Apart from the traditional methods of improving Menstrual Hygiene Management (MHM), such as education and provision of menstrual absorbents, good MHM in primary and secondary schools can be achieved through provision of conducive infrastructure which provides privacy for girls to change and dispose-off sanitary material safely. The aim of the study was to establish the sufficiency of the sanitation facilities to meet the needs of adolescent girls during their menstruation periods while at school. Data were collected in 9 primary and 5 secondary schools within Mzuzu City, Malawi. Interviews were conducted with 228 (131 Primary and 97 Secondary) school girls, 13 Focus Group Discussions with girls and 22 Key Informant Interviews with Head Teachers and Senior female teachers. Direct observation was also made on sanitation facilities. Findings of the study reveal that gaps and areas for potential improvement exist in both primary and secondary schools. To make the school environment conducive for girls to manage their menstruation while at school, this study recommends improvements to ensure enough privacy, connection of piped water to sanitation facilities, provision of space for girls to clean themselves and change clothes and disposal facilities or drying space for used sanitary material. This will require low-cost sanitation facilities designed through girls’ involvement and revisiting existing policies and proper strategies for reinforcing them.

除了传统的改善月经卫生管理（MHM）的方法，例如教育和提供月经吸收剂外，中小学还可以通过提供有益的基础设施来实现良好的MHM，该基础设施为女孩提供隐私，以改变和处置卫生用品。材料安全。该研究的目的是建立足够的卫生设施，以满足青春期女孩在上学期间的需求。马拉维姆祖祖市内的9所小学和5所中学收集了数据。对228名（131名小学和97名中学）女学生进行了访谈，对女童进行了13次焦点小组讨论，对校长和高级女教师进行了22次关键知情访谈。还直接观察了卫生设施。研究结果表明，中小学都存在差距和需要改进的地方。为了使学校环境有利于女孩在上学期间进行月经管理，本研究建议进行改进以确保足够的私密性，将管道水连接到卫生设施，为女孩提供自己清洁，换衣服和弃置设施或干燥空间的空间用于二手卫生材料。这将需要通过女孩的参与并重新审视现有政策和加强其的适当战略而设计的低成本卫生设施。这项研究建议进行改进，以确保足够的私密性，将管道水连接到卫生设施，为女孩提供清洁自己的空间以及更衣和处置设施或旧卫生材料的干燥空间。这将需要通过女孩的参与并重新审视现有政策和加强其的适当战略而设计的低成本卫生设施。这项研究建议进行改进，以确保足够的私密性，将管道水连接到卫生设施，为女孩提供清洁自己的空间以及更衣和处置设施或旧卫生材料的干燥空间。这将需要通过女孩的参与并重新审视现有政策和适当战略来设计低成本的卫生设施。