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We have placed increasing emphasis on sustainability of results and reaching for higher quality of water, sanitation and hygiene (WASH) access, over increased coverage at lower quality levels. In 2019, our understanding of menstruation-related support broadened and, to align with our partners, we adopted the term menstrual health and hygiene (MHH) to reflect the range of issues under consideration in the field. We bring these learnings and reflections to our next chapter: the establishment of a new global Sanitation and Hygiene Fund by 2021.