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119 Views
1 Downloads

The 30th SuSanA meeting - the first virtual of its kind - took place from August 17th to August 28th 2020. It was organised by the SuSana Secretariat with support and contributions from SuSanA Partners, Members, Working Groups and Regional Chapters.
This entry is the collection point of the different resources from the SuSanA Meeting, including recordings, presentations, flyers and program …

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210 Views
2 Downloads

WoMena Summary and Approach

WoMena sometimes gets the question: Are menstrual cups (MCs) ‘regulated’ by governments? This is an important question for Government Departments, donors, NGOs and others when planning MC interventions to ensure safety and efficacy of the products. The question sometimes extends beyond MCs to other menstrual health management (MHM) products – washable and …

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512 Views
35 Downloads

Menstrual Hygiene Management is fundamental to the dignity and wellbeing of girls. Menstrual hygiene education, availability of water and toilets, safe sanitation facilities with access to sanitary products, are important factors enabling girls to attend school and lead a healthy life, not interrupted by menstruation.
This guidance booklet is an education resource to help girls to manage, with …

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272 Views
16 Downloads

WoMena Uganda conducted a rapid assessment in collaboration with WoMena’s Knowledge Management team in six districts in Uganda to understand the impact of the COVID-19 pandemic on menstruating girls and women. The infographic shows the assessment’s preliminary findings on menstruation status and practices, gender-based violence (GBV), water, sanitation and hygiene (WASH) status, accessibility …

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261 Views
18 Downloads

WoMena SUMMARY [1]

There is a growing understanding that gender-based violence (GBV) has many dimensions, both physical and psychological. It additionally includes both a deliberate deprival of dignity and access to basic services. This also applies to menstrual health management (MHM):

Physical violence: menstrual products can be expensive; this at times causes conflict since men are often …

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588 Views
19 Downloads

Approximately 25% of the world population are females aged 15 - 49. Ensuring that women and young girls are able to address and manage their menstruation in a safe and hygienic manner is of utmost importance for public health and safe hygiene. However, the prevailing lack of awareness, persistent tabooization of the topic, socio-cultural beliefs and traditional hygiene practices, as well as …

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1272 Views
170 Downloads

This new compilation of MHM resources attempts to provide an overview of and categorise the key resources on MHM to date. By bringing together the growing body of resources, including research, case studies and information material for girls and boys, this publication intends to provide interested individuals and organisations with an overview of the most relevant publications on MHM.

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212 Views
5 Downloads

Menstruation is a natural, normal biological process experienced by all adolescent girls and women, yet it is not spoken about openly causing unnecessary embarrassment and shame. India’s 113 million adolescent girls are particularly vulnerable at the onset of menarche. At this time they need a safe environment that offers protection and guidance to ensure their basic health, well-being and …

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275 Views
9 Downloads

In Uganda approximately 86% of South Sudanese refugee arrivals are women and children (UNHCR, 2017a). Globally, girls and women often lack the ability to manage their menstruation with dignity due to lack of adequate and private facilities, safe, acceptable and accessible menstrual health products and knowledge, which can be further exacerbated during conflict and displacement. Menstrual health …

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356 Views
5 Downloads

EXECUTIVE SUMMARY
In Sub-Saharan Africa (SSA), menstrual health is often considered a taboo and many girls and women lack access to safe and appropriate menstrual health management (MHM) products. This can have far-reaching implications for women and girls’ physical, social and mental wellbeing, as well as for their sexual reproductive health and rights. These MHM issues are often further …

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700 Views
54 Downloads

This guide describes commonly available MHM materials, its advantages and disadvantages to enable practitioners to choose what materials might be adequate for their target population and their context.

For each menstrual material, the environmental, health, and financial aspects are highlighted in individual tables – along with considerations of availability, user experience, and standards …

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571 Views
79 Downloads

This Programming Guidance outlines essential parts of MHH programming, characteristics of good programming and examples of good practice.
It features 5 main sections:
- A global opportunity: explaining the global interest in supporting MHH
- Programm design: principles, government leadership, situation analysis, theory of change, costs
- Core package of interventions: framework of essential …

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406 Views
72 Downloads

This publication is intended to deepen the understanding of the biological nature of the menstruation phenomenon in order to reclaim and restore the pride and confidence that should naturally be a part of it. Managing menstruation hygienically with linked sanitary facilities is an important aspect of life – the practical dimensions of which this publication also aims to facilitate – resulting …

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1253 Views
81 Downloads

The GIZ Regional Fit for School Programme in cooperation with the Sector Programme “Sustainable Sanitation” has developed a MHM in Schools concept, which is modular, culturally adaptable and consists of a primary and secondary intervention package. This publication is providing a comprehensive concept on primary and secondary interventions that are needed for Menstrual Hygiene Management in …

