Menstrual Hygiene Management in Africa and India
Project detailsMenstruation is a key component of a woman’s life. Yet, menstrual hygiene management (MHM) remains a taboo in many cultures. Together with WSCCC, KOIS conducted a feasibility study to explore the relevance of a Development Impact Bond in India. Based on this work, KOIS then also partnered with AFD to structure a second DIB on the same topic, this time in Ethiopia and Niger. The objective of the DIBs is to empower adolescent girls by implementing a holistic MHM programme, comprised of three interventions.
of girls in India drop out of school upon reaching puberty
of young African girls miss school during menses
Poor Menstrual Hygiene management can have disastrous long-term consequences
Menstruation is a key component of a woman’s life. Yet it remains a taboo in many cultures, including in Africa and India. In these countries, the issue has been consistently overlooked, underestimated, and underfunded. For instance, 70% of adolescent girls in Ethiopia and over 52% in India learn about menstruation after menarche from an older sister or peers at school.
Due to lack of awareness, many girls adopt unhygienic practices, which can have negative impacts on their health. Girls also feel less confident because of the lack of sanitary facilities at schools and unavailability of better sanitary products. This impacts their ability to attend school or work in appropriate conditions. Ultimately, it perpetuates stigma and gender inequality.
Taking a holistic MHM approach
Menstrual Hygiene Management (MHM) involves action on multiple levels. From raising awareness, to creating access to sanitary products, to building toilets and disposal services. A growing body of evidence shows that holistic MHM has a positive influence on education, health, gender equality, as well as society at large. Better-educated girls become empowered women that invest in their families and contribute actively to economic growth. It also brings about political stability and can break the vicious circle of poverty.
Terms of the bond
Amount - Africa
Amount - India
Examining the feasibility of a Development Impact Bond with WSSCC
In 2018, KOIS delivered a feasibility study on the creation of a DIB in technical partnership with the Water Supply and Sanitation Collaborative Council (WSSCC), a UN entity that is a global advocate for adequate and equitable sanitation and hygiene for all, as well as paying special attention to the needs of women and girls including Menstrual Hygiene Management.
This study concluded that the instrument was a highly promising tool. KOIS India is now looking for partners to structure a DIB to promote better MHM for Indian girls in rural areas. You can read their more detailed field learnings here.
Expanding our work in India to Ethiopia & Niger
Building on previous work in India, KOIS is working in partnership with the French Development Agency (Agence Française de Développement, AFD) to also structure a DIB, this time to serve girls in Ethiopia and Niger. KOIS namely went on field visits to these countries to meet the relevant stakeholders and evaluate the MHM needs. You can check out their findings here.
The objective of those two DIBs is to empower women and girls by implementing a holistic Menstrual Hygiene Management programme encompassing awareness raising and access to affordable sanitary products as well as MHM-friendly sanitary infrastructure.
In 2020, KOIS will look for partners to structure the India DIB. We will also work with AFD to structure a DIB for Ethiopia and Niger. The objective is to launch them in 2021.
In Niger and Ethiopia, we have seen how difficult and socially isolating menstruation can be for young girls and women. We’ve heard how they are afraid to be seen with stained clothes, which leads some of them to drop out of school. Some young girls and women have to use mattress pieces as sanitary products; and they are often unable to change them because clean and safe latrines are unavailable. MHM might seem specific, but it addresses a wide range of issues. From education, to health and sanitation. It can truly empower young girls and women.
MHM is a thematic area that cuts across healthcare, WASH and education. Through our impact bond, we will be able to improve adoption of adequate MHM practices. The hope is to improve outcomes across the affected domains. Currently, players are focusing on delivering care across specific parts of the process – such as awareness or access to products. There is a need to combine efforts and show proof of concept for a larger, holistic approach.
Expected Impact of the DIB
Discover our other projects
Impact Expansion: investing to tackle social exclusion, healthcare challenges and climate change in Europe
Impact Expansion was founded in 2022 through a covenant of partners from KOIS and Milestone. On the strength of their expertise in impact investing with a strong buy-and-build track record, the fund invests in companies during their growth stage in 3 focus sectors: Healthcare, Education & Employment, and Environment.
Club deals: since its inception, KOIS has initiated and managed a number of impactful club deals
KOIS and Quadria capital co-founded HealthQuad in 2016. Since then,
HealthQuad has become India’s leading Healthcare Focused Venture Capital Fund. The fund typically invests in early stage companies with a high disruption potential in the healthcare industry. HealthQuad aims to contribute to improving affordability, accessibility and quality of healthcare services in India while generating attractive returns for investors.
Multi-country Social Outcomes Contracting to tackle unemployment in Europe
European Union Member States have been confronted with the challenge of unemployment for several decades with relatively similar characteristics. Seeking innovative approaches to tackle this common issue, KOIS has supported the European Investment Advisory Hub (EIAH), in testing the preliminary feasibility of a Pan-European Social Outcomes Contracting (SOC) scheme. In this study, we explore the potential benefits and hurdles of a multi country Social Outcomes Contracting in three pilot countries, France, Belgium and the Netherlands.