenstrual hygiene waste disposalsanitary wastewater and sanitation

Identifiers

PMID30445767
PMCPMC6266558

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.