A country example of successful mainstreaming of ABS: the Côte d’Ivoire

To support national ABS mainstreaming in Côte d’Ivoire, the ABS Initiative commissioned a comprehensive study on laws, policies, strategies, and activities that could be aligned with ABS. The study analysed institutional and procedural entry points and identified key actors within ministries and institutions to drive integration. It focused on ministries covering the economy, trade, health, science, agriculture, rural development, and intellectual property, as well as national development policies, SDG implementation, and the National Biodiversity Strategy and Action Plan (NBSAP). 

The research combined targeted keyword searches (e.g. “biodiversity”) with interviews across ministries. Findings were validated by experts and shared with ministry and academic representatives at a workshop, where the ABS Focal Point and participants developed around 30 joint goals and actions. 

Building on subsequent activities and networks - for example based on the national NBSAP process - Côte d’Ivoire’s ABS mainstreaming shows early success: ABS is included in the revised National Development Plan, and agreements are in place to integrate it into research institute curricula and forthcoming ministry policies.

Key factors in the initial success of ABS mainstreaming included: 

  • exchanges with the national ABS Focal Point on the importance, form, and target groups of mainstreaming; 
  • an in-depth stocktaking study including interviews with potential partner ministries; 
  • a stakeholder workshop producing a joint target and action plan; and
  • leveraging national processes and contacts to advance its implementation.

The process yielded two important lessons. Firstly, the ABS Focal Point and project team initially had different understandings of what mainstreaming entails, where it can be applied, and with which partners. Constructive, ongoing dialogue—continuing beyond the adoption of a joint action plan - helped align perspectives. 

Secondly, invitations to some key ministries initially went unanswered, slowing progress. The experience showed that timely, direct follow-up by the ABS Focal Point is essential, ensuring personal engagement with identified contacts. 

Once the Focal Point built relationships through bilateral meetings, anchor points were confirmed, and additional processes were identified as opportunities for integrating ABS.

Fostering the integration of ABS into National Biodiversity Strategy and Action Plans (NBSAP)

This building block supports the integration of ABS and biotrade into National Biodiversity Strategies and Action Plans (NBSAPs), aligning them with the Global Biodiversity Framework - particularly Target 13 - and fostering synergies with other instruments, such as the International Treaty on Plant Genetic Resources for Food and Agriculture. 

ABS mainstreaming involves embedding ABS into policies and plans across sectors such as trade, agriculture, health, finance, and research, rather than limiting its implementation to conservation authorities. At the 13th Pan-African ABS and Biotrade Workshop, participants discussed challenges, including limited funding, complex regulations, and insufficient involvement of non-environmental ministries. They explored Whole-of-Government and Whole-of-Society approaches, with a strong focus on private sector engagement in valorisation to generate socio-economic benefits.

Country examples, such as Uganda’s multisectoral working group involving local authorities, NGOs, IPLCs, and businesses, showed how early stakeholder mapping, integration into national development plans, and cross-sector collaboration can make ABS integration into NBSAPs more practical, inclusive, and impactful.

Success was supported by an interactive format combining expert inputs, panel discussions, and concrete country cases. Contributions from organisations such as FAO and UNEP broadened perspectives. Building on outcomes from a previous workshop ensured continuity, while structured guiding questions helped participants identify challenges, and to align ABS with other instruments, (such as the International Treaty on Plant Genetic Resources for Food and Agriculture) and define practical steps for mainstreaming in their national contexts.

Mainstreaming ABS into NBSAPs is most effective when positioned as both a conservation tool and an economic opportunity. Workshop discussions showed that broader stakeholder involvement is essential: it goes beyond ministries for environment or conservation and includes sectors such as trade, agriculture, health, finance, research, and users such as the private sector and research institutions. 

Synergies with the International Treaty on Plant Genetic Resources for Food and Agriculture can strengthen coherence and align benefit-sharing across instruments. Early stakeholder mapping involving local authorities, IPLCs, NGOs, and businesses builds ownership and helps address monitoring and data gaps. 

Valorisation strategies, industry-wide agreements, and Whole-of-Government and Whole-of-Society approaches ensure ABS is embedded in business models, policy frameworks, and community initiatives, creating sustainable value chains and fostering long-term ABS integration.

