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MHM is not only about distributing pads or providing information. Access to private, safe and inclusive
WASH facilities for bathing, laundering and disposing of menstrual materials is essential. However, time
constraints and pressure to deliver ‘hardware’ in humanitarian contexts often means that WASH actors
make use of ‘standard’ emergency designs or make assumptions about the needs of those affected.

This manual presents three adaptable designs for a trench latrine block, raised latrine block and bathing
block. Development of these solutions followed a user-centred approach to understand the main
barriers, challenges and opportunities that WASH, and shelter practitioners perceive, when designing
and implementing WASH facilities that enable women and girls to manage their menstruation. The
guidance and tools developed were be based directly on this learning and recommendations from endusers (WASH & shelter practitioners).

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