#A

   ,,,GUID.E NOTE3 M5/RUAL H1L? @&
       HYGI5E = GIRLS & WOM5 )
             4ABILITIES,'

      "9,"Y GIRL ) ,D[N ,SYNDROME F
    ,EGYPT SMIL+
      ^C ,,UNICEF_/,,UN#JDBEGBC_/"
    ,,SOKOL
      "9UNICEF LOGO

              ,BACKGR.D

  ,M5/RUA;N IS A NATURAL FACT ( LIFE &
A MON?LY O3URR;E = #A4H BILLION GIRLS
& WOM5 ( REPRODUCTIVE AGE4 ,YET
MILLIONS ( M5/RUATORS #A ACR ! _W >E
D5I$ ! "R TO MANAGE _! MON?LY M5/RUAL
CYCLE 9 A DIGNIFI$1 H1L?Y WAY4 ,GIRLS
& WOM5 ) 4ABILITIES FACE EV5 GRT]
*ALL5GES 9 MANAG+ _! M5/RUA;N
HYGI5ICALLY & ) DIGN;Y4 ,GIRLS & WOM5
) 4ABILITIES FACE A D\BLE /IGMA DUE TO
BO? SOCIAL NORMS >.D G5D] & M5/RUA;N &
HAV+ A 4ABIL;Y4 ,A #BJAI SY/EMATIC
REVIEW ( M5/RUAL HYGI5E MANAGE;T

REQUIRE;TS1 XS B>RI]S1 & /RATEGIES =
P]SONS ) 4ABILITIES F.D T M5/RUA;N
*ALL5GES 7 A S\RCE ( %AME = GIRLS &
WOM5 )
  4ABILITIES1 ) 3SEQU;ES 9CLUD+ SOCIAL
ISOLA;N & EV5 =C$ /]ILIZA;N4 #B
  ,? TIP %EET (F]S A FRAME"W =
SUPPORT+ M5/RUAL H1L? & HYGI5E
"<,,MHH"> & PRACTICAL 5TRY PO9TS =
MEET+ ! NE$S ( M5/RUATORS )
4ABILITIES4
  ,M ?AN #A BILLION P _WWIDE >E
E/IMAT$ TO H A 4ABIL;Y4 ,? 9CLUDES UP
TO #AJ P] C5T ( *N4 #C ,*N 9 L[- &
MIDDLE- 9COME C.TRIES "<,,LMIC,'S"> >E
M LIKELY TO H 4ABILITIES ?AN *N 9
HI<]-9COME C.TRIES4 #D ,A REVIEW ( #AE
,,LMIC,'S F.D T ONLY SLI<TLY M ?AN #EJ
P] C5T ( *N ) 4ABILITIES 7 ATT5D+
S*OOL4 #E
      "9,ADOLESC5TS S*OOL GIRLS 9
    ,P>AGUAY WALK+ & LAU<+1 "O ( !M IS
    BL
      ^C ,,UNICEF_/,,UN#JDBEGBC_/"
    ,,SOKOL

                                    #C
77777777777777777777777777777777777777
  ,GIRLS & WOM5 ) 4ABILITIES FACE A
D\BLE /IGMA DUE TO BO? SOCIAL NORMS
>.D G5D] & M5/RUA;N & HAV+ A 4ABIL;Y4
GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG
  ,WOM5 & GIRLS >E M LIKELY TO H A
4ABIL;Y1 FAC+ A #AI P] C5T LIKELIHOOD
RATE V]SUS #AB P] C5T = M5 & BOYS4 ,AC
TO A #BJAG REPORT BY ! ,UNIT$ ,NA;NS
,SECRET>Y ,G5]AL ON ! SITUA;N ( WOM5 &
GIRLS ) 4ABILITIES & ! /ATUS ( !
,3V5;N ON ! ,"RS ( ,P]SONS ,)
,4ABILITIES "<,,CRPD">1 WOM5 & GIRLS )
4ABILITIES 7 EXPECT$ TO R1* #GJJ
MILLION GLOBALLY BY #BJAE4 #F
  ,9A3ESSIBLE WAT]1 SANITA;N & HYGI5E
"<,,WA%"> FACILITIES 9 COMMUNITIES1
S*OOLS1 H1L?-C>E FACILITIES & PUBLIC
PLACES ADD TO ! L;G LI/ ( B>RI]S T
PREV5T GIRLS & WOM5 ) 4ABILITIES F
"PICIPAT+ FULLY 9 SOCIAL & ECONOMIC
LIFE4 ,LACK ( 4ABIL;Y-A3ESSIBLE ,,WA%
FACILITIES IS AL A B>RI] = GIRLS )
4ABILITIES TO ATT5D S*OOL4 ,,MHH
$UCA;N & SUPPORT IS CRITICAL 9 BO? IN-
& \-(-S*OOL PROGRAMM+ TO R1* GIRLS )

