This Women-led Initiative Empowers Other Women

Written By: Gitika Debnath

May 24, 2021

Highlights

Project Baala is an impact-oriented youth-led organization that is started by women, largely run by women to make menstrual hygiene and access to better sanitary products as a major priority for women in rural India.

The organization has come out with an intensive report highlighting how the global pandemic and the lockdown have worsened the situation for women in rural areas.

They introduced hyperlocal resource persons known as Baala Associates to directly take a grip of the situation and solving the issues of economic loss and compromise of menstrual hygiene.

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Project Baala is a menstrual hygiene solutions provider that works towards improving the menstrual health of vulnerable women and girls. Their major aim is to spread awareness about menstrual health and effectively keep improving and innovating menstrual health facilities. Since there is an immense lack of awareness, infrastructure, accessibility to better sanitary products coupled with grave financial restrictions, women still lack basic menstrual hygiene resources. Soumya Dabriwal who is the co-founder of Project Baala, during the interview with Infano said, ” We employ a two-pronged approach inclusive of comprehensive menstrual health awareness programs to inculcate behavior change and distribution of safe and hygienic reusable sanitary napkins ensuring sustainable menstrual protection for up to two years”.

Baala pads come in two sizes and consist of three layers. The Baala Kit comes with three pads and one carry bag for storage and carriage. Making it more convenient for women and also keeping in mind the water crisis, Soumya adds, “These pads can be washed with 150 ml of water and some soap or detergent like any other piece of cloth, you can also use home remedies such as lemon to clean the pad as well”.

During the pandemic, the organization did intensive ethnographic documentation to recognize the menstrual hygiene issues faced by women covering twenty clusters in Delhi. The key problems that the communities and women were going through because of the lockdown were limited financial resources, shortage of sanitary products, restriction of movement, and increase in the price of these products. 97% of women went back to using old cloth and rags. There was a major disruption in the distribution of Baala pads in the schools and communities. Given the existing crisis and the anxiety around the same,

Baala derived a new approach to continuing their work; they provided digital access to menstrual awareness through their social media channels and their mobile app, Baala Boss. Individuals who were sensitive enough towards these concerns and were driven to learn as well as impart knowledge and awareness about menstrual health while also generating financial independence for them were trained by the organization. These hyperlocal persons were knowns as Baala Associates. These associates further went ahead and directly sold Baala pads reducing their economic burden and eliminating the unmanaged sanitary wastes.

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It is the 21st century and as a society, we are still plagued with patriarchal structures that seeps into our social systems. We are still reluctant to talk about sex education, mental health, menstruation, etc. The situations get worse when such issues are riddled with myths and taboos, and one such classic example that we still as a society need to recognize over and over again is menstrual health. Being perceived as unholy to dirty and even considering the menstruators as impure, is not a new phenomenon that we are encountering. Surrounded by shame and the cultural anxiety to establish control over the bodies of women, they are still expected to follow restrictions when they are menstruating. In rural India, where there is still a lack of awareness, facilities, and education or public health systems, we keep witnessing the alarming rates of girls dropping out of schools as soon as they reach puberty.

project baala founders — Founders Soumya and Aaradhna

Being acquainted with all these problems and the stigma attached to menstruation, Soumya Dabriwal, who has worked intensively in the social sector founded Project Baala, and later she was joined to co-head the organization by Aradhana Gupta, an alumnus from Cornell University.

What is Project Baala?

Project Baala is an impact-oriented, youth-led organization that is started by women, largely run by women to make menstrual hygiene and access to better sanitary products as a major priority for women in rural India. Soumya Dabriwal who is an alumnus of the University of Warwick, England, and a social worker recognized one of the most pertinent issues that women were facing of unhygienic menstrual practices, while she was teaching in India, Africa, and Ghana. The commonalities that she found while working in rural areas in these third world countries were the lack of public health infrastructures such as toilets and proper sanitary products, the issue of disposal of menstrual waste, and lack of awareness and information on menstrual health. Different social and cultural taboos attached to menstrual blood, especially in a conservative society such as India, make it even harder. Since its inception, it has done tremendous work in imparting awareness and education about hygiene and menstrual health and also creating more innovative and sustainable sanitary napkins.

Keeping in mind the immense waste production and lack of proper sanitization and disposable methods, the organization has researched and come up with a product that is cost-effective, safe, and supports sustainability. They have provided free reusable sanitary napkins in schools in rural areas, urban slums, and villages that can last for two years.

