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.
From Insights to Innovation: R&D, Design and Prototyping

This building block captures the iterative process of translating user insights into tangible menstrual pad prototypes. Guided by the national field research (Building Block 1), Sparśa developed and tested multiple pad designs to balance absorbency, retention, comfort, hygiene, and compostability.

The process took place in two phases:

Phase 1 – Manual prototyping (pre-factory):
Before the factory was operational, pads were manually assembled to explore different material combinations and layering systems. Prototypes tested 3–5 layers, usually including a soft top sheet, transfer layer, absorbent core, biobased SAP (super absorbent polymer), and a compostable back sheet. Materials such as non-woven viscose, non-woven cotton, banana fibre, CMC (carboxymethyl cellulose), guar gum, sodium alginate, banana paper, biodegradable films, and glue were evaluated.

Key findings showed that while achieving high total absorbency was relatively easy — Sparśa pads even outperformed some conventional pads in total immersion tests — the main challenge lay in retention under pressure. Conventional pads use plastic hydrophobic topsheets that allow one-way fluid flow. Compostable alternatives like viscose or cotton are hydrophilic, risking surface wetness. Prototyping revealed the need to accelerate liquid transfer into the core to keep the top layer comfortable and dry.

Phase 2 – Machine-based prototyping (factory):
Once machinery was installed, a new round of prototyping began. Manual results provided guidance but could not be replicated exactly, as machine-made pads follow different assembly processes. Techniques such as embossing, ultrasonic sealing, and precise glue application were tested, alongside strict bioburden control protocols in the fibre factory.

Machine-made prototypes were systematically tested for absorption, retention, and bacterial counts. Internal testing protocols were developed in-house and then verified through certified laboratories. Initial results showed that bacterial loads varied significantly depending on fibre processing steps (e.g. cooking or beating order), underlining the importance of strict hygiene control.

Iterative design cycles combined laboratory testing with user comfort feedback, allowing continuous adjustments. By gradually refining layer combinations, thickness, and bonding methods, Sparśa optimized the balance between performance, hygiene, and environmental sustainability.

Annexes include PDFs with detailed prototype designs, retention test data, and bacterial count results. These resources are provided for practitioners who wish to replicate or adapt the methodology.

  • Continuous prototyping and testing cycles, allowing evidence-based refinement.
  • Close collaboration between fibre and pad factories to align material treatment and hygiene protocols.
  • Market analysis of competitor pads to benchmark performance and identify gaps.
  • Access to internal and external testing facilities for thorough evaluation.
  • Proactive implementation of hygiene protocols, including documented bioburden control steps.
  • A multidisciplinary team (engineers, product designers, social researchers) ensuring both technical and social dimensions were considered.
  • Always validate embossing and bonding designs in real production settings — small design flaws can lead to leakage.
  • Top-layer materials should never be chosen based on visual or tactile feel alone; their hydrophilic/hydrophobic behaviour must be tested under liquid.
  • Avoid bulk purchasing untested materials — small pilot orders are crucial for cost efficiency and learning.
  • Evaluate how liquid spreads across the entire pad geometry; otherwise, edge leakage (e.g. wings) can go unnoticed.
  • Develop internal lab protocols early to identify flaws before costly mass production.
  • Hygiene consistency is non-negotiable; contamination in one facility can compromise the entire production chain.
  • Testing pad layers separately for bacterial load helps identify the exact source of contamination.
  • Document every change in fibre treatment — minor process tweaks (e.g. cooking order) can significantly influence bacterial count.
  • Different bonding methods (glue, pressure, perforation) behave differently depending on the layer’s role; trial and comparison are indispensable.
  • Never rely on one successful prototype — repeatability and consistency matter more than one-off results.
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.
Value Addition through creation of Bee-Based Products Using Locally Available Materials

The second phase of the apiculture training, conducted in Kwale, focused on post-harvest handling and value addition of hive products. It was designed as a follow-up Training of Trainers (ToT) activity to complement the technical skills acquired during the first phase. Participants included beekeeping ToTs and select group members who had harvested honey from their hives. The training covered proper harvesting techniques, hygiene, and methods for processing raw honey and hive by-products such as beeswax and propolis. Hands-on sessions enabled participants to make a range of marketable items including beeswax candles, body cream, lip balm, lotion bars, burn ointment, and cough syrup. Locally available materials such as coconut husks, bamboo, and recycled glass were used in packaging and product design. The training emphasized product quality, shelf life, and branding to improve marketability. This phase also encouraged innovation and peer exchange, as participants shared ideas for using bee products in traditional medicine or personal care. The value addition component strengthens income potential for beekeepers and supports the broader objective of creating sustainable, mangrove-compatible livelihoods.

