by Marni Sommer, Penelope A Phillips-Howard, Therese Mahon et al.
BMJ Glob Health, 2017;2:e000405
In most societies, the management of menstruation and other vaginal bleeding is handled covertly as cultural taboos frequently hinder open discussion. The limited availability of clean, accessible water and sanitation facilities in many low- and middle-income countries augments the challenges girls and women face in conducting daily activities while managing vaginal bleeding. Breaking the silence around girls and women’s vaginal bleeding and their related social, physical and clinical management needs across the life course require attention in research, practice and policy, including improved education, training and communication.