“Through the use of Baala pads we can reduce menstrual waste by 99 % in rural areas, from using approximately 240 pads in 24 months, we will be down to 3 pads, which is 800 times less than what we generate now “, says Aradhana.. During her fieldwork in different rural areas, she heard experiences where women and girls get harassed and assaulted in the middle of the night when they go to dump their menstrual waste, making it extremely dangerous. Such use of technology and innovation that can produce safe, hygienic, reusable pads which can tackle multiple problems with one solution is a great achievement.

The Baala Kit

The Baala Kit comes with three pads and one carry bag for storage and carriage. While recognizing the weather conditions in different cities and rural areas and the drying time of 1 to 3 hours on an average, the Project Baala team has been mindful about their methodology of distribution of these kits, for example; 4 instead of 3 pads are given in the areas that are prone to heavy rain, realizing the obscurity of drying the pad. In India, these pads have already been distributed in rural settlements and urban slums of seventeen states, the organization has gone above and beyond to also send Baala pads to villages in Nepal, Ghana, and Tanzania.

Work During Covid

Even through this crisis, Project Baala has kept working, investigating, and developing new methods to impart awareness and create mobilization on menstrual health. Recently they have come out with an intensive report highlighting how the global pandemic and the lockdown have worsened the situation for women in rural areas. The study used a structured methodology of doing a telephonic survey with 368 participants, covering twenty clusters in Delhi.

Given the existing crisis and the anxiety around the same, Baala derived a new approach to continue their work; they provided digital access to menstrual awareness through their social media channels and their mobile app, Baala Boss. The project launched its digital library with recourses catering to menstrual health, both in Hindi and English. They collaborated with organizations like Sewa to create a larger mobilization and connect to different rural communities, who have also been working with women, making them empowered and self-reliant.

The Inception of Baala Associates

Even though the organization was already trying different modes to cater to the concerns of menstrual hygiene in the middle of a pandemic, they came up with the idea of introducing hyperlocal resource persons to directly take a grip of the situation and solving the issues of economic loss and compromise of menstrual hygiene. These people were known as “Baala Associates”. Individuals who were sensitive enough towards these concerns and were driven to learn as well as impart knowledge and awareness about menstrual health while also generating financial independence for them were trained by the organization. These associates further went ahead and directly sold Baala pads reducing their economic burden and eliminating the unmanaged sanitary wastes.

While discussing the future goals for Project Baala, Aradhana said, “We are working with different textile scientists and manufacturers who can create a pad that can be used even in drought-stricken areas, eliminating the use of water, which can last for a longer time “. If this product is successfully made, it can completely revolutionize menstruation and effectively cut the financial burden that comes with it. Whilst discussing the commercialization of Baala pad in urban settlements, Soumya added that they right now strictly want to use their resources for women in rural areas where they do not have access to better sanitary products.

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Gitika Debnath

A research scholar of art history and gender studies from JNU.
Left feminist and a queer ally. Has a keen interest in visual politics, activism, society, and gender.

A Dietitian’s Advice For Pregnant Women On Managing Gestational Diabetes

Written By: Tasneem Akbari Kutubuddin

July 6, 2021 | 04:28 PM |

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Highlights

For many pregnant women, their blood sugar levels elevate during pregnancy causing gestational diabetes.
What can one do on receiving the diagnosis?
Postpartum care for women who had gestational diabetes.

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For many pregnant women, their blood sugar levels elevate during pregnancy causing gestational diabetes. This is diagnosed through blood sugar testing and those with Gestational Diabetes (GD) are at higher risk of developing type 2 diabetes later in life. Managing this condition can be quiet challenging because they have to be mindful of what they consume to make sure that their blood sugar does not increase and this can be difficult at a time when the nutritional needs of mother and baby are paramount but you have to make certain choices given an added condition of GD.

So how can you deal with this apart from the nutritional and medical aspect?

“Just being pregnant seems to invite advice or comments from well-meaning relatives to random strangers”, says Robyn Compton, a gestational diabetes dietitian. “Add in a diagnosis of GD & suddenly there are all these “experts” telling you what you should or shouldn’t be eating”.

Robyn Compton is a dietitian who has a private practice in Melbourne, Australia. She specializes in assisting and supporting women with Gestational Diabetes. More recently she has also worked as a research dietitian with adults with type 1 diabetes.

Getting evidence-based information for women with gestational diabetes is her goal. Follow her on Instagram at Gestationaldiabetes_Dietitian

It is stressful enough to deal with a diagnosis of GD. It’s a big learning curve in terms of understanding the condition, management & eating plan. Then there’s your own worries & feelings about GD, your pregnancy & having to change your diet. The last thing you need is someone commenting on your food choices or giving unsolicited, insensitive & often incorrect dietary advice. Every case of gestational diabetes is different & what works for one woman may not work for another. That fact in itself is often the easiest comeback to any unhelpful advice.

