Guidance for Monitoring Menstrual Health and Hygiene

Posted by Charlotte van Tuijl on November 13, 2020 at 1:31 pm

Check out UNICEF’s new guidance for Monitoring Menstrual Health and Hygiene. 


There has been significantly increased attention to menstrual health and hygiene  (MHH)  in the  WASH  sector over the past decade, but it has not been accompanied by robust or consistent monitoring. While there is not yet sufficient evidence to recommend a comprehensive set of validated indicators and questions to support MHH monitoring, there are simple steps that can be taken now by governments and programme managers to strengthen monitoring efforts. The purpose of this guide is to support the development and/or improvement of MHH monitoring, by highlighting basic principles  (including ethical considerations)  and example questions to monitor the various elements of MHH. The questions and the wider guidance are not intended to be comprehensive or prescriptive; rather, they represent practical suggestions for monitoring MHH, based on sector experiences and the best available information at the time of publication.

Guidance and examples are provided in subsequent sections, including:

  • Section 2. Principles of MHH monitoring: Basic guidance on monitoring MHH, including question selection and instrument design, data collection, analysis and use, and ethical considerations;
  • Section 3. Monitoring MHH outside the home through national information systems: Examples of questions that could be incorporated into national sectoral information management systems, such as education management information systems (EMIS) and health management information systems (HMIS) which typically include a questionnaire completed by the institution and submitted to central government on a quarterly, biannual, or annual basis;
  • Section 4. Monitoring MHH in households through national surveys: Examples of questions that could be incorporated into national household surveys where MHH is one of many topics and individuals are interviewed in the privacy of their own home; and
  • Section 5. MHH programme monitoring: Examples of questions that could be included in more comprehensive monitoring at sub-national or programme levels, or periodic national thematic surveys.

Access the Guidance Note here.

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