Menstrual Hygiene Management (MHM) project

Menstrual Hygiene Management (MHM) project

From: Apr 1, 2018 - To: Oct 31, 2019

Menstrual Hygiene Management (MHM) project focused in Turmakhand and Dhakari RMs at Achham district. MHM project, ASTHA Nepal is conducting joint partnership between SAFI Nepal funded by Grand Challenge of Canada. The main objective of the programme is to raise the awareness and motivated especially the women safty habits during the menstrual period, Chhaupadi.


Our MHM improvement is based on inclusion, accessibility, adaptability and sustainability. For the change to be sustainable it has to be driven by community leaders and requires buy-in of all stakeholders (priests, healers, politicians, medial, teachers, men, etc.). For this reason it is critical to create and train MHM Promotion Committee with women/girls leaders, supported by team and partner NGO’s. They will become MHM Champions, reference for the community for MHM questions/training. Prepare and execute sensitization campaign for stakeholders with the objective destigmatize menstruation, reduce the negative impact in health and number of deaths during Chhaupadi. Train girls and women on MHM, health care and promote use of sanitary pads making them accessible and affordable. Assess WASH facilities in the schools and work with school management and local authorities to improve conditions reducing girl’s absenteeism during menstruation. We will monitor regularly the advance, evaluate and improve.


Other projects funded focused on making affordable sanitary pads/or equivalent. Our project has a holistic approach, the problem we face in rural Nepal goes beyond access to sanitary pads. We integrate women empowerment (driving force for change), with education and buy-in of stakeholders, entrepreneurship/participation in economy along with MHM training and access to basic WASH facilities to improve women acceptance and respect, health and to reduce school absenteeism during menstruation.


We have a holistic approach. We will create MHM Promotion Committee empowering women leaders to take control and improve their lives. They will be the drivers starting with sensitization campaign for women and stakeholders to improve acceptance and reduce health risk and deaths during menstruation. We will facilitate the access to sanitary pads by creating an enterprise to procedure reusable sanitary pads locally and we will assess the status of WASH facilities in schools and improve conditions.


Project will start with ‘Establishment of MHM Promotion Committee’, followed by the execution of 3 projects run in parallel by the MHM Promotion Committee and supported by our staff and partners NGO’s: ‘MHM Sensitization Campaign’, ‘WASH assessment and improvement in schools’ and ‘Entrepreneurship ‘Local Reusable Pads’’. Upon completion of 3 projects we move to ‘Evaluation and monitoring’. The main activities::

  • Recruit women/girls leaders
  • Focus group on MHM and Chhaupadi
  • Train the trainers sessions
  • Monitoring and evaluation (identification of training required)
  • Prepare communication plan (communication strategy, message and media)
  • Communication products development/Communication campaign execution
  • Monitoring, evaluation and identification of improvement
  • WASH status assessment in schools and identification of needs
  • WASH improvement plan/WASH improvement execution/Monitoring and evaluation
  • Recruit team
  • Market Research/Product design
  • Business plan/Enterprise establishment (legal requirements)
  • Training/Production
  • Prepare communication campaign/Market launch
  • Monitoring and evaluation
  • Evaluate the results/Prepare next steps

Location / Districts


Funding Source

Grand Challenge of Canada

Traget Group

MHM project focused on rural women,adolescents, and School students of Turmakhand RM-4 and Dhakari RM-5 in Achham.

About Astha

ASTHA Nepal has been mobilizing the unused and underutilized resources available within the society. ASTHA has been implementing community development pASTHA Nepal has been mobilizing the unused and underutilized resources available within the society.