Multiple Indicator Cluster Surveys (MICS): Menstrual Hygiene Management (MHM) Measure

Menstrual Hygiene Management (MHM) uses 3-item measure from the Multiple Indicator Cluster Survey (MICS) based on WASH definitions of MHM facilities, including access to a private place for washing during a menstrual period, access to materials for managing a period and disposal of these materials.


Geographies Tested: Belize

Populations Included: Female, Male

Age Range: Adolescents, Adults


1. Did you have a private place to wash yourself when needed during your last menstrual period?

Response Options:
Yes, in the toilet or bathroom - 1
Yes, elsewhere - 2
No - 3
Don't know - 8

2. Did you have access to materials when needed for managing your last menstrual period?

Response Options:
Yes, (disposable after each use) - 1
Yes, (both disposable and re-usable - 2
Yes, (reusable) - 3
No access to materials - 4
No, do not use materials - 5
Don't know - 8

3. How do you usually dispose of materials after use?

Response Options:
In a special bin - 1
In a bin with other household waste - 2
In the latrine - 3
Burning - 4
Burying - 5
In a field, bush, water body, beach or other open space - 6
Other (specify) - 96
Don't know - 98

Scoring Procedures

Not Applicable

Original Citation

Khan, S. M., Bain, R. E. S., Lunze, K., Unalan, T., Beshanski-Pedersen, B., Slaymaker, T., Johnston, R., & Hancioglu, A. (2017). Optimizing household survey methods to monitor the Sustainable Development Goals targets 6.1 and 6.2 on drinking water, sanitation and hygiene: A mixed-methods field-test in Belize. PLoS ONE, 12(12), e0189089.

Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing








Criterion (gold-standard)



Ease of Use


Scoring Clarity


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