The purpose of these guidelines is to make an evidence-based Menstrual Hygiene Management (MHM) resource available that gives guidance on MHM programming to stakeholders involved in providing a safe and appropriate school environment through improvements in WASH infrastructure and services. They have been developed specifically to guide the stakeholders at National, Provincial, District, School and Community levels and also take into consideration the contribution of non-governmental organisations and the private sector. Furthermore, the guidelines define key elements of an effective MHM system with information and knowledge on MHM, appropriate WASH facilities including disposal options, access to menstrual management materials, management of menstrual pain and discomfort, guidance/counselling and includes a checklist for evaluating implementation of MHM at schools.