Two girls use their hands to create a heart symbol in front of beautiful green mountain landscape.

Period Poverty: How Living with Limited Access to Menstrual Products Affects Our Community

Period Poverty: How Living with Limited Access to Menstrual Products Affects Our Community

By Heather Schnegelberger, CFLE
Health Educator
Poe Center for Health Education

At the Poe Center, our Family Life team works with youth and their families to develop confidence through puberty changes. There is so much to experience! One thing that may be uncertain for some is how to manage a monthly period when products are not available. This is called “period poverty.”

A closeup image of different menstrual pads, tampons and skin care products on wooden table.

What is Period Poverty?

Period poverty is when individuals do not have access to “safe and hygienic menstrual products during monthly periods,” or the necessary basic sanitation services or facilities. Period poverty can also mean a lack of education regarding menstruation. (National Library of Medicine, 2023).

In 2018, a study commissioned by U by Kotex® showed that one in four women surveyed struggled to purchase period products.

In 2018, a study commissioned by U by Kotex® showed that one in four women surveyed struggled to purchase period products. One in four! The study also revealed that “people of color, low-income girls and women, and people living in rural areas all disproportionately experience period poverty.” (U by Kotex, 2018)

An adult woman chats with a young girl while sitting on a park bench.
An adult woman chats with a young girl while sitting on a park bench.

How period poverty affects our communities

Imagine for a minute what period poverty might look like in daily life. Think of a middle schooler having to stay home from school during their cycle, or a high schooler participating in school activities with little to no period support. Picture an adult who may wear a period product longer than recommended so they can work, putting them at risk for bacterial infections and other dangerous conditions.

Diane Ferrari, Director of NC Regional JustServe, a humanitarian organization, points out that lack of access to period products has a domino effect on young girls’ health and education. Ferrari says, “Lacking affordability for these basic necessities, school districts report that middle and high school students opt to stay home from school during their cycles. As absences accrue, girls become further and further behind in their learning, ultimately negatively impacting grades and graduation rates.”

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What the Poe Center does to educate on the dangers of period poverty

At the Poe Center, we have a parent/child program called Girl Talk for Mom and Me. We assist trusted adults in teaching their youth about the changes of puberty and menstruation. We educate on how to use menstrual products. It feels good to see the “lightbulb” moments when a youth understands how these tools can help them in the future, or to hear a parent offering support.

A mother and daughter read a handout during a Girl Talk program at the Poe Center for Health Education

Girl Talk teaches that wearing pads and tampons for longer than the recommended time can be dangerous. Bacteria thrive in conditions that are moist, dark, and warm. Wearing pads and tampons for too long may increase the chance of bacteria growth, which is not healthy for our bodies.

Ferrari adds, “…menstrual supplies such as tampons and pads are not covered under SNAP or other food stamp programs designed to support the most financially vulnerable.”

Note: Programs such as SNAP cover nutrition-related items only. Other resources are needed to cover the cost of hygiene items. In a country where approximately half of the population is female, period products are a necessity and there needs to be a way to keep them affordable for all.

How the state of North Carolina has helped

The state legislature agrees: it has made some efforts to help make period products available. As of July 2022, North Carolina established the Feminine Hygiene Products Grant Program to provide public schools with grants for providing period products.

Ferrari predicts, “Access to period products would allow girls to remain in school, stay current with their studies, avoid embarrassment among peers and maintain proper health.”

However, according to the Alliance for Period Supplies, assistance with period products and legislation varies widely between states. Some states have required that products be available in schools, while other states have bills that have resulted in unfunded mandates. Some states focus on elementary and middle schools, while others focus on universities. (allianceforperiodsupplies.org)

Who else is helping?

Community members are responding to the need. In 2021, two Green Hope High School students in Cary, N.C., started an initiative called, “The Period Project” to help students access period products. Through donations, they provide, “free period product dispensers in every girls bathroom so that they are easily accessible. All dispensers are constantly restocked by our amazing 120 ambassadors and ready to be used.” (periodprojectnc.org)

A group of people wearing blue t-shirts stand in a line with their arms wrapped around each others shoulders. The background features green trees and the people are standing on a green lawn.

Teyona Gorham, founder of The Little Black Bag, Inc., uses her background in Public Health and Health Sciences to advocate for women. She, along with her board, have a mission to bring awareness and provide education about period poverty, while offering menstrual hygiene resources and words of encouragement to those in need. Gorham’s work stems from her personal experience with period poverty.

She shares, “As a college student, I had just lost my part-time job and found myself with limited funds. I was faced with a hard decision—choosing between my preferred menstrual products or a cheaper, less comfortable option…That moment sparked something in me. I knew that if I was struggling, countless other women must be facing similar challenges.” (www.thelittleblackbaginc.com)

Find additional community organizations aimed at relieving period poverty following this article.

How can we all help?

We can start by thinking of our life as a growing circle. Our circle starts with ourselves and our household. What are our needs? Can we meet them? Do we need to reach out for help?

If our inner circle is good, we may consider our next sphere of influence: our neighborhood, school, church, or work. Do we have the means to donate to these places? Our next circle would be our community or state as a whole. Can we give our time, talents or resources? Can we create a period product drive to collect items and donate them to an already established school or organization?