The actionable guidance for ABS-mainstreaming

This building block aims to strengthen awareness among government agencies responsible for ABS about the need for national ABS mainstreaming, aligned with Target 13 of the Global Biodiversity Framework, and to identify effective implementation approaches. To this end, the ABS Initiative organised a two-day workshop with ABS Focal Points from seven African countries. Participants analysed challenges for ABS mainstreaming, including limited cross-sector collaboration, balancing ABS priorities with other biodiversity goals, and gaps in implementing and monitoring benefit-sharing.

Using guiding questions, participants identified priority actors, mandates, partnership anchor points, and potential mutual benefits. Countries developed practical solutions, focusing on both technical collaboration with ministries and policy-level engagement to improve the enabling environment.

Strategic communication exercises helped to tailor ABS messaging for sectors such as agriculture, research, trade, and health by linking ABS to their specific policy objectives. Each country defined two priority measures and initial steps for implementation at home. The ABS Initiative also developed country policy briefs showcasing anchor and entry points for ABS mainstreaming.

A conducive learning environment, combining expert input and peer exchange, enabled participants to grasp the relevance of ABS mainstreaming and its practical application - also by broadening their understanding of ABS beyond conservation. Structured questions real-world examples and strategic communication exercises provided clear guidance helping participants to identify key actors, mandates, and sectoral linkages. This fostered a deeper understanding of how to plan and implement mainstreaming effectively.

The workshop showed that ABS mainstreaming requires both technical collaboration - ministries’ approval of specific ABS agreements - and policy collaboration to establish supportive national frameworks. Countries’ varied experiences make peer exchange valuable for identifying fitting approaches. Linking ABS to other sectors’ mandates, such as trade, health, or agriculture, through shared policy goals increases receptiveness. Mapping of partnership anchor points early and defining mutual benefits helps overcome silo thinking.

Tailoring strategic communication to each sector’s priorities, proved crucial. ABS Focal Points initially thought simply explaining ABS would spark interest, but learned it is often unfamiliar or seen as niche, making tailored messaging essential. As policy and legislative development often outlast project timelines, a project’s influence is limited. Finally, focusing on a few high-priority measures with clear first steps supports follow-up and tangible progress in mainstreaming ABS nationally.

Facilitating Inclusive and Dialogue-Based Menstrual Health Sessions for Community Adults

This building block outlines how the SPARŚA Ambassador Program engages adult community members in open, respectful, and evidence-based discussions on menstruation. The approach prioritises dialogue over lecture, creating a space where participants can share their beliefs, practices, and lived experiences, while also receiving accurate information. 

Target groups are identified by Ambassadors themselves or in collaboration with ward offices, municipalities, or metropolitan authorities. These often include mothers’ groups, women’s collectives, youth clubs, and mixed community gatherings. Trusted groups like Ama Samuha or Tole Sudhar Samiti are engaged early to help mobilise participants and endorse the sessions, which greatly enhances credibility and attendance. 

Sessions are adapted to the context and needs of adults. Rather than delivering the same content as in schools, Ambassadors focus on myth-busting, stigma reduction, and practical menstrual health knowledge. This includes clarifying biological facts, discussing hygienic practices, exploring environmentally friendly menstrual products, and addressing social norms that restrict women’s and girls’ mobility, participation, or dignity during menstruation. 

Ambassadors begin by establishing safe space agreements and inviting participants to share their own perspectives through Focus Group Discussion (FGD). The facilitator listens actively, acknowledges local knowledge, and then uses visual aids, product demonstrations, and relatable stories to fill knowledge gaps or correct misinformation. Nutrition and self-care during menstruation are also discussed, linking health to overall well-being. 

Preparation is thorough: Ambassadors coordinate with the programme team for materials, set session dates with local leaders, arrange venues in accessible and comfortable locations, and ensure a variety of menstrual products are available for demonstration. Follow-up visits or recurring discussions are encouraged to reinforce learning and track changes in attitudes. 

