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Project Title:

Menstrual Hygiene Management (MHM) Improvement in Achham: Empower the girls and women to manage their monthly period hygienically and with dignity.

Grant Support:

Grand Challenges Canada

Lead Partner:

Supporting Action Forum for Improvement (SAFI)

Local Partner

Astha Nepal, Achham

Project duration:

April 2018 to October 209


Menstrual Hygiene Management (MHM) deficiency in rural Nepal due to lack of knowledge and local/religious traditions, girls/women are exposed during their menstruation to non-hygienic and unhealthy conditions (not allowed to stay at home, no access to proper toilet, neither water nor hygienic pads/products) and subject to social exclusion (not allowed to attend social events and missing school). MHM affects women/girls’ health, dignity and confidence, sustains gender inequality and challenges women rights.


The purpose of the project is to improve MHM in Achham (rural Nepal) driven by local women/girls leaders to form the MHM Promotion Committee, guided and trained by the staff/partner NGOs, and support, monitor and follow up, for them to:

-    Become MHM Champion,

-    Implement MHM sensitization programs for stakeholders (priests, politicians, media, teachers, women, men, girls, boys),

-    Ensure WASH (Water, Sanitation and Hygiene) facilities in the schools, and

-    Creation of enterprise to produce affordable reusable sanitary napkins


  1. Create a group of MHM Champions (proactive girls / women)
  2. Champions of schools (adolescence girls and boys ), and
  3. Champions from the community (active women, female leaders, FCHVs, teachers, etc.)

Formation of MHM champion groups from the active Adolescent groups, and call them as MHM champions. They are responsible for helping the project staff carry out the MHM program at schools. Arrange meetings. They are responsible for replacement of the menstrual pads in the schools from the MHM boxes that are supported by ASTHA / SAFI.

  1. KAP survey and analysis,
  2. MHM sensitization programs for stakeholders (priests, politicians, media, teachers, women, men, girls, boys) in the community:
  3. MHM awareness programs at community: Small group awareness programs and training in the community for the women’s group/FCHVs/Teachers/other stakeholders,
  4. MHM awareness programs at school: Conduct school awareness programs to the adolescent groups at school, including boys and teachers,
  5. The mass campaign at school for three events in Global Hand Washing Day (15 October), World's Toilet Day (19 November) and World Menstrual Hygiene Day (28 May). This can be done either individually or in a group integrated of two or more schools.


  1. Ensure WASH facilities (water, sanitation and hygiene) at the schools:
  2. WASH assessment (water tank, tap, toilet, waste disposal, etc.),
  3. Design the program on the basis of the data,
  4. Purchase the WASH repairing materials,
  5.  Repair and maintenance of the WASH facilities at school,
  6. Make sure that the MHM champions take care of the hygiene and sanitation of the schools.


  1. Creating a small entrepreneurship to produce low-cost reusable sanitary napkins:
  2. Make a group of 5 and make 20 groups (5x20 = 100). These are the target groups, so they also follow the training of MHM awareness in the community and are very committed to establishing the entrepreneurship. (Who are they: MHM champions + active women + tailors + teachers + health staff)
  3. Give entrepreneurship training to 100 people. They will be supported with a sewing machine for each group and other raw materials to establish an entrepreneurship. The project staff will continue to follow the activities of these entrepreneurs.
  4. Project staff will help them bring the materials, making of pads, marketing and distribution.
  5. Possible markets where the cheap reusable menstrual pads can consume are schools, cosmetics shops, grocery shops, pharmacies, clothing stores etc.


The project will be evaluated followed by KAP surveys and the results of the project objectives and activities will be replicated for the cause of Menstrual Hygiene Management (MHM) Improvement that help empower the girls and women to manage their monthly period hygienically and with dignity.