Youth activists press their government to ease period poverty by
lifting the “pink tax.”
“Menstrual
products should be a way to support girls, not a source of income generation for the government.”
Harriet Setsoafia, an alumni network coordinator for Plan International Ghana, works
closely with young people and spent a year collaborating with youth activists to make this argument
heard in the rooms where decisions are made.
Without access to these products, many women simply have to stay home whenever they have their periods.
“You may have to miss class and be in bed the whole day, just so you don’t have to go and
buy a sanitary pad,” says college student Shirley Awudu Amankwah, 21, a youth advocate and
participant in Plan International’s Youth Advocacy and Leadership project. “You do this
until your period is over.” [See how this is about to
change].
Those missed days of school or work make it harder for girls to succeed in class and translate to lost
earnings for women. Plus, without pads or tampons, women resort to using substitutes like paper or
old rags, which increases health risks such as reproductive and urinary tract infections.
Sanitary pads and tampons in Ghana are taxed at a shocking 35% (20%
import tax plus 15% value added tax [VAT]).
A recent study showed that a
woman earning a minimum wage in Ghana needs to spend 13.2% of her monthly income to buy supplies for
just one menstrual cycle.
Amankwah has been involved with Plan’s girls’ clubs, which advocate to meet girls’
menstrual health needs, since she was in junior high school. “We’ve been advocating for the
removal of taxes on sanitary pads for no less than four years,” she said. “It looked like
there was no end to it.”
But in 2023, Amankwah finally saw hard-won change on this issue. Through the Youth Advocacy and
Leadership project, she and her peers engaged directly with decision makers and pressed them to address
this issue. They took advantage of the global spotlight that would be shone on young people’s
needs at the upcoming Global Forum for Adolescents, which took place on October 11, 2023.
Amankwah and the other youth advocates argued that ignoring the menstrual health needs of women and girls
jeopardizes progress toward the UN’s Sustainable Development Goals committed to ending poverty, ensuring
good health and well-being, promoting education and achieving gender equality. Their points were
convincing enough to persuade a member of parliament to draft a private member bill, and the speaker of
parliament publicly committed to championing their cause.
On the eve of the Global Forum, the Ministry of Health signed a list of key commitments, including a
commitment to scrap the taxes on menstrual health products – a momentous win. “Having this
commitment gives us something tangible to hold onto, to be able to say that yes, indeed, we are being
heard,” says Amankwah.
At the Global National Forum for Adolescents, youth activist Amankwah promoted an end to
period poverty.
No Small Step for Youth Well-Being
Youth activists take centre stage
On the eve of the Global Forum for Adolescents, youth activists
in Ghana celebrated a series of victories. Months of campaigning had persuaded the government to commit
to new funding, policies and programs to support youth well-being. It agreed to increase funding for the
Ministry of Health – and, by extension, for adolescent health programs – eliminate taxes on
menstrual products and collaborate with young people to develop a national policy on youth well-being.
“It’s very important that young people are aware of the government’s
commitments,” says Amankwah, 21, a youth advocate and participant in the project. “Once they
know what is going on, they’ll be able to ask more questions. Then we can speak about
accountability.”
For Harriet Setsoafia, who led the Youth Advocacy and Leadership project in Ghana, securing these pledges
marks the beginning of the real work.
“If we don’t empower young people to demand accountability for these commitments,
we’ll be back to square one every time,” she explains.
That’s why the project focused on supporting youth participants in gaining knowledge and
understanding of the advocacy process and building their skills in engaging with policy makers. Young
people had an opportunity to develop policy and budget proposals, dialogue with ministry officials, and
organize and speak at large-scale campaign events. “These same young people are now educating
others so they can advocate for themselves.”
Shirley Awudu Amankwah, 21, youth advocate and project participant
Plan International staff Setsoafia informs students of the government’s new
commitments to support adolescent well-being.Student activists show their commitment to change at a National Forum in Accra.
With the government’s signed commitment in hand, youth participants launched an awareness-raising
campaign, visiting senior high schools across central and eastern Ghana. Their goal was to share
information about the new commitments to youth well-being and gather students’ insights on how to
monitor progress and ensure that the government delivers on its promises.
