This document provides information on activities conducted by FANSA Pakistan and the Menstrual Hygiene Consortium to promote menstrual hygiene management and water, sanitation, and hygiene. It summarizes awareness sessions held with school girls, community women, and lady health workers on managing menstruation and menstrual hygiene. It also describes tree planting campaigns in schools and villages in Bajaur Agency to improve the environment.

1. Quarter -2 (April-June 2015) 2/2015
Purpose
Purpose of this eNews letter
is to appreciate and cover
the activities done by the
member of FANSA Pakistan
and menstrual hygiene
consortiumand disseminate
such activities of water,
sanitation, hygiene &
menstrual hygiene with the
national and international
wash community.
This eNews letter will also
encourage the small and
medium NGOs/CBOs to
stay in the sectoractivities
and serve the poor,
vulnerable and disadvantage
groups of the society.
ADDRESS:
Waqar house,altaf colony,
khairpur mir’s sindh
pakistan.
EMAIL:
washpknews@gmail.com
Cell No:
0092-306 3693812
0092-300 5701700
May 28 Menstrual Hygiene Day
The MenstrualHygiene Day 28th May is initiated by the WASH United Germany
from May 2014. During 2014 approximately 85 partners were voluntarily offered to
celebrate the Day. From Pakistan only two organizations IRSP and KRDO were
included among the partners list. Keeping in view of the importance Menstrual
Hygiene Management in Schools and Communities, It was decided by WASH
United Team was decided that the celebration of month activities from May 01 to
May 28 may be planned and completed. In the year 2015 the number of partners
was exceeded and the list of partners is more than 300 around the World, which is
success ofthis program.
MenstrualHygiene Day is a global platform for partners across all sectors to engage
in action, advocacy and knowledge-sharing around menstrual hygiene management.
To create a world in which every woman and girl can manage her menstruation in a
hygienic way – wherever she is – in privacy, safety and with dignity.
The MenstrualHygiene Day is contributing to knowledge sharing around menstrual
hygiene management via regular newsletter, factsheets,and resource section and
partner meetings.
MenstrualHygiene Day will help to break the silence and build awareness about the
fundamental role that good menstrual hygiene management (MHM) plays in
enabling women and girls to reach their full potential.
I proudly mentioned here that Mr. Ikhtiar Khaskhelly, Provincial Coordinator
Sindh, FANSA Pakistan is selected as Global Strategic Advisorand National
Coordinator (Voluntarily), Pakistan for Menstrual Hygiene Day.
The Registration as a Partnership is free and easy to access on the website of
MenstrualHygiene Day and fill and submit the online form to work for the
MenstrualHygiene Management in their own communities.
Syed Shah Nasir Khisro
Chief Editor

2. Activities of IRSP
First Advocacy Meeting
MenstrualHygiene Day is celebrated on May 28 each year. IRSP is celebrating the month of May as Menstrual
Hygiene Month this year and has planned many activities to mobilize and sensitize the people, NGOs and
government agencies to divert their attentions to this important matter.
In series of these activities IRSP has conducted the first advocacy meeting with REHNUMA the national
NGOs- who are working on the reproductive health in the country.
IRSP focal person of MHM Ms.Shazia Sardar facilitated the meeting which was participated by the office staff
of these two NGOs.
These NGOs are working since long in Pakistan on reproductive health but the menstrual hygiene was never
been their subject during hygiene.They were oriented about the different aspects of MHM and the work of IRSP
in Pakistan.
The district Manager of REHNUMA agreed that they will incorporate the MHM in their next year planning
which will be started from month of July 2015. During the next year they will integrated MHM into their
hygiene promotion component and will train the LHWs and community on hygiene promotion. The idea of low
cost sanitary pads was very much clicked. They revealed that they have planned the making of low cost sanitary
pads in their next year budgeting where they are looking for IRSP technical support for its implementation and
scale up. IRSP has committed its full support for their interventions.
It was agreed that further meetings will also be carried out in future to make an appropriate action plan and scale
up the MHM interventions in the country.
Sanitation Fare
Sanitation situation especially latrine coverage in Pakistan is
not very encouraging. According to Pakistan Social and
Living Standard Measurement (PSLM) 2012-13 report, 23%
of the total population in Pakistan lacking latrine facilities at
home, it includes 22% rural and 1% urban households.Which
results in Open Defecation (OD), the survey further says that
40 Million people in Pakistan are practicing open OD.
Various actors are striving to improve the coverage and
introducing different low cost material that could be adopted

