Management of Menstrual Waste

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Management of Menstrual Waste Insights from India and Pakistan Arundati Muralidharan WaterAid India, Menstrual Health Alliance India 21/06/18

Sanitary Napkin Waste Load 36% 64% 336 million menstruating women in India Use other materials Use sanitary pads 12 121 million use sanitary pads 8 1 billion pads per month billion pads per year Per cycle

Sanitary Napkin Waste Load 36% 64% 336 million menstruating women in India Use other materials Use sanitary pads 12 121 million use sanitary pads 8 1 billion pads per month billion pads per year Per cycle

Menstrual Hygiene Products in India Products Life span Cost Category Non compostable disposable Compostable disposable Reusable Sanitary pads and panty liners with non-compostable raw materials like plastic barriers, super absorbent polymers One time use 500-800 years to decompose Multiple players; low cost versions available Sanitary pads with compostable raw materials One time use 3-6 months to decompose Currently higher cost than noncompostable versions Availability Largest market share and reach Limited Limited Cloth pads, Hybrid pads (with non cloth barrier) and Menstrual Cups Multiple use Life span of 1-10 years One time cost maybe high; life cycle cost is usually lower than disposables.

Environmental impact Menstrual Hygiene Products in India Non-compostable Reusable Compostable Menstrual Hygiene Waste Volume Menstrual hygiene product use volume

Where are the 12 billion pads going? Thrown with routine waste Thrown in open Burial Open burning 28% 28% 33% 15%

Understanding Menstrual Waste Management Menstrual waste Blood and used menstrual absorbents, including cloth, disposable sanitary napkins, tampons, and other substances or materials Classification of menstrual waste The Indian Solid Waste Rules (2016) consider menstrual waste as solid waste and define it as sanitary waste Rules specify responsibilities of the waste generator, local authorities and gram panchayats and producers of sanitary products Safe Management of Menstrual Waste Series of steps, treatment and disposal of used absorbents in a manner that does not cause harm to girls and women (the user) and to the environment (in terms of land, air and water sources)

Menstrual Waste as Solid Waste Segregating menstrual waste from other domestic waste is critical for effective management Primary segregation (user) Collection/ transportation Secondary segregation & storage Treatment Final disposal/ Recycling

Effective Treatment of Menstrual Waste Reduce Waste Use of reusable menstrual products

Effective Treatment of Menstrual Waste Sterilize Waste Autoclave Chemical treatments This waste will require further treatment and disposal post sterilization

Effective Treatment of Menstrual Waste Transform waste Compost Incinerate Recycle

Incinerator Technologies Small-scale incinerator Large scale incinerator Central/biomedical Waste to energy incinerator

Incinerator Technologies Inefficient, incomplete burning Small-scale incinerator Large scale incinerator Central/biomedical Dioxins Furans Waste to energy incinerator

Incinerator Technologies Considerations selection & use Small-scale incinerator Large scale incinerator Central/biomedical Type, composition, volume of product disposed Setting for use and placement of incinerator Minimum and maximum burning temperatures Adherence to design principles Adherence to standards for emissions Operations and maintenance Cost Waste to energy incinerator

Insights from Pakistan Assessment of 10 school incinerators in Punjab Assessment of operational and technical aspects. Based on international and national standard guidelines recommendations Include a warm up process Address sensitivity around handling of waste Estimate the amount of menstrual waste expected to be generated to determine size of chamber and an appropriate burning schedule. Design disposal chute from toilet block to ensure that smoke does not escape into the toilet. keep length of chimney should be at least 4 metres Place incinerator 30m away from classrooms. Develop Standard Operating Procedures, including use of personal protective equipment Operate incinerator after school hours and by trained operator. Improvements to the design may seem the most concrete for further scale up, but improvements around safety, operations, maintenance and training are essential to ensuring the best use of the incinerators.

Linking Products & Waste Management Solutions

Effective Implementation Comprehensive Programming IEC strategy INDICATORS Monitoring and Evaluation Capacity building

Evidence and Action Gaps Evidence gaps Safety, appropriateness and acceptability of current waste management solutions - incinerators Technology solutions for safe, effective menstrual waste management Action gaps Informing government procurement of menstrual hygiene products and incinerators Implementation of menstrual waste management strategy as a part of solid liquid waste management