Menstrual Hygiene Management

NEW: Have a look at the new version of our IFRC menstrual hygiene management guidelines – July 2019

Have a look at our new IEC material in English, French, Arabic, Spanish and Portuguese!

Menstrual Hygiene Management tools



Step 1: Identifying the problem



Step 2: Identifying target groups



Step 3: Analysing barriers and enablers for behaviour change



Tool 1: Focus group discussion guide – assessment



Tool 2: Checklist for inclusive MHM friendly latrines




Tool 3: Checklist for inclusive MHM friendly bathing areas



Tool 4: Checklist for inclusive MHM friendly solid waste facilities



Tool 5: Cash programming for menstrual hygiene





Step 4: Formulating menstrual hygiene objectives



Step 5: Planning



Tool 6: Step-by-step tool for deciding priority MHM actions (based on assessment)




Tool 7: Example MHM outputs, indicators and targets for the Emergency Plan of Action




Tool 8: Minimum items to be included in dignity or MHM kits for menstrual hygiene



Step 6: Implementation

Tool 9 (1)

Tool 9 (2)

Tool 9 (3)

Tool 9: IEC materials for disposable pads, reusable cloth pads and tampons (pre-developed, generic materials in English, French, Spanish and Arabic that can be adapted and translated)


Monitoring, evaluation & learning

Step 7: Monitoring and evaluation


Step 8: Review, re-adjust




Tool 10: Feedback and mitigation log (can also include rumours, complaints and misinformation)




Tool 11: Post-distribution monitoring survey



Tool 12: Survey for post-distribution monitoring

Tool 13: Checklist for MHM actions in humanitarian operations


Humanitarian Innovation Funds (HIF) project / Disseminating IFRC’s Menstrual Hygiene Management experiences

Do you want to have a look on how is our project going and what are the next steps?
Humanitarian Innovations Funds

Menstrual Hygiene Day 28th of May / NoMoreLimits#
On Menstrual Hygiene Day 2018, the IFRC is advocating for improved actions to address the menstrual hygiene needs of women and girls in the humanitarian contexts. As you know, over 26 million displaced girls and women around the world face challenges such as the lack of access to menstrual supplies, difficulty in finding private and appropriate bathing, drying or latrine facilities, restrictions or stigmas from cultural taboos and traditional beliefs, and a lack of information.
To raise awareness of the challenges women and girls worldwide face due to their menstruation and highlights solutions that address these challenges, including through media work:
We’ve created a video and a series of assets to use as a Facebook and/or Instagram story. Some of could also be repurposed for Twitter.
• IFRC Menstrual Hygiene advocacy video

Assets for Facebook and instagram
Video 1 option for Twitter
Video 2 option for Twitter
Video 3 Option for Twitter
Video 4 Option for Twitter

Red Cross Red Crescent Menstrual Hygiene Webinar:
Title: Red Cross and Red Crescent experiences in Menstrual Hygiene Management Projects, May 2018
RCRC Menstrual Hygiene Webinar

Red Cross Red Crescent experiences in East Africa and recommendations for supporting women and girls with menstrual hygiene management (MHM) in emergencies.



Results from MHM operational research in four Eastern African countries showed improvements in dignity, health and knowledge after the distribution of MHM Kits and promotion of menstrual hygiene.

Findings highlighted the importance of appropriate facilities, including safe and private spaces for maintain hygiene and washing, changing and drying pads.

Details can be found here:

MHM Case Study V5b digital


ALNAP Case Study on Improving Menstrual Hygiene Management in Emergencies: IFRC’s MHM Kit



Improving Menstrual Hygiene Management in Emergencies: IFRC’s MHM Kit

This study is one in a series of 15 case studies, undertaken by ALNAP in partnership with ELRHAs Humanitarian Innovation Fund (HIF), exploring the dynamics of successful innovation processes in humanitarian action. They examine what good practice in humanitarian innovation looks like ,m what approaches and tools organisations have used to innovate in the humanitarian system, what the barriers to innovation are for individual organisations , and how they can be overcome.

