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  1. Home
  3. Full, Free, And Informed: Defining And Operationalising Informed Choice For Menstrual Supplies.
  1. Home
  3. Full, Free, And Informed: Defining And Operationalising Informed Choice For Menstrual Supplies.

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Full, free, and informed: defining and operationalising informed choice for menstrual supplies.

Lucy C Wilson1, Tanya Dargan Mahajan2

  • 1Independent Consultant, Rising Outcomes, Hillsborough, NC, USA. Correspondence: lucy.wilson@gmail.com.

Sexual and Reproductive Health Matters
|July 25, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Informed choice in menstrual health is underdeveloped, limiting options due to stigma and poor access. This paper defines informed choice for menstrual supplies to improve health, equity, and markets.

Keywords:
choicemenstrual healthrights-based programming

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Area of Science:

  • Public Health
  • Gender Studies
  • Reproductive Health

Background:

  • Informed choice is crucial for bodily autonomy but is underdeveloped in menstrual health programs, especially in low- and middle-income countries.
  • Menstruation-related stigma, limited access, and insufficient education hinder individuals' ability to select suitable menstrual products.
  • Existing menstrual health initiatives often fail to provide a comprehensive range of options or address systemic barriers.

Purpose of the Study:

  • To propose a gender-transformative definition of informed choice for menstrual supplies.
  • To adapt the "full, free, and informed" framework from family planning to the context of menstrual health.
  • To identify pathways for operationalizing informed choice in menstrual health programs and markets.

Main Methods:

  • Literature review and adaptation of the "full, free, and informed" framework.
  • Analysis of systemic barriers within menstrual health programs and markets.
  • Exploration of strategies for expanding product range, improving access, and enhancing menstrual literacy.

Main Results:

  • A proposed definition of informed choice for menstrual supplies: access to a broad range of products (including single-use, reusable, contraception, pain relief), freedom from stigma/coercion, and unbiased information.
  • Identification of pathways to operationalize this framework in both commercial and free distribution settings.
  • Recommendations for expanding product choice, addressing stigma, and improving menstrual education.

Conclusions:

  • Enabling "full, free, and informed" choice in menstrual health can significantly improve individual health outcomes and reduce stigma.
  • Enhanced informed choice fosters greater equity and supports well-functioning markets that meet diverse needs.
  • A gender-transformative approach to menstrual supply choice is essential for advancing menstrual health and rights.