  • Collaboration with Trusted Local Actors – Engage ward officers, community leaders, and women’s groups early to gain trust and support mobilisation. 
  • Safe and Respectful Dialogue – Begin each session by setting participation rules that promote open, non-judgmental sharing. 
  • Active Listening – Spend more time listening than speaking, allowing participants to voice their experiences and questions before introducing new information. 
  • Tailored Content – Adapt materials and examples to the cultural and generational context of the group. 
  • Hands-On Product Demonstrations – Show different menstrual products, explain pros and cons, and address environmental impacts to support informed choice. 
  • Logistical Planning – Choose venues that are private, comfortable, and easily accessible for the target audience. Ensure all materials and visual aids are ready in advance. 
  • Follow-Up Engagement – Schedule recurring visits or link participants to ongoing programmes for sustained learning. 
  • A single session rarely shifts deep-rooted norms; regular follow-up strengthens retention and attitude change. 
  • Listening respectfully and without judgment encourages participants to share honestly, which opens the door to correcting misinformation. 
  • Local leaders and women’s groups are key allies in building trust and mobilising attendance. 
  • Myths and taboos are often deeply personal; facilitators need patience and cultural sensitivity to address them effectively. 
  • Product demonstrations and environmental discussions help bridge the gap between abstract health messages and practical, daily life decisions. 
Designing and Delivering Age-Appropriate Menstrual Health Education for Schools

This building block details how the SPARŚA Ambassador Program designs and delivers menstrual health education for students aged 11–17 (Grades 6–10) in Nepal, ensuring each session is relevant, inclusive, and culturally sensitive. 

Schools are chosen based on their proximity to the Ambassador’s community to ensure trust and easy access. Ambassadors map their audience and adapt delivery methods to different age groups. For Grades 6–7 (pre-menarche), sessions focus on building a safe and friendly environment through storytelling, interactive games, and art-based activities. For Grades 8–10 (post-menarche), the focus shifts to clear scientific explanations of the menstrual cycle, phases, and bodily changes, while also addressing myths, stigma, and gaps left by incomplete classroom teaching. 

Visual aids such as flip charts, diagrams, presentations, and flex prints help make abstract concepts tangible. Ambassadors also conduct live demonstrations of various menstrual products—disposable pads, reusable cloth pads, menstrual cups, and tampons—explaining pros and cons, safe usage, disposal methods, and environmental impacts. By linking product choice to environmental awareness, students learn how menstrual health intersects with climate action. 

Nutrition during menstruation is covered to promote physical well-being. Sessions are always inclusive of both boys and girls, which helps normalise menstruation, reduce stigma, and foster empathy among peers. Teachers are encouraged to attend so they can reinforce messages after the session. 

Preparation is key: Ambassadors contact school principals early, establish ground rules for respectful participation, prepare teaching materials, arrange transportation, and ensure all demonstration products are ready. Follow-up is encouraged through take-home leaflets or posters, allowing students to revisit the information later. 

  • Audience Segmentation – Adapt activities for pre- and post-menarche students to match their needs and comfort levels. 
  • Interactive, Hands-On Learning – Use visual aids, role plays, and product demonstrations to engage multiple learning styles. 
  • Safe Participation Rules – Start sessions with simple agreements on respect and confidentiality to encourage open dialogue. 
  • Proactive School Engagement – Approach principals in person to secure support, time slots, and teacher involvement. 
  • Environmental Integration – Include information on how different products affect waste and climate, fostering both health and environmental responsibility. 
  • Teacher Involvement – Invite teachers to join the sessions so they can continue the conversation afterwards. 
  • Follow-Up Materials – Provide schools with leaflets or posters to reinforce key messages after the session. 
  • Younger students respond best to fun, artistic, and emotionally safe methods, while older students value factual clarity and practical detail. 
  • Demonstrating products physically breaks down stigma and makes menstrual care relatable, especially in rural or high-stigma settings. 
  • Including boys in the sessions reduces teasing and builds peer support for menstruating students. 
  • Teacher involvement greatly increases the sustainability of knowledge transfer. 
  • Careful preparation, including early material requests and transport planning, ensures smooth delivery. 
Engaging Key Actors for Menstrual Health Outreach

This building block outlines how to identify, engage, and collaborate with the local actors who enable smooth implementation and long-term sustainability of the SPARŚA Ambassador Program. These include local authorities, community leaders, partner NGOs, school administrations, and ward-level representatives. Establishing trust with these stakeholders ensures legitimacy, secures support for sessions, and opens opportunities for collaboration, resource-sharing, and broader community engagement. 

