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contentsAcronyms and abbreviations 2ForewORD 4Executive Summary 6Key results 6Background 9The study area 10Social situation 11Data on girls’ and women’s education and literacy 12Health data 13Water and sanitation data 16The issue 18Literature review 18Review of existing public policies related to MHM 21Objectives and methodology of the study 25Objectives 25Methodology 25Limits to the study 29OUTCOMES of the study 31Profile of the population surveyed 31The influence of hierarchies and social norms on themanagement of menstruation 37Ignorance of the menstrual cycle 39Restrictions and beliefs related to menstruation 42Managing menstruation 44Management and waste disposal 47MHM and women with disabilities 48MHM and girls and women who have undergone genital mutilation 49MHM and female prisoners 49contentsAnalysis of the impact of menstruation on theliving conditions of women and girls 51The condition of infrastructure in the study area 51The impact of inadequate WASH infrastructure on girls’and women’s living conditions 55recommendations 58CONCLUSION 61list of tables and graphs 62REFERENCES 641