Student, University of Tulsa
In prison, women and others who menstruate are provided a grossly inadequate amount of supplies if any. This means they are deprived of basic healthcare necessities and the right to manage their menstruation with dignity.
Using quantitative and qualitative data, this op-ed examines the negative physical and mental health outcomes of inadequate access to menstrual products. Author Lilah Jacobs centers the stories of those who have experienced this trauma.
While this is a national problem, Jacobs focuses specifically on Oklahoma prisons and discusses legislation that has been proposed and implemented in the US and around the world that could serve as a solution to the problem.
Have you ever wondered how women handle their periods in prison? Based on my research this summer, many of the people who design prison systems definitely haven’t.
When period products are not adequately supplied, incarcerated women are forced to live in unsanitary, life-threatening conditions. They must take desperate measures to meet their basic needs- from creating do-it-yourself tampons to sacrificing stamp and phone call money to buy supplies at the overpriced commissary.
The more I researched this manufactured period poverty , a lack of access to period products and sanitation, the more I felt it is being weaponized against women to torture and humiliate. The lack of menstrual products for incarcerated women is a social justice, human dignity, and public health crisis. With the third-highest female incarceration rate in the U.S., Oklahomans must address this problem.
To find out more about period poverty in Oklahoma prisons, I interviewed April Wilkens, who is currently incarcerated at Mabel Bassett Correctional Center. She described the many, predominantly financial, barriers inmates face in accessing period and other hygiene products essential to health and dignity.
As Wilkens put it, the prison system “takes everything away from someone, and makes them buy it back.”
Women who are incarcerated receive one small roll of toilet paper per week and 30 tampons or pads per month. These products are of such low quality, that Wilkens has heard of women having to wear four pads at a time. For some, the supply only lasts a day. When you run out of the provisioned pads and tampons, the only way to acquire more is through the commissary. For Oklahoma’s incarcerated women making pitiful wages1See Table 1 (information provided by Wilkens) at prison jobs, the prices2See Table 2 (information provided by Wilkens) are astronomical. Wilkens tells me some women spend their entire incomes on period products. But that’s only an option when period product shipments are on time and available. During delays in orders or lockdowns, women may be left with no access to period products at all.
Prisoners must also buy other necessary toiletries like shampoo, soap, toothbrushes, and toothpaste from the commissary. “Indigent” inmates, who have less than $10.50 a month in their trust accounts, and who cannot afford the commissary prices have to make do with the hotel-sized products provided by the state each month.
While the OK Department of Corrections (OK DOC) technically requires the provision of pads, tampons and other personal hygiene products for indigent inmates, the carceral facilities only have to provide “the minimum amount needed to accommodate [the inmate’s] need.”3Personal Hygiene and Appearance Code, Section-03 Facility Operations OP-03050, August 21, 2023, 2. Furthermore, Oklahoma is one of 25 states with no law mandating period products be provided. This means that OK DOC could easily change their policy. What’s available to women largely depends on bureaucratic decision-making processes with little public oversight. Soap, pads, and other items required to maintain personal hygiene are essentials, not luxuries, and withholding them leads to the human dignity and health crises exemplified by Wilkens’s stories.
Particularly excruciating for menstruators is the transportation process, whether that’s being shuttled to another prison, going to court, or seeing a doctor. While she was able to bring menstrual products along with her when being escorted between facilities, Wilkens has heard horror stories of women who started menstruating in transport and were forced to bleed on themselves.
Wilkens describes being forced to live in these inhumane and “filthy” conditions as an “extremely traumatic” level of oppression. It’s not difficult to see why. When I stain my clothes, I can clean myself and change. I can hardly imagine the shame, dehumanization, physical pain, and denial of dignity incarcerated women suffer, on top of all the other trauma associated with incarceration . I struggle to understand how giving someone – incarcerated or not – no choice but to sit in their blood can be understood as anything other than mental and physical torture.
The experiences of dehumanization and abuse Wilkens shared with me are echoed around the nation. Other women experiencing incarceration have told gruesome stories about strip searches that are mandatory for visitation, during which period products must be removed and are not reissued. Running the risk of bleeding onto themselves, many refuse visits from family and attorneys while on their periods exacerbating the challenges navigating the legal system and overall social isolation incarcerated individuals often experience.
Taken together, these individual experiences demonstrate a pervasive health and abuse crisis. In the Columbia Journal of Gender and Law, Amy Fettig explores how menstruation is weaponized in the prison system more broadly. She describes how women must beg guards for period products in some states, creating “a hierarchy of control and oppression that promotes safety and security risks for people in institutions.”
The consequences of such state-perpetrated (and tax-payer funded) oppression can be severe. A 2014 Department of Justice investigation of Alabama’s Tutwiler Prison for Women, for example, found that guards chronically raped female prisoners in exchange for menstrual products and access to laundry facilities.
For women who resort to DIY products, the result can be catastrophic to reproductive health and even life-threatening. A study from the School of Criminology and Criminal Justice at Arizona State University found that incarcerated women had used bedsheets, newspaper, notebook paper, mattress stuffing, rags, and even cotton swabs held together with floss to absorb menstrual blood.
