The History of the Sanitary Pad

The sanitary pad is far and away the most widely used method of menstrual management. It is easy to use, easily accessible, and pretty straightforward. The pads we use today are made up of mostly synthetic, bleached material, but what were they like fifty years ago? And when were they invented?

Menstrual pads have been mentioned in history as early as the 10th century in Ancient Greece, where a woman is said to have thrown one of her used menstrual rags at an admirer in an attempt to get rid of him.

Before the disposable pad was invented, most women used rags, cotton, or sheep’s wool in their underwear to stem the flow of menstrual blood. Knitted pads, rabbit fur, even grass were all used by women to handle their periods.

The very first disposable pads were thought up by nurses, looking for new methods to stop excessive bleeding, particularly on the battlefield. The first pads were made from wood pulp bandages by nurses in France. It was very absorbent, and cheap enough to throw away afterwards. Commercial manufacturers borrowed this idea and the first disposable pads were available for purchase came as early as 1888 – called the Southball pad. In America, Johnson & Johnson developed their own version in 1896 called Lister’s Towel: Sanitary Towel’s for Ladies.

The problem was, women did not feel comfortable asking for this product, so in the early 1920s, the name was changed to Nupak, a name that did not describe the product.

Even though sanitary pads were available during this time, they were much too expensive for most women, and they continued using more traditional methods. When they could be afforded, women were allowed to place money in a box so that they would not have to speak to the clerk and take a box of Kotex pads from the counter themselves. It took several years for disposable menstrual pads to become commonplace.

The earliest disposable pads were generally in the form of a cotton wool or similar fibrous rectangle covered with an absorbent liner. The liner ends were extended front and back so as to fit through loops in a special girdle or belt worn beneath undergarments. This design was notorious for slipping either forward or back of the intended position.

Later, an adhesive strip was placed on the bottom of the pad for attachment to the saddle of the panties, and this became a favoured method with women. The belted sanitary napkin quickly disappeared during the early 1980s, thank goodness.

Over the last twenty years, the sanitary pad industry has advanced by leaps and bounds. Gone are the days of bulky belts and diaper-like thickness. With the invention of more absorbent materials and better designs, pads are more comfortable and practical than ever. The invention of ‘wings’ keeps pads in place in the underwear, and the invention of ‘scented pads’ reduces odour.

Sanitary pads are the most widely used form of menstrual management, but they are still overpriced, particularly in developing countries.

Meet Rachael: Femme’s Field Coordinator

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Meet Rachael Ouko, our fantastic and inspiring field coordinator in Nairobi. As Field Coordinator, Rachael helped us organize our pilot project in Mathare, as well as coordinate the three schools in which Femme is currently involved with. Her help and dedication is making Femme possible. 

I first met Rachael in the summer of 2012, and we hit it off right away. This dynamic young woman was already working for The Mwelu Foundation, and had also begun an informal girls group making jewelry to help raise money for sanitary supplies. When Femme was born, I knew I wanted to work with Rachael, and with her girls in Mathare. 

Here, she shares her insights and experiences about growing up as a woman in Mathare.

What was it like to grow up in Mathare?
Mathare is a fun place to be just like they say home is home. Growing up is in Mathare is a bit challenging especially for a girl am talking from my own experience. There is a lot of peer pressure and no one to give you advice and if there are a few who can give you advice they don’t give it in good way. Lack of proper security, poor sanitation not to talk of poverty, everyone needs good things maybe that’s the reason why there is so much insecurity. Now I’m all grown up and I totally agree if someone says Mathare is not a place to bring up a child.

When did you get your first period?
I was in class six when I first had my first period and I was living with my grandma who had no money to buy me sanitary pads so I improvised my own. I took two of my pants and made them in a way I could put it on for the whole day. Worst moments.

Who do you live with?
Used to live with a friend but now moved in with my boyfriend for some time.

Tell us about your work with The Mwelu Foundation?
I become involved with Mwelu Foundation when I just finished my high school and had no college fee, no job – that was when Mwelu was started. Luckily I was chosen to be trained on photography by Julius Mwelu who is the founder. Up to now I work as the administrator and finance manager for Mwelu.

What do you like to do on the weekends?
On weekends I like watching latest movies. If no movie I spend more time with girls talking about new experiences in life.

Tell us about the girls that you work with.
The girls group was started when I saw that more girls were joining Mwelu foundation after sometime they get bored and leave, so I thought I had failed because all boys were there but no girls and only the boys were interested in taking pictures and making films. Most girls left the organization and are now mothers which made me sad. I came up with this idea of making beads to keep them in the organization, which they were so happy about and after selling these beads we would sell them and buy sanitary pads for all the 20 girls.

What is the hardest part about living in Mathare?
The hardest thing about living in Mathare is poor sanitation and insecurity.

What is the best part about living in Mathare?
The best thing about living in Mathare is that people are very friendly and the houses are cheap.

What do you think about Femme’s programs?
Femme’s project is the best thing that has happened to me, to Mwelu Foundation girls and the schools we are working with in Mathare. It will be a big help to Mathare girls since most parents are not able to talk to their daughters about reproductive issues not to mention buying them sanitary pads. With Femme project I feel that my passion of working with girls is being achieved and I pray that this Project will grow to a big one and cover so many regions in Kenya.

Please visit The Mwelu Foundation to learn more about their work in Mathare.


Sabrina Rubli

Female Empowerment. Why Menstruation is Key.

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In the past decade, development has begun to focus on female empowerment. It has become about educating female children, creating female community leaders, and watching the national economy grow as a direct result of female empowerment. 

Menstruation is one of the most significant public health issues in the world and the single largest obstacle to female empowerment, and yet, it is an issue that is shockingly under-addressed, under-funded, and under-discussed. It is the last taboo in both industrialized and developing societies. 

Let me explain. 

In Kenya, a girl will miss an average of three days of school each month because of her period. This is because she is unable to purchase appropriate supplies to manage her body, or because she is taught to be ashamed of this natural aspect of her femininity, or because she is scared of being teased and mocked by her classmates. This increased absenteeism leads to increased drop-out rates, and fewer girls having the opportunity to excel academically and attend secondary or post-secondary school.

When a girl is unable to purchase sanitary pads, she resorts to alternatives such as rags, mud, newspapers, bits of her mattress, leaves, and even used sanitary pads she might find in the garbage. Needless to say, these methods are not only ineffective but also put her health at risk, potentially causing a variety of infections and disease.

It gets worse.

In the Mathare slum in Nairobi, it is estimated that at least 50% of women trade sex for pads every month. Girls as young as twelve or thirteen years old take economic responsibility over their bodies and move to the streets, all for a package of sanitary pads priced at 65KSH (approximately one Canadian dollar).


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The relationship between menstruation and poor development is painfully obvious: when girls are continually made to miss school, sell their bodies, or hide in shame for one week out of every month, the overall gender disparity of the society is increased. Why is it that such an essential resource is so unattainable for the majority of the population? 

Femme’s programmes in Kenya focus on educating school-aged girls on menstrual health – what happens to their bodies, and why. We also teach them safe and effective methods of managing their period, and provide them with sustainable resources and safe spaces to talk about their bodies and ask the questions they need to ask.

So long as girls are unable to manage their own bodies in safe and effective ways, the gender disparity will continue to exist. By educating women, and providing them with sustainable access to health resources, we are unleashing a generation of educated and active citizens, enabling them to take control of their bodies and achieve their potential.

A woman’s biology should not be a leading cause of her own oppression. Period. 


Sabrina Rubli