Nepal has a good track record of improving menstrual hygiene management (MHM) facilities, increasing access to affordable and hygienic sanitary materials, delivering creative awareness campaigns and policy advocacy, and developing the capacity of local stakeholders to promote MHM. Nevertheless, Operations and maintenance (O&M) of water, sanitation and hygiene in schools (WinS) remains challenging.
MHM and WinS approaches in project schools are being used by Non-governmental Organizations (NGOs) to help develop a programmatic approach that works at scale. The Government is finalising a Dignified Menstruation Policy. An MHM Practitioners' Alliance provides cross-sector coordination. Improving the curriculum and teacher capacity, as well as further learning and engagement opportunities for older generations of women, is needed.