Participants had already gained practical experience from the first training phase and were motivated to expand their knowledge. Availability of harvested honey from earlier installed hives allowed for immediate hands-on practice. Trainers brought experience in product formulation and packaging using local materials. Support from local organizations and aggregation points created pathways for future sales. Community interest in natural products helped position value addition as a viable income stream.

Many participants had no prior knowledge of processing hive products and appreciated the hands-on, practical approach. Demonstrating value-added product options boosted confidence and motivation, especially among women participants. Using familiar, locally sourced materials for packaging helped reduce costs and increased relevance for rural producers. Peer learning emphasized in the Training of Trainers approach proved effective, as some participants began mentoring others on value addition even before formal aggregation models were in place. Training participants only once is not sufficient; refresher sessions and continued support are essential to improve product quality and market readiness. Overall, linking production to value addition encouraged stronger hive ownership and long-term commitment to apiculture.

Training of Trainers in Sustainable Beekeeping Practices

Beekeepers in both Kwale and Mkinga had limited knowledge of improved hive management and struggled with low yields, poor equipment handling, and lack of confidence in basic apiculture practices. To address this gap, the project delivered a comprehensive Training of Trainers (ToT) programme on sustainable beekeeping practices. Participants included selected beekeepers, women and youth, as well as livestock production officers. The training focused on key topics such as bee biology and ecology, apiary site selection, colony management and multiplication, pest and disease control, pollination services, beekeeping equipment, record keeping, and the impact of pesticides on bees. Hive products and current research in the sector were also covered. Practical, hands-on learning was emphasized to ensure participants could apply knowledge immediately and confidently. The involvement of extension officers improved institutional capacity to support beekeepers beyond the project. Trained individuals were expected to pass on their knowledge and mentor others in their communities, contributing to broader uptake of improved practices and long-term sustainability of beekeeping as a nature-based livelihood in mangrove areas.

  • Active involvement and support from local government and community-based groups. The involvement of livestock officers increased institutional ownership, and the presence of abundant forage and water made technical improvements directly impactful.
  • Availability of suitable apiaries for practical demonstrations. Hands-on training approach was key
  • Use of accessible training materials and local language explanations to enhance comprehension.

Without hands-on training, many groups struggled with basic hive management, harvesting techniques, and recognizing ripe honey. This led to low yields, colony absconding, and even spoilage of harvested honey. The ToT model allowed for local knowledge sharing, but follow-up mentoring is critical to reinforce learning and avoid skill gaps. Including government officers in the training proved beneficial, as it helped bridge the gap between producers and support services. In some cases, livestock officers lacked demonstration equipment and had not received prior training in hive management, limiting their ability to support communities. Trainings need to include practice with real hives, not just demonstrations. In future, ToTs should always receive refresher courses and facilitation to provide ongoing peer support in their communities.

Carpenter Training for Improved Beehives

In both Kwale (Kenya) and Mkinga (Tanzania), locally produced beehives were often substandard and contributed to poor colony occupancy and low honey yields. The project responded by identifying carpentry workshops and training selected carpenters in the production of improved Kenya Top Bar Hives (KTBH) and other standardized models. In Kwale, two workshops (Lunga Lunga and Tiwi) were targeted, with Lunga Lunga already producing hives at scale but requiring technical improvement. In Mkinga, training took place in Tanga City. The training emphasized correct hive dimensions, appropriate materials, and basic bee biology to ensure the carpenters understood the functionality of each design feature. Following training, the workshops continued to produce hives to meet local demand, allowing community members to purchase hives rather than rely on donations. This helped build local ownership and supported a sustainable model for hive supply that could be scaled beyond the project. This intervention also laid the groundwork for additional support to beekeepers, who could now access better equipment within their region.

Existing carpentry workshops in Kwale and Tanga had experience with hive production and were open to improving their skills. Local demand for hives was increasing as apiculture training was set to expand. The project had access to technical experts who could guide training, and input from beekeeping officers and experienced beekeepers ensured practical relevance. The training also benefited from a clear gap in the market: standard hives were unavailable or unaffordable before this intervention.

  • Skilled local carpenters available within the community.
  • Availability of suitable local materials for hive construction.
  • Clear guidelines and standard specifications provided by trainers, directly linked to bee biology.

