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UNESCO HIV and Health Education Clearinghouse

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  1. Adolescent schoolgirls’ experiences of menstrual cups and pads in rural western Kenya: a qualitative study

    Poor menstrual hygiene management (MHM) among schoolgirls in low income countries affects girls' dignity, self-esteem, and schooling. Hygienic, effective, and sustainable menstrual products are required. A randomized controlled feasibility study was conducted among 14-16-year-old girls, in 30 primary schools in rural western Kenya, to examine acceptability, use, and safety of menstrual cups or sanitary pads. Focus group discussions (FGDs) were conducted to evaluate girls' perceptions and experiences six months after product introduction. …

  2. Pupil absenteeism, measurement, and menstruation: Evidence from Kenya

    Impact evaluations focused on school absenteeism commonly use school records of untested quality or expensive spot-check data. We use a large dataset on more than 30,000 unannounced random spot-checks for 6,000 female and male students across 30 schools in Western Kenya, with equivalent school record entries. First, we confirm that while absenteeism is common overall, pubescent girls miss more schooldays than boys because of high incidence of school transfers. …

  3. Menstrual hygiene management guideline

    This Guide supports organizations working on MHM to encourage all girls and women to adopt safer menstrual hygiene practices. It also demonstrates how to work with communities and implement concrete actions for effective menstrual management. The target audience for MHM encompasses behavior change communication audiences referred to as primary participant groups –all women and girls - secondary audiences such as relevant technical officials at all levels, and advocacy or tertiary audiences – political leaders.

  4. Menstruation: Breaking the silence, taking action

    In 2014, the United Nations declared May 28 of every year as Menstrual Hygiene Day in recognition of the woes girls and women experience during menstruation. This was a reaffirmation of the world’s commitment to create more befitting living conditions for girls and women. Uganda commemorated the first Menstrual Hygiene Day in 2014 and in August of the same year held the first International Menstrual Hygiene Management Conference, here in Kampala. …

  5. Understanding and managing menstruation: a reader for learners

    This reader is a Ministry of Education and Sports (MoES) initiative to provide information to pupils on understanding of menstruation and managing it well, particularly to beginners.

  6. Keeping African girls in school with better sanitary care

    For young girls in developing countries, not knowing how to manage their periods can hinder access to education. Research from the School of Oriental and African Studies (SOAS), University of London demonstrates that in rural Uganda, providing free sanitary products and lessons about puberty to girls may increase their attendance at school.

  7. Menstrual health management in East and Southern Africa: a review paper

    This review provides an overview of MHM policies and programmes in the ESA region, with a focus on education, school and community-based sexuality education, WASH, sexual and reproductive health, workplace support and humanitarian programming, as well as opening up the discussion regarding marginalized groups of women and girls such as disabled, prisoners and transgender men.

  8. First East and Southern Africa regional symposium: improving menstrual health management for adolescent girls and women

    Menstral health management (MHM) has gained greater attention in recent years. It is now understood as an integrated, cross-sectoral response involving sexual and reproductive health and rights, education and life skills, water, hygiene and sanitation, and waste disposal, both in development and humanitarian contexts. This historic meeting of committed professionals was an important step towards consolidating support for strengthening MHM in the region, particularly since it is implicit in the attainment of several Sustainable Development Goals and those within Agenda 2063. …

  9. Menstruation and menstrual hygiene management in selected KwaZulu-Natal schools

    The focus of this study was on the impact of menstruation and menstrual hygiene management on girl learners in schools in the Province of KwaZulu-Natal, South Africa. Issues related to cultural practices, teachings about menstruation, access to sanitary supplies necessary during menstruation and to sanitation, as well as psychological trauma, particularly at menarche (the time of their first menstruation), were looked at. The study also attempted to capture the feelings and experiences of learners and their knowledge at menarche.

  10. Growing up and changing : knowing about puberty for girls

    UNESCO in partnership with Ministry of Education and with financial support from the Government of the Republic of Azerbaijan, community and Civil society organizations implemented a two year Health Literacy and Behaviour Change practices among Adolescent Girls pilot project from September 2014-September 2017 in 41 schools. Health literacy materials were evaluated and approved by Kenya Institute of Curriculum Development for use in other informal settlements. This is a one sheet brochure for an intended audience of girls approaching puberty.

  11. Menstrual hygiene management compliance in primary schools in Uganda: a case of Lira Municipality

    The main objective of the study was to determine the influence of Menstrual Hygiene Management on school absenteeism of adolescent girls in 10 primary schools in Lira municipality. Our findings highlighted that; majority of the respondent’s onset of the menstruation was at 13 years of age, 60% of the participants used disposable pads. Most respondents changed their pads at least twice a day. Two fifth of the primary girls reported missing school for about 3 days during menstrual periods pointing to the lack of menstrual hygiene products. …

  12. Menstrual hygiene management to improve the attendance of primary school-aged girls in Central North, Burkina Faso

    How to improve the conditions for girls to attend school, to reduce failure and drop-out rates of adolescent girls, while ensuring their dignity and protection? This was the consideration that motivated the Kom-Yilma project, implemented by Catholic Relief Services in Burkina Faso and financed by the Leona M. and Harry B. Helmsley Charitable Trust, to undertake a behavior-change strategy for menstrual-hygiene management in 118 schools in Bam and Sanmatenga Provinces. …

  13. Girls in control: Compiled findings from studies on menstrual hygiene management of school girls. Ethiopia, South Sudan, Tanzania, Uganda, Zimbabwe

    SNV launched the five-country Girls in Control menstrual hygiene pilot programme in January 2014, building on insights and experience gained from implementing school-based water, sanitation and hygiene (WASH) programmes in 14 countries. This report presents the findings of baseline studies on the menstrual hygiene management of schoolgirls, conducted in the five project countries: Ethiopia, South Sudan, Tanzania, Uganda and Zimbabwe.

  14. WASH in schools empowers girls’ education: Proceedings of the 5th Annual Virtual Conference on Menstrual Hygiene Management in Schools

    Capturing girls’ voices: Channelling girls’ recommendations into global and national level action. Globally, there are around 600 million adolescent girls. Adolescence is a pivotal transitional period that requires special attention to ensure progress for all girls, especially the most vulnerable, and poses a unique opportunity to break intergenerational cycles of poverty and to transform gender roles. The onset of puberty and menstruation can pose an additional barrier to a girl’s personal freedom, and can signal entry into a different role in their family and wider society. …

  15. 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. …

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