4ABILITIES4 ,X IS (T5 ASSUM$ T GIRLS )
4ABILITIES D N M5/RUATE1 S $UCA;N IS
NE$$ TO 4PEL M5/RUA;N & 4ABIL;Y MY?S4
  ,M5/RUAT+ GIRLS & WOM5 ) DI6]5T
TYPES ( 4ABILITIES MAY H DI6]5T NE$S4
,^? ) PHYSICAL IMPAIR;TS 9 _! UPP]
BODY & >MS MAY H DI6ICULTIES PLAC+ _!
SANIT>Y PROTEC;N MAT]IALS 9 ! CORRECT
POSI;N & WA%+ !MVS1 _! CLO!S1 & !
M5/RUAL MAT]IALS4 ,^? ) VI.N IMPAIR;TS
"<BL OR L[ VI.N"> MAY FACE *ALL5GES
"K+ IF !Y H FULLY CL1N$ !MVS1 & ^? )
9TELLECTUAL & DEVELOP;TAL IMPAIR;TS
MAY NE$ A3ESSIBLE & EASY-TO-R1D
MAT]IALS TAILOR$ TO SUPPORT !M TO
COMMUNICATE AB PA9 & _! NE$S & TO LE>N
AB ,,MHH4
  ,"PN]+ ) WOM5 & GIRLS ) 4ABILITIES &
ORGANIZA;NS ( P]SONS ) 4ABILITIES
"<,,OPD,'S"> "?\T ! CYCLE ( ,,MHH
PROGRAMM+ W HELP TO ID5TIFY ! NE$S (
WOM5 & GIRLS ) 4ABILITIES & DESIGN OR
ADAPT ,,MHH PROGRAMMES TO 2 9CLUSIVE4



                                    #E

     ,FRAME"W & ,PRACTICAL ,5TRY
       ,PO9TS = ,R1*+ ,GIRLS ,)
             ,4ABILITIES

  ,! FRAME"W = ,,MHH \TL9ES F\R PILL>S
( PROGRAMM+1 "UP9N$ BY PR9CIPLES TO
A*IEVE A3ESS TO SAFE & DIGNIFI$
M5/RUA;N = ALL GIRLS & WOM54 #G ,Z
CORN]/"OS ( ,,MHH 9T]V5;NS1 ! F\R
PILL>S ,- SOCIAL SUPPORT1 K & SKILLS1
FACILITIES & S]VICES1 & MAT]IALS T
SUPPORT RESULTS 9 F\R KEY >1S ,- TGR C
HELP TO 5SURE T GIRLS ) 4ABILITIES >E
ABLE TO MANAGE _! M5/RUA;N SAFELY & )
DIGN;Y4
  ,5ABL+ 5VIRON;T1 OR A SET ( 3DI;NS T
SUPPORT ! E6ECTIVE;S1 SCAL+ UP1
SU/A9ABIL;Y & REPLICA;N ( 4ABIL;Y-
9CLUSIVE ,,MHH 9T]V5;NS & \TCOMES3

,5SURE EVID;E G5]A;N & LE>N+ >.D ,,MHH
    9CLUDES GIRLS & WOM5 ) 4ABILITIES4
,9CLUDE ,,OPD,'S & AG5CIES "W+ ) GIRLS
    & WOM5 ) 4ABILITIES 9 ,,MHH "W+
    GR\PS4

