Promoting intersectoral action on menstrual health and hygiene management: Arriving at a framework and indicators to inform policy and programs

Abstract

Menstrual health and hygiene management (MHHM) is increasingly recognized as a critical issue facing adolescent girls, affecting their health and well-being, limiting opportunities to pursue education and employment opportunities, and has adverse implications for the environment. Given the range of factors that influence girls'/women's ability to manage their menses, action to improve MHHM calls for an intersectoral approach. While tools to address MHHM exist, a comprehensive framework that facilitates mapping all program components is not easily available. Relatedly, a set of relevant, easy to use program indicators specific to MHHM are not widely accessible. A comprehensive framework can potentially facilitate the identification of opportunities for collaboration, and the development of a core set of indicators will enable those taking action on MHHM to monitor and assess their program's progress and achievements, and can inform future programs and policy initiatives. Drawing upon the research and intervention literature on MHHM, as well as consultations with program implementers, stakeholders engaged in advocacy efforts, and policy makers, this chapter proposes a comprehensive framework to address MHHM in India, outlines key MHHM indicators, and discusses how these products can be used by various stakeholders in the country to improve MHHM in a comprehensive manner.