3. by poorpeople.
Integrated Regional Support Program (IRSP) is also working on Water, Sanitation and Hygiene (WASH) in
different part of the province. IRSP is known as the resource agency for piloting and scaling up “Community
Led Total Sanitation” (CLTS) approach in Pakistan. IRSP with financial support of Citizen Engagement for
Effective Social Services Delivery (CESSD) implemented CLTS project in 4 districts of the province i.e.
Abbottabad,Chitral, Mansehra and Nowshehra. The project was followed by short-termconsultancy where
IRSP in the targeted areas conducted a research study assessing the existing low cost latrine options,use,
acceptability, the reason(s) why the low cost latrine technologies are not adopted by the people and identifying
gaps in CLTS process.The sanitation fare was arranged to share the findings of the study,hearing from experts
about sanitation and low cost latrine technologies,its impact on environment and provided an opportunity to
other organizations showcasing their work on low cost latrine options.
Mr. Saif Ullah presented the research study carried out under this assignment in 4 districts of Khyber
Pakhtunkhwa i.e. District Abbottabad,Chitral, Mansehra and Nowshehra. The study aimed to assess the existing
low cost latrine options,use,acceptability, and the reason why the low cost latrine technologies are not adopted
by the people and identifying gaps in CLTS process.It was shared that the construction of latrine was increased
in result of the CLTS interventions,people who were reluctant to use latrines are now using latrine at home,
about 80% participants responded that the latrines are not constructed due to poverty and people are practicin g
open defecation.
To get betterresults of CLTS interventions,the study recommended to select the villages as per criteria, the
facilitator should be strong enough i.e. must have command over the process,regular follow up mechanism
should be placed and local vendors and masons should be made the part of CLTS meeting at communities so
that they can answer the people questions and can help them constructing low cost latrines. The study also
suggested making the supply side much strongerso that they can pick the right option and construct household
latrine.
The 2nd speaker Dr. Sher Jamal (NUST Islamabad) presented his experience/views on low cost and improved
toilets.
Mr. Bilal (water and sanitation program-South Asia (WSP-SA))in his presentation highlighted the key
reasons for not constructing latrines or reasons of OD and the assistance provided by WSA-SA to have better
solution of the existing situation. It was shared that WSP-SA through partner organizations and govt.Institutions
is striving to declare the villages 100% free of OD. On advocacy side, they are taking sessions with the govt.
officials as well as engaging them in exposures to othercountries observing best practices and preparing ground
to replicate the successfulmodels in Pakistan.
The last presentation by Mr. Dr. Bahadur Nawab Khattak (COMSAT Abbottabad) was about innovations in
sanitation. The presentation in broader sense defined sanitation, sanitation models and paradigm shift in
sanitation. It was stated that currently the conventionalmethod is adopted in Pakistan which is expensive, water

