The Government aims to provide universal sanitation coverage by 2020 and to mainstream menstrual hygiene management (MHM) through new water, sanitation and hygiene in schools (WinS) policies. However, there is significant fragmentation of water, sanitation and hygiene (WASH) responsibilities.
There are usually separate toilets for girls, however only 34% report using the toilet for changing sanitary materials. Concerns about poor operations and maintenance remain. Due to poverty, many girls use rags/cloths instead of sanitary pads (United Nations Children’s Fund (UNICEF), 2016). Pupils’ MHM awareness has been raised by new teaching guidelines and the Participatory MHM Toolkit (Department of Education (DoE), Rural Development Foundation (RDF), UNICEF 2014).