This report presents the results of the sixth data-collection wave of the European School Survey Project on Alcohol and Other Drugs (ESPAD) and marks the 20th anniversary of ESPAD data collection (1995-2015).

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