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In Bangladesh, as elsewhere, menstruation is surrounded by stigma, silence, and shame. Despite being a critical part of women’s and girls’ sexual and reproductive health and rights (SRHR), it remains significantly under-researched and addressed. However, the focus on menstrual health (MH) programming is growing globally, with increased awareness of the importance of holistic and rights-based approaches. This case study aims to examine and reflect upon the MH landscape and programming in Bangladesh, assessing the progress, challenges, and potential ways forward.

This case study is based on a non-systematic review of recent global and national literature, eight semi-structured interviews, a review of national television adverts and the authors’ experiences of MH research and programming in Bangladesh.

Hygiene-based education delivered through schools is a common entry point for MH programming in Bangladesh, with limited activities conducted in communities (including with men and boys) and through media. The focus of MH programming has tended to be narrow, with insufficient recognition of the wider gender equality and health implications of menstruation. There are growing efforts to coordinate MH work by different agencies and to collectively advocate for increased government engagement. While significant progress has been made, this case study identifies several gaps and tensions that reflect the complexity of addressing MH.

This case study presents an overview of recent MH experiences and programming in Bangladesh. It recognises the different sectors, sites and stakeholders involved, and includes experiences and perspectives of practitioners, academics, and programme participants.

This chapter introduces the approaches and methods employed in a four-country research project that resulted in the 2017 report The People in the Pictures: Vital perspectives on Save the Children’s image making. It presents and explores the ethical issues that emerged throughout the process of the research, particularly in relation to photo elicitation – the use of images (still and moving) within both interviews and focus groups. Interviews and focus groups took place in the UK, Jordan, Bangladesh, and Niger with a total of 202 research participants. The research involved sharing Save the Children content (fundraising materials, published reports, online news features, TV adverts, and short films) with research participants. Research participants included those featured in some of these visual communication materials (referred to as contributors), and other individuals within their communities (referred to as non-contributors). The following principles and decisions informed the research design: safe and ethical practice; inclusive, engaging and accessible approaches; the participation of children; prioritising first-hand accounts; no photography or filming; and the preparation of location- and language-specific resources for each interview and focus group. The main ethical issues to emerge during the design of the research related to predicting (and responding) to any potential negative impacts of the research on participants, particularly contributors, but also children. The researchers also experienced some unexpected ethical encounters, including visual materials causing some concern or distress. Additionally, assuring research participants’ anonymity led to the necessity of extra care when publishing the report and the use of images within that.

This chapter serves as an introduction to the key themes found within the volume Ethics and Integrity in Visual Research Methods, and provides a rationale for the volume’s focus on photography and film media. Drawing from other literature, the author discusses the significance of indexicality and visual language when working with photography and film in research contexts, and describes how these considerations set photography and film apart from other forms of visual data. The chapter concludes by outlining the format of the volume, which divides the nine chapters into three key areas of exploration: Voice and Agency, Power and Inequality, and Context and Representation.