,BUILD CAPAC;Y ( H1L?1 $UCA;N & ,,WA%
    PR(ES.NALS TO COMMUNICATE ) GIRLS
    & WOM5 ) 4ABILITIES ON ,,MHH BY
    9CLUD+ 4ABIL;Y MODULES 9 ,,WA% 9
    S*OOLS & ,,MHH TRA9+S4
,ADDRESS /IGMA & 4CRIM9A;N & EMP[]
    FAMILY MEMB]S TO SUPPORT GIRLS )
    4ABILITIES TO MANAGE M5/RUA;N
    SAFELY & ) DIGN;Y4
,,WA% 9 S*OOLS SECTOR /&>DS &
    GUIDEL9ES 3TA9 PROVI.NS = G5D] &
    4ABILITIES1 & AL 9CLUDE ! 3C]NS (
    GIRLS & WOM5 ) 4ABILITIES & >E
    A3ESSIBLE & EASY TO R1D4
,AG5CIES ALLOCATE RES\RCES
    SPECIFICALLY = 4ABIL;Y-9CLUSIVE
    ,,MHH4

,,PILL>3 ,,SOCIAL ,,SUPPORT2 ,,K @&
  ,,SKILLS2 ,,FACILITIES @& ,,S]VICES2
  ,,MAT]IALS4
,OBJECTIVE3 ,COMBAT+ /IGMA & 4CRIM9A;N
  BY APPLY+ APPROA*ES ( SOCIAL &
  2HAVIOR *ANGE COMMUNICA;N4 ;2 ,A3ESS
  TO A3URATE1 "TLY 9=MA;N4 ,9CLU.N (
  IMAGES ( GIRLS_/BOYS ) 4ABILITIES 9
                                    #G
  ,,MHH MAT]IALS4 ;2 ,A3ESS TO SAFE1
  PRIVATE1 RELIABLE 9FRA/RUCTURE &
  SUPPLIES1 9CLUD+ A3ESSIBLE
  TRANSPORTA;N4 ;2 ,A3ESS TO AF=DABLE1
  APPROPRIATE SANIT>Y PROTEC;N
  MAT]IALS4
,KEY 3SID]A;NS = R1*+ GIRLS )
  4ABILITIES3 ,9CLUSIVE & SPECIAL
  S*OOLS >E 9CLUD$ 9 ,,MHH 9T]V5;NS4 >
  ,\TR1* ACTIVITIES A3OMPANY S*OOL-
  BAS$ 9T]V5;NS TO R1* \ ( S*OOL
  GIRLS4 > ,R1* \ TO ,,OPD,'S & 9=MAL
  GR\PS ( P>5TS ( *N ) 4ABILITIES4 >
  ,5GAGE & EMP[] FAMILIES ( GIRLS )
  4ABILITIES TO PROVIDE SUPPORT TO
  MANAGE M5/RUA;N SAFELY & ) DIGN;Y >
  ,R1* \ TO BOYS1 M5 & O!R P]SONS N
  9VOLV$ 9 ! M5/RUA;N PROCESS TO C.T]
  /]EOTYPES ASSOCIAT$ ) M5S TRUA;N4 ;2
  ,K MAT]IALS >E AVAILABLE 9 AT L1/
  TWO DI6]5T =MATS "<E4G41 AUDIO1
  ,BRL1 SIGN LANGUAGE1 EASY-TO-R1D
  V].NS">4 ,SEE CASE /UDY 2L4 > ,DATA
  IS 4A7REGAT$ BY SEX & G5D]1 AGE1 &
  4ABIL;Y4 > ,GIRLS & WOM5 )
  4ABILITIES >E 9CLUD$ 9 MONITOR+ &