This was clear in the questions youth asked about the promise to remove taxes on menstrual products. If
the government chose to control the price of menstrual products so that they cost the same from every
retailer, the youth questioned how shopkeepers in rural areas would learn about and incorporate this
change. They knew from experience that promises made by officials in urban centers often get diluted by
the time they reach rural communities.
Youth Activists Take Centre Stage
These are the kinds of critical insights that youth brought to the discussion and that would take centre
stage in the next part of the project: the National Forum for Adolescents. The event, held in Accra in
April 2024, brought together 130 young people, including students from 15 senior high schools that had
been part of the awareness-raising campaign. They joined representatives from the Ministries of Health,
Education and Gender, Children and Social Protection as well as several UN agencies.
Students came prepared to share their ideas for accountability mechanisms to ensure that government commitments translate into concrete action. As a starting point, these ideas included conducting regular reviews of policies focused on comprehensive health services and rights to ensure they align with the needs of adolescents; equipping young people to lead change in their own communities by providing resources to youth-led organizations; and using social media to promote leadership opportunities, health and well-being for teens.
"It’s been memorable and inspiring to talk with these young people,” says Amankwah. She is
especially moved when young girls approach her to learn more about how they can become advocates for the
issues that affect them and their peers. “This is what keeps me going. It tells me that we are
actually making progress.”
Action: Assess existing government commitments
versus actions
What we did
We held a series of sessions to review existing national and global commitments, identify
the gaps between policy and practice, and draft recommendations for government action to
advance adolescent well-being.
We first conducted a scoping exercise to identify existing government
commitments in support of adolescent health and well-being.
We then engaged a range of partners working on adolescent health and well-being
to participate in the project. Partners included civil-society and international
organizations, UN agencies and youth-led organizations. In a series of meetings,
we reviewed government progress on existing national and global commitments and
identified challenges and gaps.
Based on the review process, we held a session with representatives from several
ministries and government agencies, including the Ministries of Health,
Education and Gender, Children and Social Protection, the Ghana Health Service
and the National Youth Authority. Together, we developed a list of financial,
policy and program commitments that would improve adolescent well-being.
The commitment was signed by the Minister of Health in advance of the Global
Forum for Adolescents. Read the full commitment.
2
Action: Launch an outreach campaign to mobilize
youth
What we did
Youth participants in the Youth Advocacy and Leadership project visited senior high
schools in Ghana’s eastern and central regions to raise awareness among students
of the government’s commitments and support them in demanding accountability.
The youth ran information sessions about the 1.8 Billion Young People
for Change campaign and explained the government’s commitments to
adolescent well-being.
They also asked students for feedback and ideas on how to ensure accountability
from the government.
3
Action: Host a public forum to chart a path
forward
What we did
We organized a National Forum for Adolescents in Accra, Ghana’s capital city. The
event brought young people together with decision makers to discuss ways to hold the
government accountable to their newly signed commitments to adolescent well-being.
In preparation for the event, we conducted a scoping exercise to identify
existing accountability mechanisms that could be adopted for the newly signed
commitments. In particular, we reviewed the West and Central Africa Commitment on youth education,
which was signed by 25 countries in 2023.
The National Forum for Adolescents was held on April 12, 2024. There were 180
participants, including representatives from five government ministries, 15
senior high schools and six youth groups, as well as UN agencies and
civil-society organizations.
Young people proposed accountability mechanisms through a panel discussion and a
large-group session. These were documented and will be further developed in the
year ahead. The goal is to be able to monitor progress on the new commitments
and ensure that the government is fulfilling its promises.
Our Achievements
Three commitments from the government of Ghana:
Increase the Ministry of Health’s annual share of the total Government of Ghana budget
from 6.7% to at least 10%, by extension ensuring additional funds for adolescent health and
well-being.
Ensure the taxes on menstrual health products are scrapped.
Develop a national adolescent well-being policy with the key involvement of adolescents; ensure
that it includes an abridged version that is adolescent-friendly and easy to understand.