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Menstruation and related hygiene practices are a socially and culturally sensitive issue shrouded largely in silence and perpetuated by social taboos. Following the Government of India's Swachh Bharat Mission-Garmin, Open Defecation Free (ODF) achievements are now proposed to be followed up by ODF sustainability and ODF plus initiatives. Menstrual Hygiene Management (MHM) is one of the key components of the ODF-Plus activities. WSSCC has been working in the area of MHM in several parts of the world including India and has developed this document in partnership with the Government of Bihar.