  FE$BACK PROCESSES1 & FE$BACK
  ME*ANISMS >E ADAPT$_/DESIGN$ TO 2
  SUIT$ TO _! V>I$ COMMUNICA;N NE$S4
  ;2 ,GIRLS & WOM5 ) 4ABILITIES
  "PICIPATE 9 ! DESIGN ( G5D]-
  RESPONSIVE & 4ABIL;Y- A3ESSIBLE
  ,,WA% FACILITIES & S]VICES4 >
  ,DESIGN OR ADAPT ,,WA% FACILITIES TO
  2 BO? G5D] RESPONSIVE & 4ABIL;Y
  A3ESSIBLE & MEET NA;NAL OR 9T]NA;NAL
  A3ESSIBIL;Y /&>DS4 > ,GIRLS & WOM5 )
  DI6]5T TYPES ( 4ABILITIES >E 9VOLV$
  9 FACIL;Y AUDITS = SAFETY &
  SUITABIL;Y4 ;2 ,GIRLS & WOM5 )
  4ABILITIES "PICIPATE 9 *OOS+
  APPROPRIATE MAT]IALS4 ,! *OICE W
  DI6] BAS$ ON ! TYPE ( 4ABIL;Y1 COM=T
  & EASE ( USE4 > ,MAT]IALS &
  SUPPLIES1 S* Z SOAP1 >E PLAC$ AT A
  HEI<T T C 2 R1*$ BY GIRLS & WOM5 US+
  :EEL*AIRS "<SU7E/$ HEI<T IS #FJJMM
  TO #GJJMM ABV ! FLOOR">4 > ,GIRLS &
  WOM5 ) 4ABILITIES >E 9VOLV$ 9
  MONITOR+ & EVALUAT+ ! USE ( MAT]IALS
  & SUPPLIES4 4

                                    #I
77777777777777777777777777777777777777
  ,,,EXC]PT F A CASE /UDY3,'

        ,ADDRESS+ ,,MHH = *N )
       4ABILITIES 9 ,KYRGYZ/AN

  "<,,UNICEF ,,MHH ,GUID.E1 #BJAI1
PAGE #FG">
  8,IN #BJAH1 ,,UNICEF & ,PLUS ,PUBLIC
,F.DA;N "PN]$ TO PRODUCE $UCA;N
MAT]IALS ON M5/RUAL HYGI5E1 S*OOL
SAFETY & * "RS 9 ALT]NATIVE =MATS = *N
) VISUAL & HE>+ 4ABILITIES4 ,! PROJECT
AIM$ TO PROVIDE *N ) VISUAL & HE>+
4ABILITIES ) A3ESS TO CRITICAL 9=MA;N
ON * "RS1 GIRLS,0 HYGI5E & SAFETY4
,?REE ,,MHH PUBLICA;NS 9 ,KYRGYZ &
,RUSSIAN LANGUAGES "<,8,GR[+ UP &
,DEVELOP+,0 & ,8,AKYLAI ,IS ,GR[+
,UP1,0 : >E PUB]TY BOOKS = GIRLS1 &
,8,TALK+ TO ,DAU<T]1,0 A GUIDE =
P>5TS"> 7 REPRODUC$ 9 ,BRL & AUDIO
=MATS4 ,! ,KYRGYZ ,,WA% 9 ,S*OOLS
,GUIDEBOOK & A PUBLICA;N ON SAFE
2HAVI\R = S*OOL*N 7 REPRODUC$ 9 VIDEO
=MAT ) SUBTITLES & SIGN LANGUAGE