4. dependent,wastage of nutrients and not based on any scientific evidences. This model is now replaced by
sustainable sanitation which needs to be adopted in Pakistan. The objective is to protect human health and the
environment while limiting the use of water in sanitation systems for hand and (anal) washing only and
recycling nutrients to help reduce the need for artificial fertilizer in agriculture.
Ms. Sumaira (Akhtar Hameed Khan Trust Rawalpindi) shared her experience on working with govt.
officials. She asked WASH actors to be committed with their work and should work parallel to govt. institutions
as provision of water and sanitation services is mainly the responsibility of govt. i.e. Municipal committees and
PHED.
Tree Plantation Campaign in Bajuar Agency
IRSP in collaboration with forest department launched its tree plantation campaign with schools children and
community members for improved and better environment in 30 villages of Bajuar Agency FATA. Tree
Planting Campaign help connects studentsand community members to the benefits of trees and fosters
environmental stewardship. Plantation campaign began with gathering of students,teachers,community, WMCs
& TIJs member with a spirit that trees are high values and importance. Trees play a vital role in protecting our
environment by guarding waterways by intercepting storm water, stabilizing soil and using nutrients that would
otherwise wash into waterways. Environmental benefits such as clean air and water. Trees help moderate
temperature. They even help improve air quality by absorbing some airborne compounds that could be harmful
to us,and by giving off oxygen. Spending time around trees and in nature also makes us healthier and ev en
improves our students’academic performances.
For the purpose 1100 plants of different but indigenous species (Cheer, Deodar & Shawa) were planted in 14
CBECs and one Government Girls primary & middle school.
Let’s plant a tree experience:
‘Plant a Tree’ has been an extraordinary experience for us. We have been able to see the joy of kids who want to
do something for the environment. The students were extremely happy to participate in this initiative, their level
of participation was high, some students participated out of curiosity others understood pretty well the
importance of what they were doing.
Plantation Campaign at CBEC Kass Krewand:
CBEC Kass Krewand is located in Tehsil Wara Mamoond. The center total strength is 150 (70 Girls 80 Boys).
“Plantation Campaign” provided to the students with an awareness message that the plants are very important
for environmental pollution and it’s an opportunity not just to rehabilitate their schoolalso for students to learn
valuable environmental lessons through tree planting sessions.The centerhave provided 25 plants of three
different species,(Dewodar, Cheerh and Shewa), these trees are very good for the hilly areas where they took a
short time to grow. These trees would provide shelter to the centerstudents in sunny days and very helpful for
other small agricultural practices. So these trees would have multiple benefits to this school and to the
environment.

5. Activities of KRDO
Sessions on MenstrualHygiene Management in Schools
1. A Session with Girls Students at Government Girls High School Rahuja was organized by KRDO
Pakistan on 04-05-2015 in connection with the MH Day 2015 activities to aware and inform the Girls
Students (aged 10 to 15) regarding Menstrual Hygiene Management and break the silence and
Hesitation around the Menstruation.Ms. Sonia Jumani, Volunteer of KRDO was facilitated this session
at the School, District Khairpur. The Girls were briefed about the puberty,changing of body parts,use
of pads, management of used pads and re-use of cloth etc. during menstruation. The diseases and
problems appeared during menstruation i.e. back pain, headache, infections in Virginia, skin diseases,
AIDS and Hepatitis etc. were discussed and prevention measures were also informed. More than 80
girls were attended this session.
2. A Session with Girls Students at
Government Girls High School Wada
Machhyoon,District Khairpur was
organized by KRDO Pakistan on 05-
05-2015 in connection with the MH
Day 2015 activities to aware and
inform the Girls Students (aged 10 to
15) regarding MenstrualHygiene
Management and break the silence
and Hesitation around the
Menstruation.Ms. Sonia Jumani,
Volunteer of KRDO was facilitated
this session at the School, District
Khairpur. The Girls were briefed
about the puberty,changing of body
parts, use of pads,management of
used pads and re-use of cloth etc. during menstruation. The diseases and problems appeared during
menstruation i.e. back pain, headache,infections in Virginia, skin diseases,AIDS and Hepatitis etc.
were discussed and prevention measures were also informed. More than 50 girls were attended this
session

6. 3. Session with Girls Students at Government Girls High School Bhurgari, District Khairpur was held on 07-5-
2015 and organized by KRDO Pakistan in connection with the MH Day 2015 activities to aware and inform the
Girls Students (aged 10 to 15) regarding Menstrual Hygiene Management and break the silence and Hesitation
around the Menstruation.Ms. Sonia Jumani, Volunteer of KRDO was facilitated this session at the School,
District Khairpur. The Girls were briefed about the puberty, changing of body parts, use of pads,management of
used pads and re-use of cloth etc. during menstruation. The diseases and problems appeared during menstruation
i.e. back pain, headache,infections in Virginia, skin diseases,AIDS and Hepatitis etc. were discussed and
prevention measures were also informed. More than 35 girls were attended this session.
4. Session with Girls Students at Government Girls Primary School Bhurgari, District Khairpur was organized
by KRDO Pakistan on 11-05-2015 in connection with the MH Day 2015 activities to aware and inform the Girls
Students (aged 10 to 15) regarding Menstrual Hygiene Management and break the silence and Hesitation around
the Menstruation.Ms.Sonia Jumani, Volunteer of KRDO was facilitated this session at the School, District
Khairpur. The Girls were briefed about the puberty,changing of body parts, use of pads,management of used
pads and re-use of cloth etc. during menstruation. The diseases and problems appeared during menstruation i.e.
back pain, headache,infections in Virginia, skin diseases,AIDS and Hepatitis etc. were discussed and
prevention measures were also informed. More than 30 girls were attended this session.

