Menstrual hygiene management (MHM) aims to fill a gap in the water, sanitation, and hygiene (WASH) sector by bringing a focus specifically on menstrual hygiene safe disposal in low- and middle-income countries (LMIC). RTI International and project investigator Myles Elledge found that the disposal of used absorbents cannot be understood and carried out in isolation, requiring user-centered design thinking to consider socio-cultural norms regarding menstruation, product availability, quality and use, and existing sanitation systems. In institutional and community settings, the design of sanitation systems needs to be responsive to and plan for disposal of menstrual waste, incorporating it into both the sanitation and solid waste management parts of a WASH program, providing appropriate, discrete and sound solutions that minimize adverse health impacts on girls and women, sanitation workers, and broader environmental consequences.