?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F36798%2F&rft.title=A+visual%2C+community-engaged+exploration+of+menstrual+practices+and+motivations+among+adolescent+girls+in+far-west+Nepal&rft.creator=Baumann%2C+Sara&rft.description=Menstrual+health%2C+a+growing+global+public+health+issue%2C+is+the+study+of+social%2C+political%2C+structural%2C+educational+and+environmental+factors+that+affect+experiences+of+menstruation+and+impact+health.+Challenges+associated+with+menstruation+include+the+lack+of+access+to+materials+and+sanitation+facilities%2C+low+knowledge+about+menstruation%2C+and+taboos+and+stigma+that+perpetuate+unsafe+practices.+In+Nepal%2C+menstrual+restrictions+are+widespread%2C+putting+menstruators+at+risk+for+poor+health+outcomes.+Menstrual+health+research+and+interventions+in+Nepal+must+thoughtfully+examine+practices+and+beliefs%2C+and+propose+solutions+considering+social+values+and+the+health+and+development+context.%0D%0A%0D%0AArts-based+methods+and+community-engaged+approaches+are+particularly+appropriate+for+investigating+sensitive+topics+such+as+menstrual+health.+This+dissertation+first+analyzes+studies+that+have+applied+film+methods+in+public+health+research.+It+then+introduces+a+novel%2C+visual%2C+community-engaged+research+method+called+Collaborative+Filmmaking.+Finally%2C+it+presents+the+results+from+applying+Collaborative+Filmmaking+to+study+menstruation+in+Nepal.%0D%0A%0D%0AResults+from+the+scoping+review+identified+15+film+methods+used+in+public+health%2C+which+offer+numerous+methodological+strengths+such+as+providing+rich+descriptions%2C+capturing+emic+perspectives%2C+increasing+comfort+in+participation%2C+and+empowering+participants.+Collaborative+Filmmaking+is+a+six-step+method+that+builds+upon+these+strengths.+Adopting+a+community-engaged+approach%2C+participants+of+Collaborative+Filmmaking+are+trained+to+create%2C+analyze%2C+and+screen+their+own+films+in+the+community.+Piloting+Collaborative+Filmmaking+in+far-west+Nepal+provided+nuanced%2C+sensory+insight+into+menstrual+practices+and+motivations+among+adolescent+girls.+An+array+of+menstrual+practices+related+to+cleansing%2C+cooking%2C+eating+and+drinking%2C+touching%2C+worshipping%2C+sleeping%2C+and+maintaining+physical+distance+were+uncovered.+The+practices+fell+along+a+continuum+and+varied+by+caste%2Fethnic+and+religious+background.+Motivations+for+following+menstrual+practices+included+religious+and+spiritual+beliefs%2C+family+tradition%2C+negative+consequences%2C+and+social+pressure.+%0D%0A%0D%0AThis+dissertation+contributes+to+both+visual+methods+and+menstrual+health+scholarship.+Collaborative+Filmmaking+is+an+effective+method+for+engaging+participants+in+exploring+a+sensitive+topic%2C+generating+nuanced+data%2C+and+is+powerful+for+disseminating+results.+In+terms+of+menstrual+health%2C+this+dissertation+extends+the+literature+by+describing+key+differences+in+menstrual+practices+among+girls+from+different+caste%2Fethnic+and+religious+groups+in+Nepal+for+consideration+in+future+interventions+and+polices.&rft.date=2019-09-26&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F36798%2F1%2FBaumann_Sara_dissertation_August2019.pdf&rft.identifier=++Baumann%2C+Sara++(2019)+A+visual%2C+community-engaged+exploration+of+menstrual+practices+and+motivations+among+adolescent+girls+in+far-west+Nepal.++Doctoral+Dissertation%2C+University+of+Pittsburgh.++++(Unpublished)++