“Basically, my answer is, there needs to be options!” Recommendations for the delivery of free menstrual products to the public: A qualitative exploration among marginalised groups in Victoria, Australia

Abstract

Abstract Objective: Governments have announced free menstrual product provision policies. Our research aimed to inform these initiatives by understanding menstrual product insecurity amongst marginalised groups and their recommendations for product provision. Methods: We undertook in-depth interviews with participants experiencing menstrual product insecurity, who identified as belonging to one or more marginalised groups, alongside key informants working for organisations serving these populations. Groups included those on low income, people experiencing housing insecurity, people living with disabilities, multicultural groups, gender-diverse people, and young people. Qualitative content analysis was undertaken using a framework approach. Results: Thirty participants and five key informants participated. Participant recommendations for service delivery emphasised convenience, product choice and prioritisation of those with the greatest need whilst preventing misuse. Participants also considered the balance between the privacy and visibility of delivery mechanisms and the opportunity to address other menstrual needs including education and stigma through product provision policies. Conclusions: No single delivery approach best suits the needs of all people. Delivery mechanisms must consider how to provide participants’ recommended features. Implications for Public Health: To best reduce menstrual product insecurity, governments should consider delivering products through multiple mechanisms. Co-development of policy implementation methods with intended beneficiaries, and thorough evaluation, will support uptake. Key words: menstrual health, menstrual hygiene, Australia, qualitative, social determinants of health, health policy