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The absence of menstrual health issues from the 1994 International Conference on Population and Development (ICPD) in Cairo and the 1995 UN Fourth World Conference on Women in Beijing presents a significant puzzle, especially given the pivotal role of feminists in shaping these landmark agendas. Despite millions of women and girls globally facing profound challenges in managing menstruation, activists for reproductive rights remained conspicuously silent on this issue. This paper investigates this oversight by drawing on interdisciplinary literature concerning social movements, global health, and agenda-setting.
Examining mobilizing structures, resonant framing, the political environment, and issue characteristics, this study finds that the inherent attributes of menstruation as an issue best explain its exclusion from the ICPD and Beijing Platforms for Action. Utilizing an intersectional approach to policymaking, the research demonstrates that despite a generally favorable political context, robust mobilizing structures, and frames capable of public resonance, menstruation was overlooked even by feminists. This was primarily because its burdens disproportionately affect intersectionally marginalized populations.
Through qualitative document analysis of publicly available historical materials from relevant multilateral and international women’s organizations, this study offers a novel contribution to literature, exploring a critical instance of an issue failing to achieve global agenda status.