Health Impact Monitoring System
At Saral Designs, we constantly put to test our interventions and measure its impact on various communities. Our aim is to design a better future in menstrual hygiene via our decentralized production and unconventional distribution mechanisms. Through our initiative, we have sold more than 1 million pads in less than 1 year and have a presence in towns and villages of Maharashtra, Karnataka, Chhattisgarh and Manipur in India, Bangladesh and Dubai. This Survey has been researched extensively in an attempt to make available all our findings for everyone’s use.
Of the various mechanisms for increasing last mile access, we have been working on creating a sustainable channel for door to door distribution of pads in villages of India. This study is to understand the key objectives and measure outcomes and impact of this delivery model.
The survey was conducted by Sanginis who are trained village women for sales and awareness creation. They have a thorough knowledge of geography and members of the village, basic literacy up to class 10 and are comfortable travelling in the village and to the training centre when required.
The objective of the monitoring system is to provide continuous data to track the increase in knowledge about menstruation and health benefits and usage of hygienic menstrual products. The program will measure and track the awareness, intention to use, reported usage data and health seeking behaviour.
Of the 60 villages (a total menstruating population of ~25,000 women) we have a presence in,(via our door to door health workers -Sanginis), we interviewed 100 women. The sample size is ~0.4% of the total target population.
The sample size has been arrived at on the following considerations:
- The chances of the program having different responses for different villages
- The sample size should be sufficient enough to provide an estimate of product usage and awareness for the total target women
- Out of 60 villages in Raigad district of Maharashtra where the program is active, we selected 5 villages to do the survey(Kadav, Kalamb, Neral, Pali and Wadwali).
- 5 villages were chosen so as to include regions with the strongest sales and the worst product sales to get a balanced perspective and range of feedback.
- The survey questionnaire and data was collected from the users and Sanginis of the village.
- It approximately took a month to complete one round of data collection.
Analysis of the Survey:
Post our intervention in these villages we found that, there were 0.01% respondents who continued to use unhygienic cloth rags, 0.04% were using a pad for incorrectly (for Eg. Using the pad for more than 10 hours a day). 100 % of the Sanginis said that apart from the additional income, they take pride in spreading awareness about menstrual hygiene which ensures better health of their village women.
From this survey and our interventions, we have found that increased access, coupled with a high-quality affordable product has enabled multiple women to make the switch towards hygienic menstrual solutions.
However, our work does not stop here as there is still a need to continue and strengthen the MHM awareness programs to ensure 100% hygienic and proper usage of sanitary napkins.