Globally, the largest generation of girls in history are entering their reproductive years. Managing periods can be challenging for any girl, but for girls with limited access to water, sanitation and hygiene, it can lead to poor school attendance and stigma.

Menstruation is a natural bodily function experienced by most women and adolescent girls each month, but is often surrounded by taboos.

A lack of access to clean water, sanitation and hygiene can making going to school with your period even more challenging.

While sexual and reproductive health (SRH) and menstrual health are linked, sex education delivered in schools in Timor Leste and Papua New Guinea, often misses the opportunity to speak about both topics.

Additionally, adolescent pregnancy is a leading cause of death and disability for girls aged 15-19 years. In Timor-Leste less than 1% of girls have used contraception and in Papua New Guinea 22% of girls have had one child or more. Unplanned pregnancy and a lack of access to safe, hygienic ways to manage periods contributes to poor health, negatively impacts social outcomes and leads to poor school attendance.

The Project

In partnership with WaterAid, we delivered a three-year integrated water, sanitation, and hygiene (WASH) and sexual & reproductive health (SRH) project in PNG and Timor-Leste. The project aims to improve women and girls’ education, health and social outcomes through menstrual health.

The Project
Project Results

Project Results

  • More than 32,000 girls, boys and adults have increased access to WASH and SRHR information, facilities, and family planning services.
  • 7,440 women and girls are using their choice of contraception.
  • 1,850 students accessing menstrual health-friendly facilities in schools.
  • Over 1,400 locally produced reusable menstrual products sold.

Want to learn more?

For more information about our Keeping Girls in School Through Improved Reproductive and Menstrual Health project, please read our Insights Report.

Want to learn more?
Keeping girls in school
Girls would realise they were menstruating in the middle of class and they would go home. Many girls live far from the school so they would not return to class.
School teacher, Timor Leste

How you can help

News and Resources

Welcoming Grishma Bista as the new Executive Officer of MSI Asia Pacific 
  • reproductive rights
  • gender equality
  • team

Welcoming Grishma Bista as the new Executive Officer of MSI Asia Pacific 

We are delighted to announce the appointment of Grishma Bista as the new Executive Officer of MSI Asia Pacific. A familiar name to many across the partnership, Grishma steps into the role with a…
Norefa’s Story: “That’s what we are doing: creating healthy families.”
  • leave no one behind
  • provider stories

Norefa’s Story: “That’s what we are doing: creating healthy families.”

For four years, Norefa has been helping families across his island home of Papua New Guinea.   As an MSI nurse, he brings life-changing care to people who need it most. He calls his…
The 2025-2026 Federal Budget: Safeguarding Health in the Asia Pacific Amidst Global Aid Cuts 

The 2025-2026 Federal Budget: Safeguarding Health in the Asia Pacific Amidst Global Aid Cuts 

On Tuesday, May 25, Federal Treasurer Jim Chalmers delivered the Federal Budget, outlining what Australians can expect from government spending in the upcoming financial year. This investment is largely in the Asia Pacific region,…