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.

Summary Points: There is an absence of guidance, facilities, and materials for schoolgirls to manage their menstruation in low- and middle-income countries (LMICs).

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.

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.

The purpose of this study on menstrual hygiene management (MHM) in the Beni department of Bolivia was to better understand the challenges girls face due to menstruation; describe factors which influence girls’ experiences during menstruation; and present recommendations to create a supportive sch

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.

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.

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.

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.