BACKGROUND:
Women in industrial sectors, such as mining, are often overlooked in reproductive health research and services. Menstrual disorders—ranging from irregular cycles to excessive bleeding—can be influenced by stress, physical strain, and limited access to sexual and reproductive health (SRH) care. These issues are rarely addressed in male-dominated work environments.

OBJECTIVES:
To examine reproductive health support for female heavy equipment operators and identify gaps within an industrial mining workplace.

METHODS:
A mixed-methods study was conducted in September–October 2022 at an Indonesian mining site. A cross-sectional survey of 43 female operators was conducted using validated tools (WHO Global Physical Activity Questionnaire and Perceived Stress Scale -10) to measure menstrual health status and contributing factors. In-depth interviews with 9 informants (operators, staff, and managers) explored experiences, perceptions, and barriers related to reproductive health access at work. Quantitative data were analyzed using logistic regression, and qualitative data were examined using thematic analysis.

RESULTS:
Although the company had gender-sensitive policies—such as menstrual leave, access to clinics, and nutritional support—interviews revealed lack of targeted SRH education. No structured reproductive health education was available, and menstrual hygiene was difficult due to distant toilet facilities. Some workers often had to manage heavy menstrual bleeding inside equipment cabins. Stress levels are identified as a key contributor to menstrual disorders. Supervisors expressed uncertainty in handling menstruation-related support due to a lack of information. Despite nutrition and general health services being in place, reproductive health was not prioritized.

CONCLUSIONS:
There is still a gap between gender-equity policies and on-the-ground reproductive health support in industrial workplaces. Addressing these gaps requires workplace-based midwifery interventions, health education, menstrual hygiene facilities, and stress management support.

KEY MESSAGE:
Midwives and SRH professionals have a vital role in advocating for gender-responsive health services in industrial sectors. Integrating menstrual health and mental well-being support into workplace programs is essential to ensure gender-equitable occupational health. Poster session 4 (Group B)