Promoting menstrual health and hygiene Impact and lessons learned from two projects in Ethiopia and Madagascar

Menstrual health and hygiene is a global issue affecting nearly 500 million people. Despite being on the international agenda, there is still a lack of data to identify effective levers for promoting access. This article presents the results of evaluations of two innovative projects carried out in Madagascar and Ethiopia. Using an integrated approach, these projects addressed access to menstrual products, infrastructure, and the fight against stigma. The evaluations present convergent results and demonstrate the effectiveness of the approach, as well as the central role of psychosocial dimensions. In addition to producing data, they call for strengthening the dialogue between research and public policy, as well as coordination between the various stakeholders, with a view to scaling up.