Tag Archives: Lebanon

Assessment of Beliefs and Practices Relating to Menstrual Hygiene of Adolescent Girls in Lebanon

Assessment of Beliefs and Practices Relating to Menstrual Hygiene of Adolescent Girls in Lebanon. International Journal of Health Sciences and Research (IJHSR), 2013; 3(12): 75-88.

Authors: Tania Santina, Nancy Wehbe, Fouad M. Ziade, Mona Nehme.

Abstract
Introduction: Poor menstrual hygiene prevents achieving the several Millennium Development Goals. The aim of this study was to assess menstrual hygiene practices based on sociocultural beliefs of adolescent girls in Lebanon.

Methods: A community-based cross-sectional survey was conducted, in 2010, among 389 post-menarcheal adolescent girls aged 13 to 19 years, at five high schools in Sidon city and suburbs, using a cluster randomized sampling and self-completed questionnaires. Collected data was analyzed by using descriptive and inferential statistics.

Results: Of 389 participants, 89.5% did not follow all menstrual hygiene practices recommended, they adopted menstrual practices based on the dominant sociocultural beliefs found in the Lebanese society about these matters: 66.9% and 16.5%, respectively, did not shower in the first three days of menstruation or during all days of menstruation, and activity restrictions included physical (70.3%) and social (18.2%) activity and diet (35.5%).

A significant association was found between describe menstrual hygiene practices based on sociocultural beliefs and type of school, religion, both parents’ education levels, as well as family monthly income. Logistic regression analyses indicated that significant variables predicting describe menstrual hygiene practices based on sociocultural beliefs were mother level education (OR = 2.8; P < 0.001), and religion (OR = 0.7; P = 0.002).

Conclusion: Findings indicate the need for health school education programs during puberty; they also can help design appropriate intervention strategies.

Will a “cottage industry” approach make emergency WASH more sustainable?

Al Madad hygiene and sanitation project in Aqbiyeh

Al Madad hygiene and sanitation project in Aqbiyeh, Bekaa Valley in Lebanon. Photo: Al Madad Foundation & AUB Association

An NGO is employing a self-help “cottage industry model” to introduce water, sanitation and hygiene (WASH)  services in refugee camps. Instead of relying on handouts, refugees are offered a steady wage to participate in the improvement of their own living conditions.

The NGO promoting this approach, is the Al Madad Foundation, a UK registered charity since 2001, based in London. The Foundation is active in two main areas:

  • education and literacy programmes for refugee and disadvantaged children
  • sustainable relief in emergencies

The Foundation’s Director is Aya Haidar, a Lebanese multimedia artist/activist with an MSc in NGOs and Development.

In Lebanon, the Al Madad Foundation is partnering with the AUB Association’s Community Project Development Unit to improve water, sanitation and hygiene within the country’s Syrian refugee communities. Under the supervision of qualified architects and civil engineers from the AUB Association, refugees will be employed to help dig holes, build toilets, pipe laying, and installing septic tanks and drainage systems.

The Foundation thinks this “cottage industry model” could eventually be extended to other fields such as education, by employing refugee women, many of whom are qualified teachers.

The Foundation chose to focus on WASH services in the camps, not only to “minimise avoidable morbidity and mortality” but also to “minimise the resulting impact upon the local Lebanese environment, including fresh water, ecosystems and the impact upon agriculture”. Hygiene promotion and awareness raising will go hand-in-hand with the provisions of water and sanitation infrastructure.

The UK government is considering implementing cash-for-work (CFW) programmes for both Syrian refugees and vulnerable Lebanese as part of their new £50 million (US$ 77 million) humanitarian aid initiative [1].

Oxfam implements a CFW initiative, that includes latrine construction, in Kenya’s Dadaab refugee camp, the world’s largest refugee complex housing more than 400,000 people. Men and women are paid between 250 and 500 Kenyan Shillings (about US$ 3 – 6) $ per day depending on their skill levels [2].

The most well-known CFW aid programme was implemented by Mercy Corps in post-tsunami Aceh, Indonesia.  At its peak the seven-month programme employed nearly 18,000 participants and disbursed over US$ 4.5 million in direct payments [3]. Based of their experience in Indonesia and other countries like Afghanistan, Pakistan, Somalia, Sri Lanka and Sudan, Mercy Corps published a CfW manual in 2007 [4].

[1] DFID, £50m UK support to Lebanon as refugee numbers soar, Gov.UK, 18 Jul 2013

[2]  Cash-for-work in Kenya: Building latrines at Dadaab camp, Oxfam, 15 Aug 2011

[3] Doocy, S. et al., 2005. The Mercy Corps Cash for Work Program in post-tsunami Aceh. Available at: http://preventionweb.net/go/2171

[4]  Mercy Corps, 2007. Guide to cash-for-work programming. [online] Portland, OR, USA: Mercy Corps. Available at: <http://www.mercycorps.org/files/file1179375619.pdf>

Source: Al Madad Foundation – Lebanon Emergency Aid Report 2013