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Related Experiment Video

Updated: Apr 9, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Between Tradition and Transformation: Visual Accounts of Menstrual Experiences in Rural Nepal Using Collaborative

Sara E Baumann1, Sara Parker2, Korrina Gidwani3

  • 1School of Public Health, Department of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PA, USA.

Community Health Equity Research & Policy
|April 8, 2026
PubMed
Summary
This summary is machine-generated.

Menstrual practices in Nepal are influenced by culture and tradition, with younger generations challenging norms while elders uphold them. Collaborative filmmaking revealed both persistent restrictions and evolving autonomy for women regarding menstruation.

Keywords:
Nepalcollaborative filmmakingcommunity-engaged methodsmenstrual healthparticipatory methodsvisual methods

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Area of Science:

  • Sociology
  • Anthropology
  • Public Health

Background:

  • Menstruation in Nepal is influenced by caste, ethnicity, religion, geography, and generational norms, leading to significant stigma.
  • This stigma impacts women's dignity, safety, and daily activities, despite menstruation being a natural biological process.

Purpose of the Study:

  • To explore menstrual practices and intergenerational knowledge transmission among mothers and grandmothers in rural Nepal.
  • To document daily routines, restrictions, and rituals related to menstruation in Kanchanpur, Nepal.

Main Methods:

  • Utilized Collaborative Filmmaking, a participatory visual method, with women as filmmakers, co-researchers, and storytellers.
  • Thirteen women (aged 23-68) from diverse backgrounds co-created two films: '8-Day Journey' and 'Stay Away'.

Main Results:

  • Persistent limitations observed in access to sacred spaces, kitchens, water sources, and interpersonal contact.
  • Evolving practices include greater autonomy in sleeping arrangements, nutrition, and menstrual product use, with religious traditions remaining particularly strong.
  • Increased access to menstrual products and knowledge enhanced comfort, hygiene, and agency, though intergenerational tensions persist.

Conclusions:

  • Films visually demonstrate negotiation, reinterpretation, and resistance of restrictive menstrual practices, highlighting tradition and adaptation.
  • Emphasized the importance of multi-generational engagement, culturally sensitive interventions, and participatory approaches to amplify local voices.
  • Findings can inform policy and programs to reduce menstrual stigma and promote women's health and well-being.