Using unsanitary and unsuitable materials puts women at risk for infection. In fact, in Missouri, “one-third of incarcerated women who used makeshift tampons reported getting vaginal infections.” Most dire of these infections is toxic shock syndrome (TSS), a life-threatening bacterial infection associated with tampon use.
The same study showcases the consequences of these infections through the story of an incarcerated woman who contracted TSS as a result of DIY product use and had to have an emergency hysterectomy.4Kathryn Tapp,“‘For men, by men’: Menstrual victimization and the weaponization of period products in carceral settings,” Women’s Health (Lond). 20: (2024) Knowing that Black and Brown people are disproportionately incarcerated, I couldn’t help but see this as a refrain to the US’s long history of forced sterilization of marginalized groups . Her sterilization was a direct result of the carceral system’s manufactured period poverty, and part of the broader effort to strip women of bodily autonomy and reproductive choice.
As a menstruator and an Oklahoma taxpayer, I am appalled and outraged at the weaponization of menstruation in our carceral system. I would never subject anyone to the conditions so many incarcerated menstruators suffer, yet these abuses are being perpetrated in my name. Oklahoma must address this public health crisis by ensuring sanitary conditions for all and working towards alternatives to incarceration that center healing and public safety rather than retribution and dehumanization.
Income Level | Pay Per Week (after savings deduction*) | Pay Per Month (after savings deduction*) |
---|---|---|
Level 1 (Qualified for indigent status) | $0 | $0 |
Level 2 | $3 | $12 |
Level 3 | $4 | $16 |
Level 4 | $5 | $20 |
Necessity | Price* |
---|---|
Maxi Pads (24) | $3.07 |
Panty Liners | $1.90 |
Tampons (10) | $3.08 |
Toilet paper | $0.79 |
Medical Visit Copay | $4.00 |
Prescription Medication Copay | $4.00 |
Student at the University of Tulsa
Lilah Jacobs is a student at the University of Tulsa studying political science, economics, and Spanish. She is working towards a career in public service with a focus on women’s rights and well-being. In the summer of 2024 she interned with Metriarch through the George Kaiser Family Foundation Summer Impact program.
Cohen, Adam. “The Supreme Court Ruling That Led To 70,000 Forced Sterilizations.” NPR, March 7, 2016. https://www.npr.org/sections/health-shots/2016/03/07/469478098/the-supreme-court-ruling-that-led-to-70-000-forced-sterilizations.
Fetting, Amy. “Menstrual Equity, Organizing and the Struggle for Human Dignity and Gender Equality in Prison,” Columbia Journal of Gender and Law 41, no. 1 (2021): 76-99. https://go.exlibris.link/N9T0VCgP.
“Human Rights Crisis: Abortion in the United States After Dobbs.” Human Rights Watch. April 18, 2023. https://www.hrw.org/news/2023/04/18/human-rights-crisis-abortion-united-states-after-dobbs.
Mayo Clinic. “Toxic Shock Syndrome: A Rare but Potentially Fatal Condition-Toxic Shock Syndrome – Symptoms & Causes.” March 23, 22. https://www.mayoclinic.org/diseases-conditions/toxic-shock-syndrome/symptoms-causes/syc-20355384.
Metriarch. “Social Dynamics,” Data Lookbook (2024). Last modified January 4, 2024. metriarchok.org/female-incarceration.
Personal Hygiene and Appearance Code. Section-03 Facility Operations OP-03050. August 21, 2023. https://oklahoma.gov/content/dam/ok/en/doc/documents/policy/section-03/op030501.pdf.
Rose Quant, Katie, and Alexi Josie. “Research Roundup: Incarceration Can Cause Lasting Damage to Mental Health.” Prison Policy Initiative, May 13, 2021. https://www.prisonpolicy.org/blog/2021/05/13/mentalhealthimpacts/.
Sacca, Lea, Christine Margaret Markham, Jhumka Gupta, and Melissa Peskin. “Editorial: Period Poverty.” Frontiers in Reproductive Health 5 (2023): 1140981.
https://doi.org/10.3389/frph.2023.1140981.
Samuels, Jocelyn. “Investigation of the Julia Tutwiler Prison for Women and Notice of Expanded Investigation.” Findings letter, office of the assistant attorney general, January 17, 2014.
https://www.justice.gov/sites/default/files/crt/legacy/2014/01/23/tutwiler_findings_1-17-14.pdf.
Still She Rises, Tulsa. “The Issue- Unique Challenges Facing Women in the Criminal Justice System.” Still She Rises, Tulsa Inc. https://stillsherises.org/the-issue.
Tapp, Kathryn. “‘For men, by men”: Menstrual victimization and the weaponization of period products in carceral settings.” Women’s Health (Lond). 20: (2024). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10981853/.
“The Unequal Price of Periods.” ACLU: Period Equity, November 6, 2019. https://www.aclu.org/publications/unequal-price-periods.
Vishniac, Miriam. “State Laws Around Access.” The Prison Flow Project. Last modified January 3, 2024. https://theprisonflowproject.com/state-laws-around-access/.
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