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'Menstrual Hygiene Management (MHM) refers to a range of interventions that enable women and girls to manage their monthly menstrual flow in a safe, dignified and hygienic way. Menstrual health and hygiene interventions can not only support women’s and girls’ access to MHM, but also be a gateway for gender-transformative programming. MHM programming in emergencies requires an interdisciplinary and multifaceted approach and involves adjustments and improvements to a range of sectoral interventions including Gender-Based Violence (GBV), Sexual and Reproductive Health (SRH), Water Sanitation and Hygiene (WASH), Education, Non Food Items (NFIs) and Emergency Shelter. This guidance note aims to support UNFPA country offices in the Arab region in their efforts to improve the quality, broaden the scope and scale up MHM programming in emergencies. This guidance note focuses on the process of designing and supporting programmes from the vantage point of UNFPA and its mandate, offering practical guidance and links to existing resources on MHM'.