Bleeding every month against our will is already too much to deal with.
South Africa treats sex like a public health crisis and periods like a personal problem. You can walk into almost any campus clinic, any bathroom, any office, and find a bowl of free condoms. No questions asked. Try finding a free pad. Sex is a choice; bleeding is not.
This is not just a South African oversight, but a continuous pattern rooted in a system that has historically centred male bodies as the default. Male needs are treated as public health priorities, and female biology a private inconvenience.
The hypocrisy is costing South African girls their education, according to Dr Lydia Chibwe from the University of Pretoria, roughly 30% of school-going girls in this country skip school each month. That means missed classes, stifled opportunities, and compromised dignity.
I have noticed something rather absurd: I can access free condoms more easily than I can access pads. And those condoms are usually made for men. Which is odd because sex is a choice, periods are not. A simple walk into most female bathrooms on campus, and you will not find a single dispensing machine for pads or tampons. If there are any, they are always empty. If your period arrives unexpectedly, or if you just cannot afford products that month, you are on your own.
In the South African economy, sanitary products have become a luxury that many girls cannot afford, so they resort to toilet paper, newspaper, or even socks, which are not designed to sit against the body for hours, catching blood. Not only is that undignified, but it is a health risk that can cause infections, rashes, and toxic shock syndrome.
There is a shift in conversation in Africa. At a regional level, the African Coalition for Menstrual Health Management has been pushing for menstrual health to be recognised as a human right, not a private issue. In Kenya, two days of paid menstrual leave for employees was introduced in December 2025.
Conversations about allocating national budgets for sanitary products in schools in the above countries are being had. Yet, South Africa has only removed Value Added Tax (VAT) on menstrual products.
In November 2024, the joint Portfolio Committees on Basic and Higher Education in South Africa held a roundtable after a petition from Team Free Sanitary Pads and the I Menstruate Movement. Their mandate was simple: it is unacceptable that girls miss consecutive school days due to lack of access to sanitary products and proper toilets. The committee called for interdepartmental action, comprehensive menstrual health education from Grade Four, and greater private sector involvement to reduce costs. They also stressed educating boys to foster empathy and respect. But recommendations are not policy, and implementation remains slow.
Access and cost aside, women and girls still have to deal with the pain.
Period cramps are not just ‘discomfort’, but they can be so severe that you pass out; I know, because it has happened to me. The pain is unbearable, and yet, in South Africa, we do not get sick days for it. There is an expectation to sit in lectures, meet deadlines, and show up to work while our uteruses contract like they are trying to escape our bodies. We push through because “that is just what women do.”
Add cultural stigma to that, and it gets worse. Many girls are taught that periods are dirty, shameful, and not to be discussed. So, they do not ask for help. They do not ask for pads. They just disappear for a week each month and fall behind.
We are always fighting to belong in spaces that were not built for us. The last thing we need is to be shunned for bleeding against our will every month. We should not have to work and study through agonising pain, while still struggling to afford and access basic menstrual products and services. If society can make space for free condoms, it can make space for free pads. Because equality does not start when we stop bleeding, it starts when we stop being punished for it.
FEATURE IMAGE: An empty sanitary pad dispensary box located in Solomon Mahlangu’s basement female bathrooms. Photo: Naledi Maraisane
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