Menstrual health and hygiene (MHH) is an emerging public health priority. To support policy and practice, large-scale surveys monitoring water, sanitation, and hygiene and reproductive health have started to incorporate MHH. Insights gained from these surveys are contingent on the quality of the measures used. Performance Monitoring and Accountability 2020 (PMA2020) was one of the first survey programs to include MHH. We undertook four focus group discussions with resident enumerators and one with their female supervisors following the 2018 PMA2020 survey in Niamey, Niger and synthesized their insights on the performance of the MHH measures used. Enumerators reported that questions about menstruation were well tolerated and most were understood conceptually. Discussions identified missing response options for the places used for MHH and suggest that enumerator training should include common brands of menstrual materials to ensure data quality. Further, current questions seeking to capture the privacy and safety of locations used for MHH require modification or more intensive training efforts to consistently capture these concepts. Enumerator perspectives on menstrual needs in Niger highlight topics missing from MHH monitoring. Attending to enumerator expertise has the capacity to strengthen future surveys directed toward understudied health and development challenges such as MHH.

月经健康和卫生（MHH）是新兴的公共卫生重点。为了支持政策和实践，监测水，环境卫生，个人卫生和生殖健康的大规模调查已开始纳入MHH。从这些调查中获得的见解取决于所用措施的质量。绩效监测和问责制2020（PMA2020）是最早包含MHH的调查计划之一。在2018年PMA2020在尼日尔尼亚美进行的调查之后，我们与居民调查员进行了四次焦点小组讨论，与女调查员进行了一次小组讨论，并总结了他们对所使用的MHH措施的绩效的见解。列举者报告说，有关月经的问题容忍度很高，并且大多数人在概念上都了解。讨论确定了用于MHH的场所缺少的响应选项，并建议调查员培训应包括常见品牌的月经材料，以确保数据质量。此外，当前的问题旨在捕获MHH所用位置的隐私和安全性，因此需要进行修改或进行更深入的培训以始终如一地捕获这些概念。尼日尔的调查员对月经需求的观点突出了MHH监测中缺少的主题。参加调查员的专业知识有能力加强针对未充分研究的健康和发展挑战（例如MHH）的未来调查。当前的问题，旨在捕获用于MHH的地点的隐私和安全性，需要进行修改或进行更深入的培训，以始终如一地捕获这些概念。尼日尔的调查员对月经需求的观点突出了MHH监测中缺少的主题。参加调查员的专业知识有能力加强针对未充分研究的健康和发展挑战（例如MHH）的未来调查。当前的问题，旨在捕获用于MHH的地点的隐私和安全性，需要进行修改或进行更深入的培训，以始终如一地捕获这些概念。尼日尔的调查员对月经需求的观点突出了MHH监测中缺少的主题。参加调查员的专业知识有能力加强针对未充分研究的健康和发展挑战（例如MHH）的未来调查。