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320 Views
9 Downloads

This factsheet is outlining current menstrual health and hygiene developments in Nepal. It also highlights the problems many girls and women encounter in accessing sanitary products.
In order to address this the production of sanitary pads by local women's cooperatives using sanitary pad machines, is supported by German Development Cooperation. These processes of facilitating the procurement …

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339 Views
7 Downloads

Q1: Do girls miss school because of menstruation? ‘One in ten girls in sub-Saharan Africa misses school during their period’. This truism has not been substantiated, but empirical evidence from low- and middle-income countries has accumulated, confirming a negative effect at varying levels (from less than 10 to more than 50 percent absence during menstruation). One study from Uganda found …

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1132 Views
99 Downloads

This Technology Application Framework (TAF) Publication assesses two low-cost sanitary pad machines placed in women’s collectives in Nepal.
The German Development Cooperation through GIZ has started to be involved in Menstrual Health after the 2015 earthquake. A programme implemented by Nepal’s Ministry of Health and Population and facilitated by the German Development Cooperation has sought …

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510 Views
4 Downloads

The purpose of this meeting was to share research updates about Menstrual Health Management
(MHM) and experiences about the implementation of the menstrual cup (MC) as an innovative MHM
solution in East Africa.

The objectives were:
1. To promote the sharing of evidence in Uganda to improve MHM across East Africa.
2. To create a platform for dialogue amongst stakeholders working in MHM in …

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547 Views
6 Downloads

Should we worry? Many people worry that menstrual products may contain harmful substances, particularly since products are used for a prolonged time in close contact with highly absorbent skin around the vagina. So, should we be concerned?

What are the ingredients in menstrual products? Ingredients vary greatly, both by type and brand of product. One common ingredient is cotton, especially …

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1351 Views
90 Downloads

Nepal’s Menstrual Movement – The topic MHM has gained considerable momentum in Nepal since the earthquake in 2015. The fantastic work of development initiatives and activists of the MHM Practitioner Alliance Nepal is documented in the report ‘Nepal’s Menstrual Movement’. It has been launched on MH Day 2019 parallel in Berlin and Kathmandu and is available for download here.

This …

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914 Views
37 Downloads

Action to improve menstrual hygiene management (MHM) for schoolgirls in low- and middleincome countries continues to gather momentum around the world. The annual virtual conference on MHM in schools shared recent evidence and programmes that illustrate the continuing progress in the field. The conference provides a vital global platform for practitioners and policy makers to share ideas, discuss …

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719 Views
17 Downloads

The presentation provides data to the following questions:
- Where is MHM in schools in the SGDs?
- Are national baselines available?
- What indicators are being monitored and through what sources?
- What actions are needed to improve monitoring?

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687 Views
57 Downloads

Many of the schools visited have a population of students of more than 500, of which 300 are female pupils and 200 are male pupils. Furthermore, with a total number of 8 members of staff, of which 3 are male and 5 are female teachers.

With the problem analysis, Maboshe Memorial Centre (MMC) is hoping to lobby for donor funding to conduct a 2 to 3 years project in the seven Primary Schools …

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522 Views
10 Downloads

Globally many women and girls do not have access to appropriate Menstrual Health Management (MHM) methods that are effective, comfortable, convenient, affordable and safe to use and dispose of. Combined with inadequate facilities, social support and knowledge of menstruation as well as prevailing menstrual taboos and stigma, the lack of appropriate MHM methods can impact the physical, social and …

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383 Views
16 Downloads

In rural areas of Eastern Europe, the Caucasus and Central Asia (EECCA) without reliable piped water supply, the conventional school sanitation system – the pit latrine – is leading to hygienic and environmental problems. Urine diverting dry toilets (UDDT) have been demonstrated to be an alternative, ecological sanitation solution for rural schools of the EECCA region. This study compares the …

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784 Views
0 Downloads

The 6th International Dry Toilet Conference 2018 was held in Tampere, Finland on 22nd – 24th August 2018. The theme of the conference was Dry Toilet Goes Circular with a focus on Cooperation, Co-creation and Experimentation.

Please find the oral presentations and poster presentations below via the links to the page of the GlobalDry Toilet association of Finland.

