Menstrual hygiene management (MHM) or menstrual health and hygiene (MHH) is the access to menstrual hygiene products to absorb or collect the flow of blood during menstruation, privacy to change the materials, and access to facilities to dispose of used menstrual management materials. It can also include the "broader systemic factors that link menstruation with health, well-being, gender equality, education, equity, empowerment, and rights". Menstrual hygiene management can be particularly challenging for girls and women in developing countries, where clean water and toilet facilities are often inadequate. Menstrual waste is largely ignored in schools in developing countries, despite it being a significant problem. Menstruation can be a barrier to education for many girls, as a lack of effective sanitary products restricts girls' involvement in educational and social activities.
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Menstrual hygiene management in the context of Hand washing
Hand washing (or handwashing), also called hand hygiene, is the process of cleaning the hands with soap or handwash and water to eliminate bacteria, viruses, dirt, microorganisms, and other potentially harmful substances. Drying of the washed hands is part of the process as wet and moist hands are more easily recontaminated. If soap and water are unavailable, hand sanitizer that is at least 60% (v/v) alcohol in water can be used as long as hands are not visibly excessively dirty or greasy. Hand hygiene is central to preventing the spread of infectious diseases in home and everyday life settings. Meta-analyses have shown that regular hand washing in community settings can significantly reduce respiratory and gastrointestinal infection
The World Health Organization (WHO) recommends washing hands for at least 20 seconds before and after certain activities. These include the five critical times during the day where washing hands with soap is important to reduce fecal-oral transmission of disease: after using the toilet (for urination, defecation, menstrual hygiene), after cleaning a child's bottom (changing diapers), before feeding a child, before eating and before/after preparing food or handling raw meat, fish, or poultry.
Menstrual hygiene management in the context of WASH
WASH (or WatSan, WaSH; stemming from the first letters of "water, sanitation and hygiene") is a sector in development cooperation, or within local governments, that provides water, sanitation, and hygiene services to communities. The main purposes of providing access to WASH services are to achieve public health gains, implement the human right to water and sanitation, reduce the burden of collecting drinking water for women, and improve education and health outcomes at schools and healthcare facilities. Access to WASH services is an important component of water security. Universal, affordable, and sustainable access to WASH is a key issue within international development, and is the focus of the first two targets of Sustainable Development Goal 6 (SDG 6). Targets 6.1 and 6.2 aim for equitable and accessible water and sanitation for all. In 2017, it was estimated that 2.3 billion people live without basic sanitation facilities, and 844 million people live without access to safe and clean drinking water. The acronym WASH is used widely by non-governmental organizations and aid agencies in developing countries.
The WASH-attributable burden of disease and injuries has been studied in depth. Typical diseases and conditions associated with a lack of WASH include diarrhea, malnutrition, and stunting, in addition to neglected tropical diseases. There are additional health risks for women, for example, during pregnancy and birth, or in connection with menstrual hygiene management. Chronic diarrhea can have long-term negative effects on children in terms of both physical and cognitive development. Still, collecting precise scientific evidence regarding health outcomes that result from improved access to WASH is difficult due to a range of complicating factors. Scholars suggest a need for longer-term studies of technological efficiency, greater analysis of sanitation interventions, and studies of the combined effects of multiple interventions to better analyze WASH health outcomes.