Ambassadors begin by mapping key decision-makers in their area, including ward officers, municipal representatives, and respected community figures. Early face-to-face meetings secure permissions and build goodwill. These contacts often connect Ambassadors to existing programmes and community groups such as Ama Samuha, Mahila Samuha, Tole Sudhar Samiti, and Users Committees, which can help mobilise participants and spread awareness. 

Partner NGOs are engaged before training begins, contributing to co-designing content, sourcing expert trainers, and sharing proven materials like Ruby’s World from WASH United, NFCC toolkits, and GYAN resources. 

When engaging schools, Ambassadors prioritise in-person visits to principals over emails or calls, respecting local norms and increasing the likelihood of acceptance. Flexibility is essential to handle last-minute changes or rejections. Principals play a key role in organising logistics, allocating time slots, and ensuring student and teacher participation. 

Formal documentation—letters with organisational stamps and signatures—builds credibility and reassures institutions. Understanding local protocols is vital, as some districts require additional approvals from higher authorities. 

  • Stakeholder Mapping – Identify key decision-makers, influencers, and active community groups before implementation. 
  • Early Government Engagement – Meet ward officers, municipal representatives, and community leaders early to secure approvals and explore synergies with local initiatives. 
  • Strong NGO Partnerships – Collaborate with NGOs during programme design to access trainers, co-create content, and leverage their networks. 
  • Proactive School Engagement – Rely on direct, face-to-face communication with principals for smoother scheduling and logistical coordination. 
  • Local Champions – Enlist respected individuals to introduce Ambassadors and vouch for their work. 
  • Formal Documentation – Prepare stamped, signed letters to formalise agreements and avoid administrative delays. 
  • Protocol Awareness – Understand and comply with administrative processes unique to each district. 
  • In-person engagement is far more effective than remote outreach when working with schools and communities in rural Nepal. 
  • Formal procedures, including official letters and stamps, are essential for credibility and often a precondition for access. 
  • Flexibility is key; session dates may change, and having backup options prevents disruption. 
  • Maintaining warm relationships with stakeholders through updates and acknowledgements builds long-term trust. 
  • Aligning Ambassador activities with existing health or education events increases efficiency and reach. 
Creating a Network of Young Educators (Sparśa Ambassadors)

This building block establishes a community-rooted network of trained young educators—known as Ambassadors—who lead awareness sessions on menstruation within their own local contexts. The approach addresses the widespread lack of accurate menstrual health information among both schoolchildren and adults by using peer-led, relatable education. 

Ambassadors are selected from diverse communities across Chitwan, Nawalpur East, and Nawalpur West, ensuring cultural, linguistic, and contextual relevance. Both male and female Ambassadors are recruited to promote shared responsibility for breaking menstrual stigma. 

Before field implementation, Ambassadors conduct community and school mapping to design session content tailored to local needs and beliefs. They participate in intensive residential training on menstruation, SRHR, facilitation, and leadership, followed by mock sessions in local schools. They also form peer support groups—through WhatsApp, weekly calls, and shared online documents—to coordinate, co-create sessions, and sustain motivation. 

The programme prioritises both external impact and the personal and professional development of Ambassadors, fostering the next generation of community leaders and advocates for menstrual health. Regular check-ins, planning meetings, and progress updates keep the network active, responsive, and accountable.

