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?
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?
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?
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
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. https://doi.org/10.1371/journal.pone.0189089
Ease of Use Score
Existing Literature/Theoretical Framework
Field Expert Input
Cognitive Interviews / Pilot Testing