A narrative inquiry into women's experiences of menstruation at the workplace in Namibia

Authors

  • Emilia Ndapandula Mbongo Department of Applied Educational Sciences, Rundu Campus, University of Namibia, Kavango East Region, Namibia https://orcid.org/0000-0001-6560-8664
  • Helena Miranda Department of Applied Educational Sciences, Rundu Campus, University of Namibia, Kavango East Region, Namibia
  • Hertha Haikera School of Nursing, Department of Midwifery Sciences, Rundu Campus, University of Namibia, Kavango East Region, Namibia https://orcid.org/0000-0002-2186-6538

DOI:

https://doi.org/10.4081/jphia.2023.2587

Keywords:

Menstruation, psychological distress, workplace, experiences

Abstract

Background. Menstruation’s effects on workplace productivity and its impact on women’s careers are rarely discussed in public discourse. This paper presents an analysis of thirteen women’s accounts of their menstrual experiences at work. Objectives. The study aimed to understand women’s lived experiences of menstruation in the workplace in Namibia and to make recommendations for best practices and policy formulation to help female employees cope with menstruation at work in Namibia. Materials and Methods. The study adopted a qualitative, phenomenological narrative inquiry research design, and thirteen participants working in various institutions and companies in Namibia were selected through a snowball sampling procedure. Individuals who agreed to participate in the study were given a link to a Google document containing reflective questions. Results. Thematic analysis was used to analyze the narratives. The study findings show that most participants experienced various menstrual-related symptoms ranging from unbearable physical pain or discomfort to heavy bleeding and psychological distress. Menstruating women face workplace challenges, such as a lack of emergency sanitary products and unsupportive superiors. Conclusions. Based on the narratives analyzed, we conclude that menstrual-related symptoms affect work productivity. Participants highlighted that they perform better and are considerably more productive on their non-menstrual days. Participants advocated for a shift in policy to allow flexibility to work from home or get menstrual leave when experiencing severe menstrual symptoms. Such a change will go a long way in making the workplace more accommodating to women.

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Author Biographies

Emilia Ndapandula Mbongo, Department of Applied Educational Sciences, Rundu Campus, University of Namibia, Kavango East Region, Namibia

Dr. Emilia Ndapandula Mbongo is a lecturer and researcher at the University of Namibia's Rundu campus. She is a lecturer in the School of Education at the University. She holds a PhD in Educational Psychology.

Helena Miranda, Department of Applied Educational Sciences, Rundu Campus, University of Namibia, Kavango East Region, Namibia

Dr. Helena Miranda is the Director of the University of Namibia's Rundu campus, Kavango East Region, Namibia. She is also a senior lecturer responsible for Mathematics, Mathematics Education and Statistics for educators in the School of Education at the same University.

Hertha Haikera, School of Nursing, Department of Midwifery Sciences, Rundu Campus, University of Namibia, Kavango East Region, Namibia

Ms. Hertha Haikera is a lecturer/nurse educator at the University of Namibia in the Midwifery department, School of Nursing  at Rundu Campus. Her research interest is in Reproductive Health, Indigenous Knowledge Systems and Maternal & neonatal health matters. She has a qualification in nursing and midwifery (undergraduate), a post graduate in nursing speciality in clinical instruction, A Master of Health science and currently enrolled in PhD program of Health sciences.

References

Marieb, E. N. & Hoehn, K. Human anatomy & physiology. 8th ed. San Francisco: Pearson Education Inc; 2010:1054

Motro, D., Gabriel, A. S., & Ellis, A. P. J. Examining the effects of menstruation on women's helping behaviour in the workplace. Journal of Occupational and Organizational Psychology. 2019. 92(3): 695–706. https://doi.org/10.1111/joop.12258 DOI: https://doi.org/10.1111/joop.12258

Crankshaw, T. L., Strauss, M. & Gumede, B. Menstrual health management and schooling experience amongst female learners in Gauteng, South Africa: A mixed-method study. Reprod Health, 2020; 17(48): https://doi.org/10.1186/s12978-020-0896-1. DOI: https://doi.org/10.1186/s12978-020-0896-1

Sang, K.; Powell, A.; Finkel, R.; Richards, J. 'Being an academic is not a 9–5 job': Long working hours and the 'ideal worker' in UK academia. Labour Ind, 2015; 25(3): 235–249, https://doi.org/10.1080/10301763.2015.1081723. DOI: https://doi.org/10.1080/10301763.2015.1081723

Mfune, J. K. E., Uahengo, V. & Ihula, J. P. Occupational safety and health policy. Windhoek: University of Namibia; 2016

Denscombe, M. The good research guide: For small-scale social research projects. 6th ed. New York: Open University Press; 2017.

