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性与生殖健康及权利与气候变化中的月经歧视:尼泊尔背景下的政策审查

Sexual and reproductive health and rights and climate change about menstrual discrimination: a policy review in the context of Nepal.

作者信息

Paudel Radha, Acharya Devaraj, Adhikari Tejaswi Mili

机构信息

Global South Coalition for Dignified Menstruation/Radha Paudel Foundation, Kathmandu, Nepal.

Research Centre for Educational Innovation and Development (CERID), Tribhuvan University, Kathmandu, Nepal.

出版信息

Front Glob Womens Health. 2025 Jun 16;6:1560404. doi: 10.3389/fgwh.2025.1560404. eCollection 2025.

Abstract

The conversation around climate, sexual and reproductive health and rights (SRHR), and menstruation is increasing more than ever in Nepal. The discussion between climate and SRHR is more visible and it endeavors to develop the relationship between them. The claim of the role of menstrual discrimination (MD) is the construction and reinforcement of power and patriarchal demands unveiling MD as an underlying barrier for gender-responsive climate or SRHR interventions. In this vein, this study reviewed the national policies of climate change (CC) and SRHR with MD. It aims to examine the positioning of MD in ongoing policies around SRHR and CC. It is crucial to accelerate the impact of interventions related to SRHR and CC to achieve broader gender justice and human rights. The policy-related documents regarding CC and SRHR are reviewed. The visible and invisible MD is rampant across the country regardless of class, caste, region, or religion. The Government of Nepal started to work on SRHR in 2000, although the specific policies on dignified menstruation were made in 2017. MD is missed across all the conversations of CC although it talks about gender equality and social inclusion policies (GESI). The GESI policies and programs do not spell out the discrimination related to menstruation and its impact throughout life, and the SRHR policy has a similar impact. MD is one of the missing dimensions regarding power relations, patriarchy, climate, and SRHR. This study recommends a thorough unpacking of MD, including its impact, incorporating the strategies to dismantle MD in both SRHR and ensuring CC-related policies and programs for real equality and inclusion. The findings of this research become helpful to policymakers during intervention planning to overcome the situation.

摘要

在尼泊尔,围绕气候、性与生殖健康及权利(SRHR)以及月经的讨论比以往任何时候都更加频繁。气候与SRHR之间的讨论更加明显,并且致力于发展它们之间的关系。月经歧视(MD)作用的主张是权力和父权制要求的构建与强化,揭示出MD是促进性别平等的气候或SRHR干预措施的潜在障碍。在此背景下,本研究回顾了与MD相关的气候变化(CC)和SRHR的国家政策。其目的是审视MD在当前围绕SRHR和CC的政策中的定位。加速与SRHR和CC相关的干预措施的影响对于实现更广泛的性别公正和人权至关重要。对与CC和SRHR相关的政策文件进行了审查。无论阶级、种姓、地区或宗教如何,可见和不可见的MD在全国都很猖獗。尼泊尔政府于2000年开始致力于SRHR工作,尽管关于尊严月经的具体政策是在2017年制定的。尽管CC的讨论涉及性别平等和社会包容政策(GESI),但在所有关于CC的讨论中都忽略了MD。GESI政策和计划并未阐明与月经相关的歧视及其对一生的影响,SRHR政策也有类似影响。MD是权力关系、父权制、气候和SRHR中缺失的维度之一。本研究建议对MD进行全面剖析,包括其影响,并纳入在SRHR中消除MD的策略,以及确保与CC相关的政策和计划实现真正的平等和包容。这项研究的结果有助于政策制定者在干预规划过程中克服这种情况。

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