7. 1. The awareness session on Let’s End hesitation around Menstruation,in connection with the May 28
MenstrualHygiene Day 2015 was held on 12-05-2015 in the Village MahessarWada,District Khairpur. Ms.
Nusrat Joyo, Volunteer of KRDO was briefed about the puberty and MH Management at village level. The
participants were raised questions about the availability of pads at Local level. Ms. Nusrat was informed such
problem to KRDO management and discuss about the provision of low cost pads at villages. The 20 women
were participated in the session.
2. The awareness session on Let’s End hesitation around Menstruation,in connection with the May 28
MenstrualHygiene Day 2015 was held on 12-05-2015 in the Village Rabban Rajpar, District Khairpur. Ms.
Ishrat Laghari, Volunteer of KRDO was briefed about the puberty and MH Management at village level. The
prevention from mismanagement of MenstrualHygiene was also briefed and kinds of diseases affected by this
cause were also informed. The 25 women were participated in the session
3. The awareness session on Let’s End hesitation around Menstruation,in connection with the May 28
MenstrualHygiene Day 2015 was held on 14-05-2015 in the Village Jani Buriro, District Khairpur. Ms.Zarina
Buriro Volunteer of KRDO was briefed about the puberty and MH Management at village level. Due to lack of
primary education among women of the area, peoples were not known about the prevention of various diseases
caused by the poor sanitation services in rural areas. The 22 women were participated.
Awareness Session with Community women at villages

8. 4. The awareness session on Let’s End hesitation around Menstruation,in connection with the May 28
MenstrualHygiene Day 2015 was held on 18-05-2015 in the Village Jogi (Beggar Community), District
Khairpur. Ms. Ishrat Laghari, Volunteer of KRDO was briefed about the puberty and MH Management at
village level. The Livelihood of Jogi Community is on Beggar, so they can’t educate their boys or girls. In this
regard, the girls and women of this community not known about the hazards of menstruation, if not managed
properly. Ms. Ishrat said that there is more need to educate them on Menstrual Hygiene Management and use of
pads during periods. The 25 women and girls were participated in the session.

9. Session with Community Lady Health Workers
A Sensitization Session with Community Lady Health Workers was organized by KRDO Pakistan which was
held on 22-05-2015 in connection with the MH Day activities to sensitize and mobilize the Community Lady
Health Workers to create awareness among rural women and girls regarding MenstrualHygiene Management
and break the silence and Hesitation around the Menstruation.Ms. Ishrat Laghari, Volunteer of KRDO was
facilitated this session in her house at Village Hussainabad,Union Council Layari, and District Khairpur. The
LHWs were briefed about the puberty,changing of body parts, use of pads,management of used pads and re-use
of cloth etc during menstruation. The diseases and problems appeared during menstruation i.e. back pain,
headache,infections in Virginia, skin diseases,AIDS and Hepatitis etc. were discussed and prevention measures
were also informed.
The Community Lady Health Workers were emphasized to deliver this information to the women and girls
during her routine visits of their particular area. The population of 1000 to 1200 is assigned to each LHWs by
the Health Department which is regularly covering by them in routine immunization malaria and other
information and awareness raising activities by Government side. The 18 Community Lady Health Workers
were participated in the session.

10. Meeting with members of various CSOs
An Orientation Meeting with NGOs of City Khairpur on MenstrualHygiene Day was held on May 28, 2015 in
the office of the KRDO Khairpur Pakistan. Mr. Ikhtiar Khaskhelly , Executive Director, KRDO was briefed
about the Menstruation,Problems /diseases arisen during menstruation , prevention and about the importance of
celebration of MenstrualHygiene Day on May 28 since last year. He has also briefed about the role of men in
the family and society and support,guide his family members during menstruation. The 20 participants of 15
organizations were participated in the meeting.
Activities of Sustainable Development Society (SDS) Naseerabad, Baluchistan
Awareness Session on MH Day in Girls School DM Jamali
The MenstrualHygiene Day is celebrated in all over the World on May 28 every year. In this connection,
Sustainable Development Society (SDS) Partner of WASH United in celebration of MH Day has organized a
Session on 14-05-2015 in Government Girls Model High School, Dera Murad Jamali, District Naseerabad,
Pakistan. In the session Ms.Zarbibi Balouch, Executive Director of SDS was briefed about the importance of
MHM in School level and also informed the complications arisen due to non-management of MHM. About 50
Girls were present in the session.

