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UNESCO HIV and Health Education Clearinghouse

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  1. Do menstrual hygiene management interventions improve education and psychosocial outcomes for women and girls in low and middle income countries? A systematic review

    Background: Unhygienic and ineffective menstrual hygiene management has been documented across low resource contexts and linked to negative consequences for women and girls. Objectives: To summarise and critically appraise evidence for the effectiveness of menstruation management interventions in improving women and girls’ education, work and psychosocial wellbeing in low and middle income countries. [...] Conclusions: There is insufficient evidence to establish the effectiveness of menstruation management interventions, although current results are promising. …

  2. Menstruation and the cycle of poverty: a cluster quasi-randomised control trial of sanitary pad and puberty education provision in Uganda

    Background: Poor menstrual knowledge and access to sanitary products have been proposed as barriers to menstrual health and school attendance. In response, interventions targeting these needs have seen increasing implementation in public and private sectors. However, there has been limited assessment of their effectiveness. …

  3. WASH in schools empowers girls’ education: tools for assessing menstrual hygiene management in schools

    All children have the right to attend school and be actively engaged in their education without obstacles. Child-friendly environments are necessary for all children to thrive while at school. Creating and sustaining an enabling environment for children requires that their needs are known and met. Girls who are menstruating often do not have their needs fully met in their school environment. Many may face challenges managing menses in school that affect their overall educational experience. …

  4. Agua, saneamiento e higiene en la escuela. Fortalece la educacion de las niñas adolescentes en la zona rural de Cochabamba, Bolivia: estudio del manejo de la higiene menstrual en las escuelas

    El inicio de la menstruación presenta múltiples retos para las niñas escolares adolescentes. Muchas de ellas carecen de los conocimientos, apoyo y recursos para manejar la menstruación en la escuela. El propósito del programa Agua, Saneamiento e Higiene en las Escuelasa (WASH en Escuelas) es entender el alcance de los retos en educación y salud a los cuales se enfrentan las niñas adolescentes en el área rural de Cochabamba, Bolivia. Las conclusiones incluirán estrategias para mitigar esos retos y apoyar apropiadamente a las adolescentes en la escuela durante su menstruación. …

  5. Menstruation and education in Nepal

    This paper presents the results from a randomized evaluation that distributed menstrual cups (menstrual sanitary products) to adolescent girls in rural Nepal. Girls in the study were randomly allocated a menstrual cup for use during their monthly period and were followed for fifteen months to measure the effects of having modern sanitary products on schooling. While girls were 3 percentage points less likely to attend school on days of their period, the researchers find no significant effect of being allocated a menstrual cup on school attendance. …

  6. Menstrual hygiene management. National guidelines

    The Menstrual Hygiene Management Guideline is issued by the Ministry of Drinking Water and Sanitation to support all adolescent girls and women. It outlines what needs to be done by state governments, district administrations, engineers and technical experts in line departments; and school head teachers and teachers. This guideline is organised as follows: Part 1: About the guideline; Part 2: Who needs to know what, why and how; Part 3: Providing adolescent girls with menstrual hygiene management choices; Part 4: MHM infrastructure in schools and the safe disposal of menstrual waste.

  7. Menstrual hygiene in schools in two countries of francophone West Africa: Burkina Faso and Niger. Case studies in 2013

    Menstrual hygiene management (MHM) has been under-researched by the WASH, health and education sectors. Menstruation is a sensitive subject and remains a taboo in many societies. Some cultural beliefs about menstruation reinforce gender inequities and have negative impact on the dignity, health and education of women and girls. There is a need to gather more information on MHM to improve WASH in schools programming and create more equal, safe and healthy school environments. …

  8. MHM in Ten: advancing the MHM agenda in WASH in schools

    In recent years, there has been growing attention to the challenges faced by menstruating schoolgirls in low- and middle-income countries. A solid body of research conducted across numerous countries and contexts has documented menstruating girls’ experiences of shame. The evidence has revealed the discriminatory nature of many school environments, with menstruating girls (and female teachers) unable to adequately manage their monthly menses with safety, dignity and privacy. This, in turn, may have negative impacts on girls’ ability to succeed and thrive within the school environment. …

  9. Menstrual hygiene management impacts girls’ school experience in the Bolivian Amazon

    The purpose of this study on menstrual hygiene management (MHM) in the Beni department of Bolivia was to better understand the challenges girls face due to menstruation; describe factors which influence girls’ experiences during menstruation; and present recommendations to create a supportive school environment for adolescent girls in Bolivia. This study complements the findings of the first MHM study undertaken in Cochabamba, Bolivia in 2012, by providing information specific to the Amazonian population of the eastern lowlands of Bolivia. …

  10. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia

    Background: The issue of menstrual hygiene is inadequately acknowledged and has not received proper attention. Use of sanitary pads and washing the genital area are essential practices to keep the menstrual hygiene. Unhygienic menstrual practices can affect the health of the girls and there is an increased vulnerability to reproductive tract infections and pelvic inflammatory diseases and other complications. Therefore, the objective of this study was to assess the knowledge and practice of menstrual hygiene among high school girls at Nekemte town, Oromia region, Western Ethiopia. …

  11. WASH in schools empowers girls’ education in rural Cochabamba, Bolivia: an assessment of menstrual hygiene management in schools

    The experiences girls face at school in Bolivia during menstruation had never been formally researched before this project. Data collection in Bolivia was part of a multi-country assessment of the challenges girls face in schools that included the Philippines, Rwanda and Sierra Leone. The overarching aim of this collaboration was to understand the range of challenges faced by schoolgirls during menstruation, as well as the determinants of those challenges, and to provide recommendations for stakeholders. …

  12. Menstrual hygiene management among adolescent schoolgirls in low- and middle-income countries: research priorities

    A lack of adequate guidance on menstrual management; water, disposal, and private changing facilities; and sanitary hygiene materials in low- and middle-income countries leaves schoolgirls with limited options for healthy personal hygiene during monthly menses. …

  13. A comparison of the menstruation and education experiences of girls in Tanzania, Ghana, Cambodia and Ethiopia

    The barriers to menstrual hygiene management faced by adolescent schoolgirls in low-income countries are gaining interest at practice and policy levels. The challenges include inadequate water, sanitation and disposal facilities for the management of menses with privacy and dignity, and insufficient guidance to help girls feel confident in attending school during menses. The studies described here aimed to examine how menarche impacts the lives of schoolgirls in three low-income countries (Ghana, Cambodia and Ethiopia). …

  14. Menstrual hygiene matters: training guide for practitioners

    This training guide includes eight session plans, each with a facilitation guide, four handouts, two PowerPoint presentations and two short films. …

  15. Menstruation management

    Special issue of the gender eye on menstruation management: initiatives and innovations in Uganda for the National Conference on Menstrual Hygiene Management.14th-15th August 2014.

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