  • Community-Centric Recruitment – Select Ambassadors from their own communities to ensure trust, cultural sensitivity, and relevance. Partner with schools, youth clubs, and women’s groups for recruitment. Use a short application process to assess motivation, availability, and community involvement. 
  • Inclusive Gender Representation – Engage both men and women to foster shared responsibility in menstrual health education. 
  • Flexible Training Design – Combine a pre-designed curriculum with space for Ambassadors to adapt content based on mapping results and local taboos. 
  •  Interactive Training Methods – Use role plays, group discussions, and games to make sessions participatory. Include culturally relevant examples and a “train-the-trainer” component so Ambassadors can cascade their learning. 
  • Skilled Facilitation – Involve expert trainers in SRHR, facilitation, and leadership to build strong knowledge and confidence. 
  • Pre-Deployment Preparation – Run practice workshops and mock sessions before fieldwork to refine delivery. 
  • Ongoing Mentorship – Provide regular guidance, peer support groups, and group reflection sessions to sustain engagement. 
  • Integration with Local Services – Link Ambassadors to health centres and school staff for referrals and continuity of education after the project. 
  • Recruiting passionate youth works well, but including candidates with SRHR or public health backgrounds adds extra value. Take time with selection to ensure long-term commitment. 
  • A 3-day residential training proved too short; a week-long bootcamp allows deeper learning, stronger bonding, and practical application. 
  • Many Ambassadors dropped out due to low motivation or personal commitments. Regular in-person or hybrid check-ins, accessible communication channels (including offline), and incentives such as certificates or small stipends help retain them. 
  • Scheduling sessions at convenient times for target groups and separating sessions by age or gender when needed creates safer spaces for discussion. 
  • Combining menstrual health education with related topics like puberty, hygiene, or environmental impacts broadens relevance and engagement. 
  • Post-session feedback forms and monthly peer meetings help track progress, identify challenges, and share solutions. 
  • Partnering with local institutions early ensures credibility and smoother access to schools and community venues. 
Next Steps: Feedback Based Optimization for outcome-oriented Decisions

Product development does not end with certification. To create menstrual pads that are accepted, trusted, and widely adopted, Sparśa built a structured system to integrate real user experiences into design improvements.

This building block focuses on user feedback surveys and community-based testing of Sparśa pads. The initial questionnaire was co-designed by the team and adapted from international tools, but simplified after field trials revealed that long, technical questions discouraged participation. The refined survey is short, available in both Nepali and English, and structured around everyday experiences of menstruation.

The survey collects both quantitative data (absorbency, leakage, comfort, ease of movement, wearability) and qualitative insights (likes, dislikes, suggestions). It also includes questions about packaging, clarity of information, and first impressions. Importantly, the survey is distributed through Google Forms for easy access and rapid data analysis, but also adapted for offline use where internet is unavailable.

The next stage is scaling up to at least 300 users, ensuring diverse representation across age, geography, and socioeconomic background. By triangulating lab results (Block 3) with user feedback, Sparśa can continuously optimize pad design, packaging, and distribution strategies.

This approach demonstrates that menstrual product development is not only about technical performance, but also about cultural acceptability, dignity, and user trust.

  • Translation of the questionnaire into local languages and simplification of terminology.
  • Structured design linking questions to real-life scenarios (e.g. school, work, travel).
  • Collaboration with schools, NGOs, and local women’s groups to distribute surveys and encourage participation.
  • Use of digital tools (Google Forms) for efficient data collection and analysis.
  • Flexibility to adapt tools for both online and offline contexts.
  • Avoiding complex terminology is essential; many Nepali girls did not understand technical menstrual health vocabulary.
  • Long and complicated questions reduce participation; short and clear formats improve accuracy.
  • Feedback methods should be tested in small pilots before full deployment.
  • User feedback is most reliable when anonymity is respected — especially for adolescents.
  • A dual-language approach (Nepali + English) increases inclusivity and widens data use for local and international partners.
  • Surveys should capture not just performance data, but also perceptions and feelings, which strongly influence adoption.
  • Continuous feedback collection allows for incremental improvements rather than costly redesigns later.
  • Packaging feedback is as important as product feedback, since first impressions influence user trust.
Quality Assurance: Absorbency, Retention and Hygiene Compliance

This building block ensures that menstrual pads are not only functional, but also safe, hygienic, and compliant with health standards before reaching users. Pads are used on a highly sensitive part of the body, which makes strict quality assurance indispensable.

In Nepal, a sanitary pad standard exists but is not yet mandatory. Sparśa therefore chose to voluntarily design and test pads according to both national standards and international ISO-based procedures, ensuring user safety and long-term readiness for certification.

