A school dropout from a poor family in India has revolutionised menstrual health for rural women.


A school dropout from a poor family in India has revolutionised menstrual health for rural women in developing countries by inventing a simple machine they can use to make cheap sanitary pads.

Arunachalam Muruganantham's invention came at great personal cost - he nearly lost his family, his money and his place in society. But he kept his sense of humour.
"It all started with my wife," he says. In 1998 he was newly married and his world revolved around his wife, Shanthi, and his widowed mother. One day he saw Shanthi was hiding something from him. He was shocked to discover what it was - rags, "nasty cloths" which she used during menstruation.
"I will be honest," says Muruganantham. "I would not even use it to clean my scooter." When he asked her why she didn't use sanitary pads, she pointed out that if she bought them for the women in the family, she wouldn't be able to afford to buy milk or run the household.
Wanting to impress his young wife, Muruganantham went into town to buy her a sanitary pad. It was handed to him hurriedly, as if it were contraband. He weighed it in his hand and wondered why 10g (less than 0.5oz) of cotton, which at the time cost 10 paise (£0.001), should sell for 4 rupees (£0.04) - 40 times the price. He decided he could make them cheaper himself.
He fashioned a sanitary pad out of cotton and gave it to Shanthi, demanding immediate feedback. She said he'd have to wait for some time - only then did he realise that periods were monthly. "I can't wait a month for each feedback, it'll take two decades!" He needed more volunteers. When Muruganantham looked into it further, he discovered that hardly any women in the surrounding villages used sanitary pads - fewer than one in 10. His findings were echoed by a 2011 survey by AC Nielsen, commissioned by the Indian government, which found that only 12% of women across India use sanitary pads.
Muruganantham says that in rural areas, the take-up is far less than that. He was shocked to learn that women don't just use old rags, but other unhygienic substances such as sand, sawdust, leaves and even ash.
Women who do use cloths are often too embarrassed to dry them in the sun, which means they don't get disinfected. Approximately 70% of all reproductive diseases in India are caused by poor menstrual hygiene - it can also affect maternal mortality. Finding volunteers to test his products was no mean feat. His sisters refused, so he had the idea of approaching female students at his local medical college. "But how can a workshop worker approach a medical college girl?" Muruganantham says. "Not even college boys can go near these girls!"
He managed to convince 20 students to try out his pads - but it still didn't quite work out. On the day he came to collect their feedback sheets he caught three of the girls industriously filling them all in. These results obviously could not be relied on. It was then that he decided to test the products on himself. "I became the man who wore a sanitary pad," he says.
He created a "uterus" from a football bladder by punching a couple of holes in it, and filling it with goat's blood. A former classmate, a butcher, would ring his bicycle bell outside the house whenever he was going to kill a goat. Muruganantham would collect the blood and mix in an additive he got from another friend at a blood bank to prevent it clotting too quickly - but it didn't stop the smell.
He walked, cycled and ran with the football bladder under his traditional clothes, constantly pumping blood out to test his sanitary pad's absorption rates. Everyone thought he'd gone mad.
He used to wash his bloodied clothes at a public well and the whole village concluded he had a sexual disease. Friends crossed the road to avoid him. "I had become a pervert," he says. At the same time, his wife got fed up - and left. "So you see God's sense of humour," he says in the documentary Menstrual Man by Amit Virmani. "I'd started the research for my wife and after 18 months she left me!" Then he had another brainwave - he would study used sanitary pads: surely this would reveal everything. This idea posed an even greater risk in such a superstitious community. "Even if I ask for a hair from a lady, she would suspect I am doing some black magic on her to mesmerise her," he says.
He supplied his group of medical students with sanitary pads and collected them afterwards. He laid his haul out in the back yard to study, only for his mother to stumble across the grisly scene one afternoon. It was the final straw. She cried, put her sari on the ground, put her belongings into it, and left. "It was a problem for me," he says. "I had to cook my own food."
Worse was to come. The villagers became convinced he was possessed by evil spirits, and were about to chain him upside down to a tree to be "healed" by the local soothsayer. He only narrowly avoided this treatment by agreeing to leave the village. It was a terrible price to pay. "My wife gone, my mum gone, ostracised by my village" he says. "I was left all alone in life."
Still, he carried on. The biggest mystery was what successful sanitary pads were made of. He had sent some off for laboratory analysis and reports came back that it was cotton, but his own cotton creations did not work. It was something he could only ask the multinational companies who produced sanitary products - but how? "It's like knocking on the door of Coke and saying, 'Can I ask you how your cola is manufactured?'" Muruganantham wrote to the big manufacturing companies with the help of a college professor, whom he repaid by doing domestic work - he didn't speak much English at the time. He also spent almost 7,000 rupees (£70) on telephone calls - money he didn't have. "When I got through, they asked me what kind of plant I had," he says. "I didn't really understand what they meant."
In the end, he said he was a textile mill owner in Coimbatore who was thinking of moving into the business, and requested some samples. A few weeks later, mysterious hard boards appeared in the mail - cellulose, from the bark of a tree. It had taken two years and three months to discover what sanitary pads are made of, but there was a snag - the machine required to break this material down and turn it into pads cost many thousands of dollars. He would have to design his own.