Qutoshi, S. B. Phenomenology: A philosophy and method of inquiry. Journal of Education and Development, 2018; 5(1): 215-222. DOI: https://doi.org/10.22555/joeed.v5i1.2154

Nigar, N. Hermeneutic phenomenological narrative inquiry: A qualitative study design. Theory and Practice in Language Studies, 2020; 10(1): 10-18. DOI: https://doi.org/10.17507/tpls.1001.02

Gay, L. R., Mills, G. E. & Airasian, P. Educational research: Competencies for analysis and applications. 10th ed. New Jersey: Pearson Education Inc; 2015.

Griffin, Y., Sudigali, V. & Jacques, A. Radiology of benign disorders of menstruation. Seminars in Ultrasound, CT and MRI, 2010; 31(5): 414-432, https://doi.org/10.1053/j.sult.2010.08.001.11. DOI: https://doi.org/10.1053/j.sult.2010.08.001

Hapangama, D. K. & Bulmer, J. N. Pathophysiology of heavy menstrual bleeding. Women's Health, 2016; 12(1): 3-13, https://doi.org/10.2217%2Fwhe.15.81. DOI: https://doi.org/10.2217/whe.15.81

Winters, U., Ghosh, M., & Shelleh, A. Heavy menstrual bleeding management during the Covid pandemic. Obstetrics, Gynaecology and Reproductive Medicine, 2021; 31(2): 53-58, https://ajantacme.com/storage/uploads/posters/1620133766836539911.pdf. DOI: https://doi.org/10.1016/j.ogrm.2020.12.002

Sang, K., Remnant, J., Calvard, T. & Myhill, K. Blood work: Managing menstruation, menopause and gynaecological health conditions in the workplace. Int. J. Environ. Res. Public Health, 2021; 18(1951): 2-16, https://doi.org/ 10.3390/ijerph18041951.

Hennegan, J., Kibira, S. P. S., Exum, N. G. et al. 'I do what a woman should do': A grounded theory study of women's menstrual experiences at work in Mukono District, Uganda. BMJ Global Health, 2020; 5: 1-11, https://doi.10.1136/bmjgh-2020-003433. DOI: https://doi.org/10.1136/bmjgh-2020-003433

Sommer, M., Chandraratna, S., Cavill, S. Managing menstruation in the workplace: an overlooked issue in low- and middle-income countries. Int J Equity Health, 2016; 15 (86): 1 – 5. https://doi.org/10.1186/s12939-016-0379-8. DOI: https://doi.org/10.1186/s12939-016-0379-8

Strine, T.W., Chapman, D. P. & Ahluwalia, I. B. Menstrual-related problems and psychological distress among women in the United States. Journal of Women's Health, 2005; 14(4): 316-323, https://doi.org/10.1089/jwh.2005.14.316. DOI: https://doi.org/10.1089/jwh.2005.14.316

Morales-Carmona, F., Pimentel-Nieto, D. & Bustos-López, H. Menstrual cycle perception and psychological distress in a Mexican woman sample. Rev Invest Clin, 2008; 60(6): 478-485.

Schoep M. E., Adang E. M. M., Maas J. W. M., Productivity loss due to menstruation-related symptoms: A nationwide cross-sectional survey among 32 748 women. BMJ Open 2019; 9(6): 1-10 http://dx.doi.org/10.1136/bmjopen-2018-026186. DOI: https://doi.org/10.1136/bmjopen-2018-026186

Sayers, J. G., & Jones, D. Truth scribbled in blood: Women's work, menstruation and poetry. Gender, Work and Organisation, 2015; 22(2): 94–111, DOI: 10.1111/gwao.12059 DOI: https://doi.org/10.1111/gwao.12059

Wasiak, R., Filonenko, A., Vanness, D. J., Wittrup-Jensen, K. U., Stull, D. E., Siak, S. & Fraser, I. Impact of estradiol-valerate/dienogest on work productivity and activities of daily living in European and Australian women with heavy menstrual bleeding. International Journal of Women's Health, 2012; 4:271-278, https://doi.org/10.2147/ijwh.s31740. DOI: https://doi.org/10.2147/IJWH.S31740

United Nations Population Fund (UNFP)Menstruation and human rights- frequently asked questions. 2021. Available at: https://www.unfpa.org/menstruationfaq accessed on 05/03/2022

Matthys, D. (the 29th of December, 2022). No more value added tax on sanitary pads. The Namibian Newspaper. https://www.namibian.com.na/6226412/archive-read/No-more-value-added-tax-on-sanitary-pads

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Published

31-05-2023

How to Cite

Mbongo, E. N., Miranda, H., & Haikera, H. (2023). A narrative inquiry into women’s experiences of menstruation at the workplace in Namibia. Journal of Public Health in Africa, 14(8). https://doi.org/10.4081/jphia.2023.2587

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Original Articles