9T]PRETA;N4 ,:ILE *N & P>5TS C A3ESS !
MAT]IALS "? TWO SPECIALIZ$ S*OOLS1 !
MAT]IALS W 2 MADE AVAILABLE = A BROAD
AUDI;E "? ! W9S#D;GIRLS4ORG WEBSITE40
GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG
  ,A3ESS TO SAFE & DIGNIFI$ M5/RUA;N
IS FUNDA;TAL = ALL M5/RUATORS4 ,WOM5 &
GIRLS GLOBALLY FACE /IGMA1 IGNOR.E &
EXCLU.N DUE TO EXP]I5C+ M5/RUA;N4
,GIRLS ) 4ABILITIES (T5 EXP]I;E D\BLE
4CRIM9A;N1 DUE TO BO? _! G5D] & HAV+ A
4ABIL;Y4 ,! ADDI;NAL /IGMA ( M5/RUA;N
MAKES GIRLS ) 4ABILITIES F> LESS
LIKELY TO RCV ! 9=MA;N1 SUPPLIES &
SUPPORT !Y NE$ = ,,MHH4 ,/IGMA1
MIS"U/&+S & EXCLU.N C L1D TO H>M;L
PRACTICES ,- A SY/EMATIC REVIEW (
4ABIL;Y & ,,MHH F.D EVID;E ( =C$
/]ILIZA;N = GIRLS ) 9TELLECTUAL
4ABILITIES 9 ORD] TO MANAGE M5/RUA;N
,- 9 _M PLACES1 F ,AU/RALIA TO !
,UNIT$ ,/ATES TO ,9DIA4
  ,GIRLS ) 4ABILITIES H CAPACITIES Z
WELL Z VULN]ABILITIES1 5ABL+ !M TO
FACE 3SID]ABLE *ALL5GES ON A DAILY
BASIS4 #H ,) M 9CLUSIVE ,,MHH
                                   #AA
PROGRAMM+ & SUPPORT1 GIRLS )
4ABILITIES C 2 EMP[]$ TO MANAGE _!
M5/RUA;N 9 A DIGNIFI$ & H1L?Y WAY4
      "9,?REE S*OOL GIRLS1 9CLUD+ GIRL
    ) 4ABIL;Y US+ IMPROV$ H&WA%+
    FACILITIES 9 ,UG&A
      ^C ,,UNICEF_/,,UNI#CAEAFE_/"
    ,,ADRIKO



















77777777777777777777777777777777777777

           ,,KEY ,,RES\RCES

,,UNICEF "<#BJAI"> #J ,GUID.E ON
    ,M5/RUAL ,H1L? & ,HYGI5E4 "<HTTPS"
    3_/_/WWW4UNICEF4ORG_/DOCU;TS_/GUID
    .E-M5/RUAL-H1L?-&-HYGI5E"> ,NEW
    ,YORK1 ,,USA3 ,,UNICEF4
,,UNICEF "<#BJBJ"> ,GUID.E ON
    ,MONITOR+ ,M5/RUAL ,H1L? &
    ,HYGI5E4 "<HTTPS3_/_/WWW4UNICEF4"
    ORG_/DOCU;TS_/GUID.E-MONITOR+-M5/R
    UAL-H1L?-&-HYGI5E"> ,NEW ,YORK1
    ,,USA3 ,,UNICEF4
,COLUMBIA ,UNIV]S;Y "<#BJBJ"> ,WEB9> -
    ,P]IOD ,POSSE ,PRES5TS3 ,5SUR+
    ,A3ESSIBIL;Y1 ,ADDRESS+ ! M5/RUAL
    NE$S ( P ) 4ABILITIES4 "<HTTPS3_/"
    _/WWW4Y\TUBE4COM_/WAT*8V"7,WL#J,HM
    Z,,KB,'K,BG">

GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG



                                   #AC

               ,NOTES3

      "9

  ;9;<#A4>,THROUGHOUT ? GUID.E1 ! T]M
    ,8GIRLS & WOM5,0 IS (T5 US$ Z A
    /&-9 = ALL M5/RUATORS REG>D.S (
    G5D] ID5T;Y4 ,? %ORTH& IS US$ TO
    9CR1SE R1DABIL;Y4 ,Z "P (
    ,,UNICEF,8S COMMIT;T TO EQUAL;Y &
    HUMAN "RS M&ATES1 PROGRAMMES %D 2
    9CLUSIVE ( TRANSG5D] & NON-B9>Y
    P]SONS :O H M5/RUAL H1L? & HYGI5E
    NE$S4
      "9

  ;9;<#B4>,WILBUR1 ,TORONDEL1 ,HAME$1
    ,MAHON & ,KUP] "<#BJAI">
    ,SY/EMATIC REVIEW ( M5/RUAL HYGI5E
    MANAGE;T REQUIRE;TS1 XS B>RI]S &
    /RATEGIES = 4ABL$ P4 ,AVAILABLE
    ONL9E AT HTTPS3_/_/J\RNALS4PLOS4"
    ORG_/PLOSONE_/ >TICLE8ID"7#AJ4"
    ACGA_/JOURNAL4PONE4#JBAJIGD "<HTT"
    PS3_/_/J\RNALS4PLOS4ORG_/PLOSONE_/

