@article{ecd1fbc30d914c7183d8ccd32a2dea86,
title = "Capturing menstrual health and hygiene in national surveys: Insights from performance monitoring and accountability 2020 resident enumerators in Niamey, Niger",
abstract = "Menstrual health and hygiene (MHH) is an emerging public health priority. To support policy and practice, large-scale surveys monitoring water, sanitation, and hygiene and reproductive health have started to incorporate MHH. Insights gained from these surveys are contingent on the quality of the measures used. Performance Monitoring and Accountability 2020 (PMA2020) was one of the first survey programs to include MHH. We undertook four focus group discussions with resident enumerators and one with their female supervisors following the 2018 PMA2020 survey in Niamey, Niger and synthesized their insights on the performance of the MHH measures used. Enumerators reported that questions about menstruation were well tolerated and most were understood conceptually. Discussions identified missing response options for the places used for MHH and suggest that enumerator training should include common brands of menstrual materials to ensure data quality. Further, current questions seeking to capture the privacy and safety of locations used for MHH require modification or more intensive training efforts to consistently capture these concepts. Enumerator perspectives on menstrual needs in Niger highlight topics missing from MHH monitoring. Attending to enumerator expertise has the capacity to strengthen future surveys directed toward understudied health and development challenges such as MHH.",
keywords = "Measurement, Menstrual health, Menstrual hygiene, National monitoring, Outcome assessment, Survey",
author = "Elizabeth Larson and Shani Turke and Miko, {Nana Hadiza} and Sani Oumarou and Souleymane Alzouma and Ann Rogers and Schwab, {Kellogg J.} and Julie Hennegan",
note = "Funding Information: The PMA2020 project relies on the work of many individuals, both in the United States and in survey countries. We are grateful to the country teams and resident enumerators, now numbering more than 1,700, who are ultimately responsible for the success of PMA2020. Further, the project team is grateful for support from the Bill & Melinda Gates Foundation, particularly Win Brown for his technical support. We are grateful to program manager, Antonia Morzenti, for supporting the FGD project, and our participating enumerators from Niamey. We thank Alexandra Shannon for her ongoing support of PMA2020 WASH and MHM. Funding Information: PMA2020 and the APC for this piece is funded through a grant from the Bill & Melinda Gates Foundation (No. 114805). FGDs to gather feedback from resident interviewers were funded by the Case for Her. The Osprey Foundation provided support to J. H. and K. J. S.ACKNOWLEDGEMENTS The PMA2020 project relies on the work of many individuals, both in the United States and in survey countries. We are grateful to the country teams and resident enumerators, now numbering more than 1,700, who are ultimately responsible for the success of PMA2020. Further, the project team is grateful for support from the Bill & Melinda Gates Foundation, particularly Win Brown for his technical support. We are grateful to program manager, Antonia Morzenti, for supporting the FGD project, and our participating enumerators from Niamey. We thank Alexandra Shannon for her ongoing support of PMA2020 WASH and MHM. Funding Information: 114805). FGDs to gather feedback from resident interviewers were funded by the Case for Her. The Osprey Foundation provided support to J. H. and K. J. S. Publisher Copyright: {\textcopyright} 2021 The Authors.",
year = "2021",
doi = "10.2166/washdev.2021.177",
language = "English (US)",
volume = "11",
pages = "295--303",
journal = "Journal of Water Sanitation and Hygiene for Development",
issn = "2043-9083",
publisher = "IWA Publishing",
number = "2",
}