IFRC pilots projects were initiated in Madagascar, Somaliland and Uganda with funding from Humanitarian Innovation Fund (HIF) and British Red Cross with an aim of testing the kits in a wider range of locations and contexts. The overall goal of the pilot and scale-up projects was to improve the dignity of women and adolescent girls during emergency situations by exploring the appropriateness, effectiveness, acceptability and value of MHM Kits in emergencies thus providing evidence based information for inclusion of MHM kits as a specific humanitarian relief item.

IFRC’s MHM Kit specifications
Menstrual Hygiene Management Kit details

Alnap evaluation.png
HIF Evaluation Case Study: IFRC



IFRCs HIF project “Improving Menstrual Hygiene Management in Emergencies” ran from October 2014 until March 2016 and was implemented by Red cross/ crescent in Somalia, Madagascar and Uganda. Although menstrual hygiene management is not a live death issue in emergency settings, it has profound impact upon women and adolescent girls -their dignity -their dignity, hygiene , health, education, protection and security- and there are consequential risks from not addressing it. Lack of provision and facilities during menstrual period (latrines, bathing areas, private drying areas) can lead to shame and embarrassment, possible gender-based violence, infection, loss of mobility and decreased school attendance. Whilst these issues, and the cultural practices associated with menstruation, face millions of poor women across the developing world , needs are particularly acute in emergency settings where women have very few resources.

The HIF grant was for the implement stage of the innovation cycle and funded and operational research , part of this stages is this the evaluation done in June 2017.

HIF IFRC Menstrual Hygiene Management in Emergency evaluation
HIF external recent evaluations

HIF Evaluation.png
Menstrual Hygiene Management (MHM) in Emergencies: Consolidated Report



Menstrual Hygiene Management in Emergencies: Consolidated Report

In an effort to address the multi-faceted nature of MHM as well as contribute to the limited evidence base for MHM interventions in emergencies, IFRC initiated a pilot operational research project in Burundi around MHM in emergencies in 2012 (completed in 2013), supported by the Norwegian, Netherlands and British Red Cross Societies.


cover photo MHM consolidated report.JPG
Operational research on menstrual hygiene management (MHM) kits for emergencies



Case study and results from pilot research on MHM kits in Bwagiriza refugee camp, Burundi, 2013

IFRC MHM project cover.jpg

Columbia University aim to expand the evidence and guidance on MHM during emergencies toolkit MHM Humanitarian response.png

Columbia University Menstrual Hygiene Management in Emergencies

Menstrual Hygiene Management in Emergencies IEC material Eastern Africa



IEC materials (English, French, Kiswahili and Kirundi) have been developed for disposable and reusable sanitary pads.

They include general information on menstruation, personal hygiene, as well as use, care and disposal.

Download them by clicking on the links below!

MHM instruction page.jpg
IFRC MHM flyer_Reusable_Swahili
IFRC MHM flyer_Disposable_Swahili
IFRC MHM flyer_Reusable_Kirundi
IFRC MHM flyer_Disposable_Kirundi

Menstrual Hygiene Resources and links

VRCS TC Pam Recovery_Q2_menstrual health_ West-Tanna 2016 (002).docx

Menstrual Hygiene Matters Toolkit (WaterAid/SHARE, co-published by 18 organisations)

Menstrual hygiene management in emergencies: Gaps and recommendations

Menstruation hygiene management for schoolgirls in low-income countries

WaterAid: Is menstrual hygiene and management an issue for adolescent school girls? A comparative study of four schools in different settings of Nepal

Utilizing participatory and quantitative methods for effective menstrual-hygiene management related policy and planning

IFRC Upholding women and girls’ dignity: managing menstrual hygiene in emergency situations

MHM Case Study V5b digital


If you want to join the Menstrual Hygiene Management learning group or would like to incorporate more resources to this page please send to: Alexandra Machado

Have a look at our new MHM Case study and Summary report of our MHM Workshop in October 2018