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c) WASH infrastructure in marketsThree markets were visited: Kedougou central market, Saraya market, andBandafassi market. Only Kedougou market had toilets and running water. The toiletmanager told us, however, that women did not use them because they were mixedand dirty. Indeed, at the time of visit the toilets were not clean.The issue of the maintenance of public toilets is a serious challenge for the SenegalMinistry of Water and Sanitation. PEPAM notes that this is a recurring problem invarious localities. The Programme attempts to establish systems through localauthorities and other decentralized services of the state, in order to ensure sustainableuse of the facilities.Analysis of the impact of menstruation on the living conditions of women and girlsThe lack of maintenance of toilets leads to their deterioration and, finally, theirabandonment by users, as demonstrated by the case of Kedougou market.When establishing a system for the management of toilets, it is important to conducta gender analysis to ensure that their maintenance does not fall to only women,while the profits from their operation go to only men.Women buying fabric in Kedougou marketd) WASH infrastructure in health centres and prisonIn Kedougou health centre, patients’ toilets were shared by men and women.There are also toilets reserved for health gcentre staff. Soap and water were availablein both toilets at the time of visit.Women’s toilets at a prison. There is no door, water nor soap.54