How should a mom-to-be react when they receive a GD diagnosis?

“Being diagnosed with Gestational Diabetes (GD) can come as quite a shock. It can be very upsetting. Many emotions arise. Initially, it can feel quite overwhelming. Guilt & shame are very commonly experienced by women. Unfortunately, diabetes stigma exists due to ignorance about the condition & why it occurs. It is important to know that GD is NOT your fault. You didn’t cause this condition. It is not because you ate too many sweets. The reasons are multi-factorial but mostly a result of hormonal, genetic & cultural influences which are out of your control. It’s normal to feel angry. It’s not how you imagined your pregnancy journey. Understanding more about the condition & its management can clarify questions”.

“Talking about it can help to lift that burden. Distress and anxiety about the impact of GD on your baby, pregnancy & your own health are very understandable. Talking with your doctor & health professionals who specialize in diabetes can answer many questions & offer basic support, as well as talking with supportive family or friends”.

What kind of awareness and support should they look out for?

“You may feel overwhelmed with how you need to manage GD. Being armed with the right GD education, advice & support makes a huge difference. Seeing a diabetes educator and/ or midwife initially is recommended to understand how to monitor your blood glucose levels (BGLS) & learn more about GD management. Seeing a dietitian specializing in GD can help to answer all the practical questions about food, types, amounts, meal planning, pregnancy nutrition & provide ongoing support. Generally, with this assistance, women with GD will manage well but it’s very normal to have good & bad days. It’s ok to acknowledge if you are struggling. For further support speak with your Diabetes Team or health care provider”.

What about women who are asked to take insulin?

“Remember that despite attention to diet & exercise, some women may need to take insulin to assist with optimizing blood glucose levels (BGLs). Genetics & hormones contribute to insulin resistance. This is not your fault. Some women may just need bedtime insulin (long-acting) to control elevated fasting levels. Others may need mealtime insulin (short-acting) at 1, 2, or all 3 meals. Or any combination of the above, based on individual BGLs”.

What kind of postpartum care would you suggest for women with GD?

“If you have just had your baby following a pregnancy with Gestational Diabetes ( GD). Congratulations!! It was a big job managing your GD during pregnancy. Well done to have got through that challenging journey. Now you are at home with your little one, life continues to be busy but in different ways. You are juggling many new roles, with usually much less sleep. Your energy levels need to be supported with adequate nutrition, rest, sleep & self-care. If you are breastfeeding, the energy demands are further increased”.

“However, women who have had GD have usually been advised about their increased risk of Type 2 diabetes in the future. Some women feel the pressure to lose any extra pregnancy weight quickly or feel that they need to follow a restrictive postpartum diet plan. This is what I suggest:

It is not a race. It’s a steady journey back to look after your future health.
Your body has just grown a baby and is nurturing a newborn. It is pretty amazing and should be celebrated & appreciated.
Don’t compare yourself with others. Women’s bodies recover at different rates in their own time. And women have very different experiences with how their baby’s feed and sleep too.
Just focus on you and your baby. Nurture your physical & emotional health with healthy sustainable lifestyle changes.
Hold onto any healthy eating habits which are in your control & you enjoy. Be active when your body is ready & you feel up to it. Take it day by day as you find your new path.
As time progresses, routines generally get more established for your baby, family & you. However, your energy levels still need to be respected.
Reach out for support whether it’s with feeding or sleeping issues for the baby or your own physical & mental health needs.
A healthy lifestyle continues to be important for future health of course but in your individualized realistic framework.
Seeking advice from your dietitian down the track can provide extra support if needed. Postnatal online lifestyle programs are another option some women find helpful when they are ready.

“BOTTOMLINE: Take the pressure off yourself to do everything at once. Enjoy your little one. Remember your self-care needs too”, adds Robyn.

Robyn Compton can be contacted at r ob.compton@bigpond.com

Also Read Why Do We Crave Some Foods During Pregnancy?

diet in pregnancy gestation gestational diabetes insulin pregnancy

Tasneem Akbari Kutubuddin

Tasneem Akbari Kutubuddin has done her masters in Journalism & Communication and has worked as a senior journalist, editor and columnist for leading publications like The Logical Indian, Deccan Chronicle, Worldwide Media Corporation, The Bridge and Provoke.
With Infano, she hopes to create more awareness about women’s health issues. Suffering with Fibromyalgia, a chronic pain condition, she has also been advocating for its awareness through media.