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UNESCO HIV and Health Education Clearinghouse

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  1. A time for global action: addressing girls’ menstrual hygiene management needs in schools

    Summary Points: There is an absence of guidance, facilities, and materials for schoolgirls to manage their menstruation in low- and middle-income countries (LMICs). Formative evidence has raised awareness that poor menstrual hygiene management (MHM) contributes to inequity, increasing exposure to transactional sex to obtain sanitary items, with some evidence of an effect on school indicators and with repercussions for sexual, reproductive, and general health throughout the life course. …

  2. Menstrual hygiene management among Bangladeshi adolescent schoolgirls and risk factors affecting school absence: results from a cross-sectional survey

    Background: Many adolescent girls in low-income and middle-income countries lack appropriate facilities and support in school to manage menstruation. Little research has been conducted on how menstruation affects school absence. This study examines the association of menstrual hygiene management knowledge, facilities and practice with absence from school during menstruation among Bangladeshi schoolgirls. Methods: We conducted a nationally representative, cross-sectional study in Bangladeshi schools from March to June 2013 among girls 11 to 17 years old who reached menarche. …

  3. A time for global action: addressing girls' menstrual hygiene management needs in schools

    Summary Points: There is an absence of guidance, facilities, and materials for schoolgirls to manage their menstruation in low- and middle-income countries (LMICs). Formative evidence has raised awareness that poor menstrual hygiene management (MHM) contributes to inequity, increasing exposure to transactional sex to obtain sanitary items, with some evidence of an effect on school indicators and with repercussions for sexual, reproductive, and general health throughout the life course. …

  4. Attention to menstrual hygiene management in schools: An analysis of education policy documents in low- and middle-income countries

    Recent decades have seen a push for gender parity in education in low resource countries. Attention is shifting to how school environments hinder the achievement of gender equality. One effort, primarily led by the water, sanitation and hygiene sector, includes a focus on the needs of menstruating girls.

  5. Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries

    This paper maps the knowledge, attitudes, beliefs and practices surrounding menarche, menstrual hygiene and menstrual health among adolescent girls in low and middle income countries in order to inform the future design of relevant policies and programming. The study of over 80 journal articles from a number of low and middle income countries confirmed that: (1) Many adolescent girls start their periods uninformed and unprepared. (2) Mothers are the primary source of information, but they inform girls too-little and too-late and often communicate their own misconceptions. …

  6. 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. …

  7. 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. …

  8. 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. …

  9. 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. …

  10. 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). …

  11. 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.

  12. Menstrual hygiene management (Waterlines: Journal issue)

    This issue of the journal Waterlines looks at experiences of menstrual hygiene management in schools in a number of countries.

  13. A systematic review of the health and social effects of menstrual hygiene management

    Background: Differing approaches to menstrual hygiene management (MHM) have been associated with a wide range of health and psycho-social outcomes in lower income settings. This paper systematically collates, summarizes and critically appraises the available evidence. Methods: Following the PRISMA guidelines a structured search strategy was used to identify articles investigating the effects of MHM on health and psycho-social outcomes. The search was conducted in May 2012 and had no date limit. Data was extracted and quality of methodology was independently assessed by two researchers. …

  14. The girl with her period is the one to hang her head. Reflections on menstrual management among schoolgirls in rural Kenya

    Background. The onset of menstruation is a landmark event in the life of a young woman. Yet the complications and challenges that can accompany such an event have been understudied, specifically in resource-poor settings. As interventions aim to improve female attendance in schools, it is important to explore how menstruation is perceived and navigated by girls in the school setting. This research conveys rural Kenyan schoolgirls' perceptions and practices related to menstruation. Methods. Data were collected at six rural schools in the Nyanza Province of Western Kenya. …

  15. The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh

    This is the first study to evaluate a menstrual education programme among adolescent school girls in Bangladesh. This study evaluated the menstrual knowledge, beliefs and practices of, and menstrual disorders experienced by, students in grade 6–8 in Bangladesh.

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