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. 2023 Dec 31;16(1):2279396.
doi: 10.1080/16549716.2023.2279396. Epub 2023 Nov 27.

Research priorities for improving menstrual health across the life-course in low- and middle-income countries

Marina Plesons  1 , Belen Torondel  2 , Bethany A Caruso  3 , Julie Hennegan  4 , Marni Sommer  5 , Jacquelyn Haver  6 , Danielle Keiser  7 , Anna M van Eijk  8 , Garazi Zulaika  8 , Linda Mason  8 , Penelope A Phillips-Howard  8
Affiliations

Research priorities for improving menstrual health across the life-course in low- and middle-income countries

Marina Plesons et al. Glob Health Action. .

Abstract

Background: Research on menstrual health is required to understand menstrual needs and generate solutions to improve health, wellbeing, and productivity. The identification of research priorities will help inform where to invest efforts and resources.

Objectives: To identify research priorities for menstrual health across the life-course, in consultation with a range of stakeholder groups from a variety of geographic regions, and to identify if menstrual health research priorities varied by expertise.

Methods: A modified version of the Child Health and Nutrition Research Initiative approach was utilized to reach consensus on a set of research priorities. Multisector stakeholders with menstrual health expertise, identified through networks and the literature, were invited to submit research questions through an online survey. Responses were consolidated, and individuals were invited to rank these questions based on novelty, potential for intervention, and importance/impact. Research priority scores were calculated and evaluated by participants' characteristics.

Results: Eighty-two participants proposed 1135 research questions, which were consolidated into 94 unique research questions. The mean number of questions did not differ between low- and middle-income country (LMIC) and high-income country (HIC) participants, but significantly more questions were raised by participants with expertise in mental health and WASH. Sixty-six participants then ranked these questions. The top ten-ranked research questions included four on 'understanding the problem', four on 'designing and implementing interventions', one on 'integrating and scaling up', and one on 'measurement'. Indicators for the measurement of adequate menstrual health over time was ranked the highest priority by all stakeholders. Top ten-ranked research questions differed between academics and non-academics, and between participants from HICs and LMICs, reflecting differences in needs and knowledge gaps.

Conclusions: A list of ranked research priorities was generated through a consultative process with stakeholders across LMICs and HICs which can inform where to invest efforts and resources.

Keywords: Education; Menstrual hygiene management; WASH; gender equity; menstrual health.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
Research priority scores and overall rank.
Figure 2.
Figure 2.
Comparison of the top ranked research questions, among academics vs. non-academic.
Figure 3.
Figure 3.
Comparison of the top ranked research questions, among participants from HICs vs. LMICs.
See this image and copyright information in PMC

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