Mailman School of Public Health, Columbia University, New York, NY, United States of America.
Rollins School of Public Health, Emory University, Atlanta, GA, United States of America.
Health Res Policy Syst. 2021 Jan 2;19(1):1. doi: 10.1186/s12961-020-00669-8.
Progress has been made in recent years to bring attention to the challenges faced by school-aged girls around managing menstruation in educational settings that lack adequate physical environments and social support in low- and middle-income countries. To enable more synergistic and sustained progress on addressing menstruation-related needs while in school, an effort was undertaken in 2014 to map out a vision, priorities, and a ten-year agenda for transforming girls' experiences, referred to as Menstrual Hygiene Management in Ten (MHM in Ten). The overarching vision is that girls have the information, support, and enabling school environment for managing menstruation with dignity, safety and comfort by 2024. This requires improved research evidence and translation for impactful national level policies. As 2019 marked the midway point, we assessed progress made on the five key priorities, and remaining work to be done, through global outreach to the growing network of academics, non-governmental organizations, advocates, social entrepreneurs, United Nations agencies, donors, and national governments. This paper delineates the key insights to inform and support the growing MHM commitment globally to maximize progress to reach our vision by 2024. Corresponding to the five priorities, we found that (priority 1) the evidence base for MHM in schools has strengthened considerably, (priority 2) global guidelines for MHM in schools have yet to be created, and (priority 3) numerous evidence-based advocacy platforms have emerged to support MHM efforts. We also identified (priority 4) a growing engagement, responsibility, and ownership of MHM in schools among governments globally, and that although MHM is beginning to be integrated into country-level education systems (priority 5), resources are lacking. Overall, progress is being made against identified priorities. We provide recommendations for advancing the MHM in Ten agenda. This includes continued building of the evidence, and expanding the number of countries with national level policies and the requisite funding and capacity to truly transform schools for all students and teachers who menstruate.
近年来，人们已经在努力提高对中低收入国家教育环境中缺乏适当物质环境和社会支持的学龄女孩在经期管理方面所面临挑战的关注度。为了在学校中更协同、更持续地解决与经期相关的需求，2014 年制定了一项计划，描绘了一个愿景、重点和一个为期十年的议程，以改变女孩的经期体验，称为“经期卫生管理十年计划”（MHM in Ten）。其总体愿景是，到 2024 年，女孩能够在有尊严、安全和舒适的环境中，通过获取信息、获得支持和拥有有利的学校环境来管理经期。这需要改进研究证据，并将其转化为有影响力的国家政策。2019 年标志着这一计划的中点，我们通过向不断壮大的学术界、非政府组织、倡导者、社会企业家、联合国机构、捐助者和国家政府网络进行全球推广，评估了在五个重点优先事项方面取得的进展和仍需完成的工作。本文阐述了关键的见解，以支持和推动全球范围内对经期卫生管理的不断承诺，以在 2024 年之前实现我们的愿景。与五个优先事项相对应，我们发现：（优先事项 1）学校经期卫生管理的证据基础大大增强；（优先事项 2）尚未制定学校经期卫生管理的全球准则；（优先事项 3）出现了许多支持经期卫生管理的循证倡导平台；（优先事项 4）全球各国政府对学校经期卫生管理的参与、责任和所有权不断增加；（优先事项 5）尽管经期卫生管理开始被纳入国家教育系统，但资源仍然缺乏。总的来说，在已确定的优先事项方面正在取得进展。我们提出了推进“经期卫生管理十年计划”的建议。这包括继续建立证据，扩大有国家层面政策和必要资金与能力的国家数量，真正为所有经期学生和教师转变学校。