The quality assurance process is divided into two components:

1. Internal testing protocols
Developed in-house to support R&D, these tests measure:

  • Total absorbency (immersion tests to measure overall liquid capacity).
  • Retention under pressure (ability of the pad to hold liquid without leakage).
  • Spreading behaviour (how liquid distributes across layers and wings).
  • Bacterial load per layer (testing the core, topsheet, and wings separately to identify contamination sources).

These protocols allowed Sparśa to compare prototypes quickly and identify flaws before moving to external certification.

2. Standard certification testing
Once prototypes reached consistent performance, pads were tested in certified laboratories. Local labs in Nepal were prioritised for practicality, but benchmarked against ISO methods. External testing covered:

  • Absorbency
  • Retention
  • Hygiene and microbial load
  • Physical safety parameters

Since Sparśa uses natural fibres like banana fibre, viscose, and cotton, maintaining hygiene standards is even more critical than with synthetic pads. Natural fibres are compostable and environmentally preferable but can be more prone to bacterial growth if hygiene controls lapse. To address this, strict bioburden protocols were introduced: glove use at critical points (e.g. after fibre cooking), clean-room practices for pad assembly, and systematic bacterial count documentation.

Certification is not only a compliance requirement but also a trust-building tool — with users, health authorities, and donors — providing transparency and credibility in a sensitive sector.

Annexes include Nepal’s sanitary pad standards, Sparśa’s internal testing protocols, and hygiene guidelines, enabling practitioners to replicate the approach in other contexts.

  • Early identification of certified labs aligned with Nepal Standards and ISO procedures.
  • Prioritisation of local labs for easier communication, logistics, and lower costs.
  • Proactive lab visits before selection to build trust and transparency.
  • Development of strong internal lab capacity to run pre-certification tests.
  • Official documentation of results to validate hygiene and safety claims.
  • Clear hygiene SOPs shared across both fibre and pad factories to ensure consistency.
  • Close communication with lab teams is essential; otherwise, valuable feedback may be lost.
  • Labs test only predefined parameters — additional performance feedback must be requested.
  • Aligning internal protocols with certification methods early avoids discrepancies later.
  • Testing pad layers separately for bacterial counts helps identify contamination sources.
  • Hygiene lapses in one production step can compromise the entire product. Consistency is key.
  • Natural fibres require stricter hygiene protocols than plastics, making bioburden control vital for compostable pads.
  • Small producers should prioritise three core tests: absorbency, retention, and microbial load. These are the minimum standards for safe product development.
  • Frequent small-batch testing is more effective and cost-efficient than infrequent large-scale tests.
  • Certification should be seen as part of a continuous improvement cycle, not a final step. It strengthens user trust, supports market acceptance, and ensures product credibility.
Field Research & User Insights: On menstrual product access and their preferences in Nepal

This building block outlines the findings and methodology of a nationwide field study conducted in 2022, which informed the Sparśa Pad Project. The research examined menstrual product usage, access, stigma, and user preferences among 820 Nepali women and adolescent girls in 14 districts across all seven provinces.

Using a structured face-to-face interview approach, the team employed ethically approved questionnaires administered by culturally rooted female research assistants. This method ensured trust, context sensitivity, and accurate data collection across diverse communities. The interviewers were trained in ethical protocols and worked in their own or nearby communities, thereby strengthening rapport and enhancing their understanding of local norms, power relations, and languages.

Key findings revealed a high reliance on disposable pads (75.7%) and ongoing use of cloth (44.4%), with product preferences strongly shaped by income, education, and geography. Respondents prioritized absorbency, softness, and size in menstrual products. While 59% were unfamiliar with the term “biodegradable,” those who understood it expressed a strong preference for compostable options, over 90%. Importantly, 73% of participants followed at least one menstrual restriction, yet 57% expressed positive feelings about them, seeing them as tradition rather than purely discriminatory.

These findings directly shaped the design of Sparśa’s compostable pads, informed the user testing protocols, and guided the development of targeted awareness campaigns. The accompanying link and PDFs include a peer-reviewed research article co-authored by the team and supervised by Universidade Fernando Pessoa (Porto, Portugal), as well as informed consent forms, a statement of confidentiality, and a research questionnaire. These documents are provided for practitioners' reference or replication purposes.

