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. This report provides information on MHM practices in schools in Burkina Faso and Niger, selected as regionally representative case study countries by UNICEF WCA Regional Office. A comprehensive qualitative survey design characterized by descriptive features was employed in the study. The responses from 60 girls and care-givers in Burkina Faso and Niger provide interesting information on current MHM knowledge and practices.