    >TICLE8ID"7#AJ4ACGA_/JOURNAL4"
    PONE4#JBAJIGD">
      "9

  ;9;<#C4>,,UNICEF "<#BJJG"> ,PROMOT+
    ! "RS ( *N ) 4ABILITIES4 ,FLOR;E1
    ,ITALY3 ,9NOC5TI ,RESE>* ,C5TRE4
      "9

  ;9;<#D4>,WORLD ,H1L? ,ORGANIZA;N &
    ,_W ,BANK "<#BJAA"> ,_W ,REPORT ON
    ,4ABIL;Y4 ,G5EVA3 ,,:O4
      "9

  ;9;<#E4>,MIZUNOYA1 ,MITRA &
    ,YAMASAKI "<#BJAF">4 ,T[>DS
    ,9CLUSIVE ,$UCA;N3 ,! IMPACT (
    4ABIL;Y ON S*OOL ATT5D.E 9
    DEVELOP+ C.TRIES4 ,,UNICEF4
    ,AVAILABLE ONL9E AT HTTPS3_/_/ WW"
    W4UNICEF-IRC4ORG_/PUBLICA;NS_/PDF_
    /,,IWP#C.0#BJ-.0#BJ ,T[>DS.0"
    #BJ,INCLUSIVE.0#BJ,EDUCATION4PDF4
    "<HTTPS3_/_/WWW4UNICEF-IRC4ORG_/PU
    BLICA;NS_/PDF_/,,IWP#C.0#BJ-.0#BJ,
    TOWARDS.0#BJ,INCLUSIVE.0#BJ,EDUCAT
                                   #AE
    ION4PDF">
      "9

  ;9;<#F4>,,UN ,SECRET>Y-,G5]AL REPORT
    ON ! 8,SITUA;N ( WOM5 & GIRLS )
    4ABILITIES & ! ,/ATUS ( ! ,3V5;N
    ON ! ,"RS ( ,P]SONS ) ,4ABILITIES
    & ! ,OP;NAL ,PROTOCOL "!TO10
    ,SEPTEMB] #BJAG @<HTTPS3_/_/WWW4"
    UN4ORG_/ DEVELOP;T_/DESA_/"
    DISABILITIES_/NEWS_/DSPD_/WOM5-&-G
    IRLS-)-4ABILITIES-CRPD4HTML@> "<H"
    TTPS3_/_/WWW4UN4ORG_/DEVELOP;T_/DE
    SA_/DISABILITIES_/NEWS_/DSPD_/WOM5
    -&-GIRLS-)-4ABILITIES-CRPD4HTML">
      "9

  ;9;<#G4>,,UNICEF "<#BJAI"> ,GUID.E
    ON ,M5/RUAL ,H1L? & ,HYGI5E HTTPS"
    3_/_/WWW4UNICEF4ORG_/WA%_/FILES_/,
    ,UNICEF-,GUID.E- M5/RUAL-H1L?-
    HYGI5E-#BJAI4PDF "<HTTPS3_/_/WWW4"
    UNICEF4ORG_/WA%_/FILES_/,,UNICEF-,
    GUID.E-M5/RUAL-H1L?-HYGI5E-#BJAI4P
    DF">
      "9


  ;9;<#H4>,,SHARE @& ,WAT],AID
    "<#BJAB"> ,M5/RUAL ,HYGI5E
    ,MATT]S3 ,A RES\RCE = IMPROV+
    M5/RUAL HYGI5E >.D ! _W4
    ,AVAILABLE ONL9E AT HTTP3_/_/WWW4"
    WAT]AID4ORG_/:AT- WE-DO_/\R-
    APPROA*_/RESE>*-&-PUBLICA;NS_/VIEW
    -PUBLICA;N8ID"7#JBCJI;D#GC-#H;E#DA
    -#D;D#JD-B#B;EF-#FFDA;F#FFAF;A#D;F
    "<HTTP3_/_/WWW4WAT]AID4ORG_/:AT-WE
    -DO_/\R-APPROA*_/RESE>*-&-PUBLICA;
    NS_/VIEW-PUBLICA;N8ID"7#JBCJI;D#GC
    -#H;E#DA-#D;D#JD-B#B;EF-#FFDA;F#FF
    AF;A#D;F">