***** Oral …

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482 Views
9 Downloads

WoMena’s SUMMARY AND RECOMMENDATIONS

Which, and how many, products are used? This FAQ focuses on disposable or reusable products, which
are commercially available. Little information is available on traditional or homemade products. Estimates
of how many products are used differ widely. Some estimates from High-Income Countries indicate around
30 products per cycle (390 annually), …

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399 Views
1 Downloads

WOMENA RECOMMENDATIONS

Based on available evidence, expert opinion, recommendations from health authorities as well as
from manufacturers, there is little scientific evidence to indicate that menstrual cup use
increases the risk of IUD expulsion, and therefore little reason for IUD users to exclude using
an MC. In the spirit of precaution, and until better evidence is available, possible …

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415 Views
1 Downloads

WOMENA RECOMMENDATIONS

The risk of developing Toxic Shock Syndrome (TSS) for women using Menstrual Cups (MCs) is very
low.

In 1979-80, large numbers of menstruation-associated cases of TSS appeared. In the US alone, more
than 1000 cases were reported in 1980. An ultra-absorbent tampon (Rely) was identified as a main
reason for this spike, but many other products were also associated, for …

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609 Views
30 Downloads

Study objectives: The objectives of this study were to assess young girls and women’s acceptability, suitability
and hygienic safety of using menstrual cups in Uganda, when introducing cups through the Uganda Red Cross Society (URCS) Life Planning Skills (LPS) project framework. In the long-­‐term, this is intended to support the formulation and implementation of policies and programs aimed …

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354 Views
2 Downloads

In the communities where WoMena works, girls and women frequently ask about menstrual
irregularities. Clearly, they are concerned, both about their general health, and their fertility.
Irregularities take many forms - age at onset of menarche or menopause, length of cycle,
amount of bleeding, menstrual pain and discomfort, as well as bleeding outside the cycle.

Menstrual patterns vary …

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536 Views
7 Downloads

Is the menstrual cup a potential solution to address the challenges surrounding menstrual health and management (MHM) for girls and women in low-income contexts? This qualitative study assessed the drivers and challenges for acceptability of the menstrual cup (MC) among schoolgirls in rural Uganda. The study included 36 schoolgirls aged 13–17 recruited from a school-based controlled trial of …

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541 Views
20 Downloads

The review paper aims to identify possible linkages to SRHR-related issues, and to provide an overview of MHM policies and programs in the ESA region, with a focus on education, school and community-based sexuality education, WASH, sexual and reproductive health, workplace support and humanitarian programming, as well as opening up the discussion regarding marginalized groups of women and girls …

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1124 Views
53 Downloads

A Menstrual Health pilot project by WoMena and ZOA implemented among South Sudanese refugees and host population in Rhino Camp Refugee Settlement in northern Uganda. The pilot involved 4 primary schools, including students, parents and teachers, over 6 months. 4 different distribution models were applied among the participants; one school got MCs only, one school got reusable pads only, one …

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1110 Views
90 Downloads

There is a growing pool of evidence with regard to the effectiveness of school-based MHM interventions under WASH in Schools (WinS). This is because schools provide the ideal environment to reach all girls and boys and address taboos and misconceptions in a culturally sensitive manner.

Ministries of Education (MoE) have the power and the responsibility to transform schools into places with …

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1639 Views
51 Downloads

The purpose of this thesis was to investigate how rural women and girls’ menstrual hygiene
management (MHM) affects their life-quality and performance in everyday life. The thesis
analysed the opportunities, abilities and motivation they had in performing MHM and how it
affected their social and economical opportunities. From this, conclusions were drawn on how
MHM affects their …

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936 Views
46 Downloads

As Menstrual Hygiene (MH) has been continuously gaining visibility and importance, World Vision, WASH United, Simavi, and GIZ organized a five-part webinar series from May to July 2018.

Each webinar aimed to address one of the key aspects of MH management, including evidence (webinar 1), knowledge (webinar 2), menstrual products (webinar 3), infrastructure (webinar 4) and policy (webinar 5) …

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1139 Views
74 Downloads

Through expert consultations, the JMP has developed core questions for monitoring water, sanitation and hygiene at home, schools and health centres. The document contains core and expanded indicators related and specific to MHM and infrastructure in schools.

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1047 Views
0 Downloads

This manual was developed to sensitise WASH and health practitioners to the various issues associated with menstrual hygiene management. It equips professionals with important information, skills and tools for communicating with a variety of stakeholders, which can help them to promote menstrual management practices in their communities. By guiding participants through the step-by-step learning …

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831 Views
0 Downloads

The Solomon Islands Community-Led Total Sanitation (CLTS) Toolkit is one of the manuals developed for the Rural Water Supply, Sanitation and Hygiene Program in the Solomon Islands. It will be used to guide CLTS Facilitators, and others working with villages, to trigger village action on taking control of sanitation and hygiene within their villages. Any organisations that are doing CLTS in …

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1111 Views
0 Downloads

This issue of Outlook establishes menstrual health as a sexual and reproductive health and rights issue; presents the obstacles to and the consequences of not promoting and protecting menstrual health; and highlights opportunities to improve menstrual health in low-resource settings.