Local carpenters were eager to participate and could absorb high-volume orders, but lacked understanding of key design features without dedicated training. Training content must go beyond woodworking and include bee biology to ensure hive functionality and ease of inspection. Substandard hive production leads to poor occupancy and reduced trust in apiculture as a livelihood. Continued quality control remains a challenge and should be addressed through follow-up support. The model works best when carpenters are embedded in local markets and directly interact with beekeepers. Training carpenters also shifts the local economy from donation-driven models to community-based entrepreneurship. A shared understanding between beekeepers, extension officers, and carpenters helps avoid misalignment between hive design and management practices. The success of this approach shows that supporting upstream actors in the value chain can improve outcomes for end users.

Analysis of the Mangrove Honey Value Chain

The project conducted an in-depth value chain analysis of mangrove honey in Kwale (Kenya) and Mkinga (Tanzania) to guide strategic interventions supporting conservation and local livelihoods. Using the ValueLinks methodology, the assessment mapped actors and flows across the chain, including beekeepers, input suppliers, carpentry workshops, extension services, traders, and consumers. Key challenges identified included substandard hive equipment, low production, lack of training, and weak market linkages. Most honey is sold locally with minimal value addition. The analysis revealed potential to brand mangrove honey as a niche ecological product. Recommendations included training beekeepers and carpenters, promoting individual hive ownership, establishing honey collection centers, and strengthening market access. This analysis ensured that project interventions directly addressed field realities and laid the foundation for the capacity building and marketing work that followed.

The presence of active technical partners such as WWF, WCS, IUCN, CORDIO and Mwambao created a strong support network beneficial for the analysis. Local carpenters and input suppliers in both Kwale and Tanga were already producing hives, creating a practical entry point. Beekeepers and government officers provided production data and candid insights during field visits and interviews, and the use of ValueLinks methodology helped structure the mapping process.

 

  • Participation and input from key stakeholders, including beekeepers, government officers, and NGOs.
  • Existing data and local knowledge from previous beekeeping initiatives.
  • Clear methodology (standardized questionnaires, semi-structured interviews, field observations) ensuring consistent and verifiable data collection.

Conducting a value chain analysis early in the project helped align interventions with real needs. Beekeepers’ challenges, such as poor hive quality, low production, and inadequate training, were addressable with targeted support. Group apiaries were often ineffective therefor promoting individual ownership improved outcomes. The demand for mangrove honey presents an opportunity for branding and income generation but requires investment in quality control and aggregation. Mapping the chain also revealed gaps in value addition and highlighted the importance of training and mentorship, especially through a Training of Trainers approach.

A group of local beekeepers gather outside during an apicutlture training to calm bees before inspecting hives
Analysis of the Mangrove Honey Value Chain
Carpenter Training for Improved Beehives
Training of Trainers in Sustainable Beekeeping Practices
Value Addition through creation of Bee-Based Products Using Locally Available Materials
Strengthening local communities’ structures to improve the effectivity and capacities of local actors being part of a value chains on traditional medicine

While the creation of local associations is a common GIZ approach to strengthen local voices and support trade in raw materials and products, it requires careful coordination with regional authorities and a clear step-by-step process. In northeast Côte d’Ivoire, before engaging local communities, a meeting was held with prefects, sub-prefects, political representatives, and members of an existing successful association of traditional medicine practitioners. The association shared why it was formed and what it had achieved, leading to buy-in and support from local authorities.

In the second step, a workshop gathered traditional medicine practitioners from regional villages. The existing association again shared its process and results, inspiring other practitioners. However, tensions between established practitioners and those with different approaches who are not yet organised were acknowledged. Care needs to be taken to ensure that the association-building process remained inclusive and balanced.

In the third step, practitioners took this knowledge back to their communities, where they discussed the association’s structure and their involvement with local decision-makers. The process is supported by a sister GIZ project active on the ground.

Enabling factors included: following a clear sequence by first informing authorities to gain support; leveraging existing contacts through a GIZ sister project; showcasing a successful association to demonstrate steps and benefits; applying a sensitive, balanced approach during workshops with diverse traditional medicine practitioners; and ensuring the process was brought back to local communities and their decision-making structures before forming associations.

A key lesson is that informed buy-in and support from local authorities and politicians is essential before directly engaging traditional medicine practitioners. This is best achieved by involving a successful existing association and a sister project with established contacts to authorities.

Another lesson is that not all practitioners fully support the idea of a joint association. Differences in methods and levels of recognition can create tensions. Addressing these differences with sensitivity is crucial to avoid perceptions of exclusion.

Finally, decisions are made within local community structures, not solely by practitioners. The formation of a broader association across villages is carefully considered at the community level. Having a sister GIZ project—or another trusted local partner - actively involved on the ground is a major advantage for guiding and supporting this process.