11. Awareness Session on MHM with Community Women at District Naseerabad
The Sustainable Development Society (SDS) District Naseerabad, Baluchistan, Pakistan has organized a
awareness session on 20-05-2015 with the women of Irrigation Colony, Dera Murad Jamali at the venue of
Government Girls Primary School, WAPDA Colony, Dera
Murad Jamali in connection with the celebration of Menstrual Hygiene Day 2015.Ms. Zarbibi Balouch,
Executive Director, SDS was briefed about the Menstruation,Menstrual Hygiene and use of sanitary pads
during menstruation. The complications causes ofpoor management of menstruation was also briefed and
discussed.About 60 women were participated in the session.
Activities of AGAHE Lahore
AGAHE with the technical and financial support of WaterAid seeing new
movement focusing on “breaking the silence” around menstrual hygiene
management (MHM). The Sustainable Development Goals (SDGs) will not
be reached if we do not tackle the taboo around MHM. Menstrual Hygiene
Management falls under two SDG goals, namely goal 4 which focuses on
ensuring inclusion and equitable quality education and promotion of lifelong
learning opportunities for all. And SDG goal 6 focusing on ensuring
availability and sustainable management of water and sanitation for all. This

12. means MHM has a serious impact on the education,health and dignity of women and girls. So basically, we
cannot talk about universal education and services for all and leave out menstrual hygiene management.
Keeping in view this background, during this quarter,
AGAHE celebrated world menstrual hygiene day on
28th may, 2015 at schooland community level as well
as along with AGAHE staff in field office
Muzaffargarh with the theme “Let us end the hesitation
around menstruation”. The purpose of the event was to
create an environment in which every adolescent girls
and woman can manage her menstruation in a hygienic
way-wherever she is in privacy and with dignity.200
participants participated the event. In order to highlight
the cultural taboos and myths around menstruation the
students performed different role play, drawing
competition, quiz competition regarding menstrual
hygiene awareness and to break the silence around
menstruation.

13. Activities of AGAHE on ODF
1. Staff Capacity building on PRA tools/techniques
2. 120 Community Resource Persons (CRPs) identified and trained on CLTS/PATS
3. 2 Days on job Orientation Session with 40 masons on sanitation technologies to construct low cost
demo latrines
4. 1 Days Training of 30 Business entrepreneurs on low cost sanitation business &linking up with Micro
finance institutions
5. Quarterly meeting of Tehsil WASH Forum to highlight/discuss key WASH issues and way forward
Launching Ceremony of MHM Project By AGAHE
AGAHE is implementing “Ensuring girls’ rights in schools through WASH and improved MHM in Pakistan” in
District Muzaffargarh, with the technical and financial support of WaterAid in Pakistan. During this quarter,
AGAHE organized project’s launching ceremony at district level and brought all the relevant stakeholders such
as; DCO, Govt Officials from health and education department, representative of civil society organizations,
media, teachers and adolescent girls from targeted schools and communities to discuss the issue of menstrual
hygiene management (MHM). It was indeed a great success ofAGAHE that a majority of stakeholders not only
ensured their valued participation but also discussed the issue with different perspectives and submitted their
viewpoints for further discourse.
AGAHE Celebrated World Environment Day
The last decade has seen a widening of the sanitation issue to include the crucial
environmental health related areas of wastewater and solid waste management particularly in

14. urban and peri-urban areas. During this quarter, AGAHE celebrated World environment day
2015 to raise awareness around environmental issues deal under the MHM project. For this
purpose, awareness raising walk conducted on 4th June 2015 along with EDO Finance &
planning, DO health, DO work & services, DO Environment, DO Agriculture, representatives
of civil society,media,community and students. The walk ended upon DCO Office where
DCO Muzaffargarh Hafiz Shaukat Ali joined delivered his message about World
Environment day and greeted AGAHE and EPD for conducting a well-attended walk. At the
end DCO and EDOs planted a tree in commemoration of WED 2015.