flush toilets where the flush is not powerful). This impairs the use of menstrual cups compared to pads as the cups are normally emptied into toilets. Expanding the discussion to include consideration of waste management is part of the attempt to "normalize" conversations about menstruation. Approaches for improvements MHM in schools should not be a stand-alone programme but should be integrated with existing programmes on WASH in schools, school health and nutrition programmes, puberty education programmes, and emergencies. In rural Bolivia a menstrual hygiene management game was developed for school girls that stimulated detailed responses, and diversified participatory activities in focus group discussions. The board game helped to ease girls’ discomfort discussing menstruation. Improving MHM requires community-wide attitudinal changes. Involving men in MHM is a key in order to get them to support their wives and daughters. Other organisations have also worked with games and stories to teach MHM, dispel common myths and start conversations. Gamess help to create a positive atmosphere around a topic generally associated with shame and embarrassment. In 2014, Wash United initiated Menstrual Hygiene Day on May 28. Menstrual Hygiene Day creates an occasion for publicizing information about menstrual hygiene management issues in the media as a way to raise awareness, celebrate and normalize menstruation and menstrual hygiene. The day offers an opportunity to actively advocate for the integration of menstrual hygiene management into global, national, and local policies and programmes. See also Public toilets Period underwear Sustainable Development Goal 6 Tampon tax Period. End of Sentence. Water issues in developing countries References External links Documents about menstrual hygiene management in the library of Sustainable Sanitation Alliance Why Periods are Keeping Girls Out of Schools Sanitation Hygiene Menstrual cycle Women's health Health policy Equality rights Poverty Human rights Girls Feminine hygiene Environmental issues