Why this is useful for others:

For Nepali organizations and local governments:

  • The study provides representative national data to inform product design, pricing strategies, and outreach campaigns.
  • It reveals regional, ethnic, and generational differences in attitudes that are essential for localized intervention planning.
  • The questionnaire is available in Nepali and can be adapted for school surveys, municipal assessments, or NGO projects.

For international actors:

  • The research demonstrates a replicable, ethical field methodology that balances qualitative insight with statistically relevant sampling.
  • It offers a template for conducting culturally sensitive research in diverse, low-income settings.
  • Key insights can guide similar product developmenthealth education, and behavior change interventions globally.

Instructions for practitioners:

  • Use the attached PDFs as templates for conducting your own baseline studies.
  • Adapt the questions to reflect your region’s cultural and product context.
  • Leverage the findings to avoid common pitfalls, such as overestimating awareness of biodegradable products or underestimating positive views on restrictions.
  • Use the structure to co-design products and testing tools that truly reflect end-user needs.
  • Long-term engagement of NIDISI, a NGO with operational presence in Nepal, enabled trust-based access to diverse communities across the country.
  • Partnerships with local NGOs in regions where NIDISI does not operate directly were essential to extend geographic reach. In Humla, one of Nepal’s most remote districts, the entire research process was carried out by a trusted partner organization.
  • Pre-research networking and stakeholder consultations helped NIDISI refine research tools, adapt to local realities, and align with the expectations of communities and local actors.
  • Research assistants were female community members selected through NIDISI’s existing grassroots networks and recommendations from NGO partners, ensuring cultural sensitivity, linguistic fluency, and local acceptance.
  • Field research relied on ethically approved, pre-tested questionnaires, with interviews conducted in multiple local languages to ensure inclusivity and clarity.
  • Interviews were conducted face-to-face and door-to-door, prioritizing trust and participant comfort in culturally appropriate ways.
  • The study included a demographically diverse sample, representing various ethnic, educational, religious, and economic groups, strengthening the representativeness and replicability of the findings.
  • Academic collaboration with Universidade Fernando Pessoa (Portugal), where the research formed part of a Master's thesis by a NIDISI team member, ensuring methodological rigor and peer-reviewed oversight.
  • Language and cultural barriers can compromise data accuracy; working with local female facilitators from the same communities was essential to ensure comprehension, trust, and openness.
  • Social desirability bias limited the honesty of some responses around menstrual stigma. Conducting interviews privately and individually helped mitigate this, especially when discussing taboos or product usage.
  • The combination of quantitative surveys with qualitative methods (open-ended questions, observations, respondent quotes) enriched the dataset and provided both measurable and narrative insights.
  • Flexibility in logistics was crucial. Travel difficulties, seasonal factors, and participant availability—especially in rural and remote areas—required adaptable timelines and contingency planning.
  • Respecting local customs and religious norms throughout the research process was vital for ethical engagement and long-term acceptance of the project.
  • Training research assistants thoroughly not only on tools, but also on the ethical handling of sensitive topics, significantly improved the reliability and consistency of data collected.
  • Some communities initially associated the topic of menstruation with shame or discomfort, and pre-engagement through trusted local NGOs helped build the trust necessary for participation.
  • Pilot-testing the questionnaire revealed linguistic ambiguities and culturally inappropriate phrasing, which were corrected before full deployment—this step proved indispensable.
  • Remote districts such as Humla required an alternative model: relying fully on local NGO partners for data collection proved both effective and necessary for reaching hard-to-access populations without an extensive budget burden.
  • Participant fatigue occasionally affected the quality of responses in longer interviews; reducing the number of questions and improving flow would significantly improve participant engagement.
  • Engaging with younger respondents, especially adolescents, required different communication strategies and levels of explanation than with older adults. Age-sensitive adaptation improved both participation and data depth.
  • Documentation and data organization during fieldwork (e.g. daily debriefs, note-taking, photo documentation, secure backups) was essential for maintaining data quality and enabling follow-up analysis.