Hands of people donate. Volunteers give hearts to donation box flat vector illustration. Hope, solidarity, aid for refugees concept

Natural disasters and their effects on period poverty

We have seen devastation in our state recently. Our hearts go out to those who have suffered due to the hurricanes, tropical storms, and tornadoes. We know there are many in need. Access to period products is limited in these situations. 

For those interested in helping to donate period products, we have listed some resources.


Period poverty is a global community health dilemma. Together, we can make a difference through education and awareness.

Featured Program: Girl Talk for Mom & Me

Girl Talk for Mom and & Me addresses the timely topic of adolescent growth and development and the physical, social and emotional changes that girls experience during puberty. 3-D exhibits, hands-on activities, and candid discussions help moms and daughters explore a range of topics from the workings of the reproductive system to the menstrual cycle to feminine hygiene protection and more.

Program Participants: 4th Grade, 5th Grade, 6th Grade, 7th Grade
Program Length: 2 hours

Plan a Program Today

References:

Jaafar, H., Ismail, S.Y., and Azzeri, A. (2023, May 16.). Period Poverty: A Neglected Public Health Issue. National Library of Medicine. Period Poverty: A Neglected Public Health Issue – PMC (nih.gov)

Gaines, J. (2018). What is Period Poverty? U by Kotex. What is Period Poverty? | U By Kotex® US

Korhonen, V. (2024, Aug. 20). Resident population of the United States by sex and age as of July 1, 2023. Statista. Population of the U.S. by sex and age 2023 | Statista

SESSION LAW 2022-74 HOUSE BILL 103. (2022, July). General Assembly of North Carolina. Session 2021. H103v5.pdf (ncleg.gov)

(2024, October 10). Alliance for Period Supplies. Period Poverty – Alliance for Period Supplies

Period Project North Carolina. Our Story — Period Project NC

The Little Black Bag. About | The Little Black Bag (thelittleblackbaginc.com)


A group of five happy senior citizens pose at the end of their exercise session.

Senior Wellness: Building a Foundation for Healthy Aging

Senior Wellness: Building a Foundation for Healthy Aging

By Ann Rollins
Executive Director
Poe Center for Health Education

As a senior myself, I have begun to really consider what I need to do to stay as healthy as possible. As I have been serving on several Wake County committees looking into senior services and their health needs, I want to share what I have learned thus far.

Here are some key areas seniors should focus on for wellness:

  1. Physical Health: Regular check-ups, exercise, and a balanced diet are essential. Simple activities like walking or stretching can make a big difference.
  2. Mental Well-being: Staying socially active and engaging in hobbies can boost mood and cognitive function. Consider joining clubs or groups in the community.
  3. Home Safety: Make sure the home is safe and accessible. This might include removing tripping hazards, adding grab bars, and ensuring good lighting.
  4. Medication Management: Keep track of medications with a pill organizer or an app to avoid confusion and ensure adherence.
  5. Technology: Embrace technology for communication and health monitoring. Tools like video calls and health apps can help stay connected and informed.
  6. Support Systems: Build a network of family, friends, or caregivers who can provide assistance when needed.

A slide depicting the results of a survey done by NC DHHS when asking seniors how they want to age and what they need.
The results of a NC DHHS survey to determine what older adults want and need as they age.

North Carolina's senior population is steadily growing as more people move into our state.

Most seniors want to age in place. Aging in place is all about maintaining independence while staying healthy and safe at home. By focusing on these areas, seniors can enhance their quality of life while comfortably aging in place.

The Poe Center understands that seniors need to have proper nutrition, physical activity, and social interactions through support systems as well as through technology. One program provided to seniors by the Poe Center is the Stay Strong, Stay Healthy series.

Stay Strong, Stay Healthy (SSSH) is a direct-education intervention designed to help older adults increase physical activity, decrease sedentary behaviors, increase fruit and vegetable consumption, and sustain physical activity participation and healthy eating behaviors after completing the program.

SSSH strives to meet the need for effective community-based physical activity and nutrition programs, so classes are offered by trained instructors in familiar locations such as churches, community centers, and senior centers.

The series consists of 16 one-hour sessions over eight weeks. Participants complete a warmup, a prescribed set of upper- and lower-body strengthening exercises, and a cool-down.

SSSH challenges participants through incremental increases in exercise volume and intensity. Each physical activity session is followed by a nutrition lesson, and lessons are tailored to older adults by addressing topics such as fiber, bone health, and vitamins and minerals for healthy aging.

In addition to weekly group classes, participants are encouraged to complete the program on their own once a week, including preparation of the recipes. After the course ends, participants are still encouraged to continue at home or with a community group.

The overall goal of SSSH is to increase physical activity and improve nutrition behavior to help seniors maintain independence.


Seniors are an important group of our community and we need to provide needed resources for their wellness and comfort as retirees. Through prioritizing wellness, physical activity, and nutrition, seniors can maintain comfort and increased levels of independence for longer.

So, for me personally, I strive to be healthy so that I can enjoy our adult children and our six grandchildren!

The Executive Director of the Poe Center, Ann Rollins, surrounded by her family.
A photo portrait of the Executive Director of the Poe Center, Ann Rollins, surrounded by her family.
Portrait of seniors exercising with stretching bands

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Aging, Exercise, and Physical Activity

Physical activity is an important part of healthy aging. Check out these articles for the latest on how exercise and physical activity can help you stay healthy as you age. Find tips on how to fit exercise into your daily life safely and get motivated to get moving!

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