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2837 Views
217 Downloads

The 8th Emergency Environmental Health Forum (EEHF) event was hosted by the German WASH Network in close collaboration with the Secretariat of the Sustainable Sanitation Alliance (SuSanA) at GIZ. The aim of the 2018 EEHF is:
- To share new research and learning
- To discuss new approaches and innovation in the sector
- To bridge silos between WASH and other humanitarian sectors
- To identify …

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746 Views
27 Downloads

The toolkit was designed to support a range of humanitarian actors involved in the planning and delivery of emergency responses. The guidance is therefore aimed to support 1) program staff directly delivering services; 2) program supervisors and country-level staff responsible for designing, coordinating and monitoring field activities, and 3) technical staff, focused on providing technical …

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1598 Views
138 Downloads

This booklet raises awareness among adolescent girls about Menstrual Hygiene Management and answer several FAQs on menstruation.

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5398 Views
540 Downloads

Menstrual Hygiene Management (MHM) refers to the way in which women and girls deal with their menstruation. Girls usually menstruate for the first time between the age of 10 and 15. Learning about menstruation is thus vital for secondary school students, but it is not too early to raise awareness in elementary school. Given the number of people affected by MHM in some way or another, it is …

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2070 Views
64 Downloads

This policy brief summarises previous research on MHM and highlights the SHARE Consortium’s contribution to this important topic. It then defines knowledge gaps which still exist and sets out clear recommendations for improving policy and programmes globally.

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2375 Views
31 Downloads

A MHM comic in Bahasa Indonesia developed by UKS team and UNICEF, in collaboration with GIZ. This book aims to provide proper guidance for young women when they face periods, while at the same time providing education for young men to appreciate their female peers who are menstruating. This book was developed based on the results of a study on MHM in Indonesia conducted by UNICEF in 2015, and has …

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3965 Views
190 Downloads

Globally 52% of the female population is of reproductive age, meaning approximately 1.9 billion women and adolescent girls menstruate each month for between two and seven days.
A first examination of the MHM global landscape: literature, academic studies, main actors, and debates, by the Sector Programme Sustainable Sanitation of the Gesellschaft für Internationale Zusammenarbeit (GIZ) was …

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2828 Views
62 Downloads

This report seeks to understand:
(1) the current state of girls’ experience with menarche and MHM in Kenya,
(2) the donor, government, and NGO responses to girls’ needs, and
(3) opportunities for research, advocacy,
and programming to better address these needs.
This complements a Global Landscape Analysis and is one of three Country Landscape Analyses focused on India, Kenya, and …

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4170 Views
120 Downloads

This report seeks to understand:
(1) the current state of girls’ experience with menarche and MHM in India,
(2) donor, government, NGO, and company responses to girls’ needs, and
(3) opportunities for research, advocacy, and programming to better address these needs.

This complements a Global Landscape Analysis and is one of three Country Landscape Analyses focused on India, Kenya, …

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2535 Views
26 Downloads

This report seeks to understand:
(1) the current state of girls’ experience with menarche and MHM in Ethiopia,
(2) the donor, government, and NGO responses to girls’ needs, and
(3) opportunities for research, advocacy, and programming to better address these needs.

This complements a Global Landscape Analysis and is one of three Country Landscape Analyses focused on India, Kenya, and …

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2584 Views
48 Downloads

Most adolescent girls and women menstruate. This means that for five to seven days each month they bleed through their vagina. This monthly bleeding is often accompanied by abdominal cramps, headaches, mood changes and general lethargy all of which can be exacerbated by social stigma, myths and a lack of requisite infrastructure to manage menstruation safely, privately and hygienically. The …

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3887 Views
41 Downloads

5078 Views
103 Downloads

6451 Views
211 Downloads

5616 Views
176 Downloads

This review of sanitation system trends and interactions with menstrual management practices has been conducted as part of the broader project on Menstrual Management and Sanitation Systems.

It starts with a review of trends in the development of urban sanitation systems and then explores the interaction between menstrual management and sanitation systems, mainly relating to the issue of …

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30th SuSanA meeting

The 30th SuSanA meeting - the first virtual of its kind - took place from August 17th to August 28th 2020. It was organised by the SuSana Secretariat with support and contributions from SuSanA Partners, Members, Working Groups and Regional Chapters.

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