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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. …
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. …
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. …
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. …
From June through July 2012, Emory University and UNICEF collaborated in research aimed to understand the range of challenges faced by girls during menstruation in urban Freetown, as well as the determinants of those challenges. This report presents the methods, findings and key programmatic recommendations to address menstruation-related challenges among girls. More than 100 participants were engaged in eight schools and two communities, including teachers and girls, both in school and out of school.
Emory University, UNICEF Philippines, Plan Philippines and Save the Children Philippines carried out a qualitative assessment of menstruation-related challenges girls face in school. Girls, boys, teachers and mothers at 10 schools in Masbate Province and the National Capital Region were interviewed for their opinions. This report highlights the challenges girls face in school during menses, describes the determinants of these challenges, and outlines the educational and health impacts of these challenges as voiced by the participants. …
WASH in Schools (WinS) fosters social inclusion and individual self-respect. By offering an alternative to the stigma and marginalization associated with hygiene issues, it empowers all students – and especially encourages girls and female teachers. In recognition of the positive impact on girls’ school attendance and achievement, initiatives around the world are addressing adolescent girls’ menstrual hygiene management (MHM) needs through WinS programming. …
One in five children worldwide does not complete upper-primary school, with particularly high drop-out rates among pubescent-age girls that may limit economic opportunities and perpetuate gender inequality. This paper tests whether educational attainment is stymied by endemically inadequate school sanitation that threatens children's health, privacy, and safety. …
This power point presentation accompanies the UNESCO publication on Puberty Education and Menstrual Hygiene Management. With the aim of increasing implementation of effective programmes at country level, the power point presentation presents the main points and findings of the publication. These issues underscore the inter-sectoral nature of school health requiring education, linkages to health services and safe water and sanitation. This publication builds on these and highlights UNESCO’s contribution and comparative advantage, the process of teaching and learning.
This pilot research study on the impact of menstrual hygiene on girls in school is primarily aimed at the Ministry of Education and Sports and the National Sanitation Working Group. Within the context of Uganda, the results of this study will be used to provide evidence-based advocacy on the role of upper primary girls, from the ages of 13-18, whom have started menstruating, with a specific emphasis placed on the issues and challenges that they face at school. …
There is increasing interest in exploring and addressing the menstrual hygiene management (MHM) barriers facing schoolgirls and female teachers in educational settings. Around the globe, WASH in Schools (WinS) focuses on fostering social inclusion and individual self-respect – and addresses MHM as a key agenda. By offering an alternative to the stigma and marginalization associated with hygiene issues, integrating MHM into WinS empowers all students, and especially encourages girls and female teachers. …
This booklet is the ninth in a series of publications that address key themes of UNESCO’s work in HIV and health education. It is one of several contributions to school-based health promotion that UNESCO has produced to complement our work in HIV and sexuality education. The booklet lays out the context and rationale for education sector involvement, the characteristics of good quality puberty education and menstrual hygiene management, as well as key issues for programme development, implementation and sustainability. …
