Introduction
cramping, anxiety, pain
Adequate menstrual hygiene and health (MHH) remains difficult to attain for adolescent girls in low-and middle-income countries (LMICs). According to Sommer et al. (During menstruation, girls report they stay home from school due to the pain from cramping, or the fear and anxiety of soiling their clothing in public (MHH has a significant impact on educational outcomes, sparking global recognition of it as an important issue in international development. MHH has been identified as a global priority by the World Health Organization (Schools and teachers play an important role in how girls navigate menstruation during adolescence. A feasibility study (Menstrual Solutions Study) was conducted in primary schools in western Kenya (