Safe Menstruation: How the Lack of Sanitary Pads Denies Girls at Kwangwa "A" Primary School the Opportunity to Fully Participate in Education

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By Emmanuel Chibasa

Menstruation is a natural part of life for every woman and girl. Yet for thousands of schoolgirls in Tanzania, it remains a challenge that affects their health, education, dignity and overall well-being.

While some girls are able to manage their menstrual periods safely, many others face barriers that force them to miss classes, lose confidence and struggle to participate fully in school activities.

According to Tanzania’s Ministry of Health, approximately 15 million girls and women out of the country’s 61.7 million population experience menstruation. To manage menstruation safely and with dignity, girls and women need access to accurate information, clean water and sanitation services, safe menstrual products and supportive environments.

The Constitution of the United Republic of Tanzania (1977) provides a foundation for menstrual health rights through broader protections of human dignity, health and education. Article 9(a) and (f) directs state authorities and institutions to ensure that human dignity and fundamental rights are respected and protected, including the rights to health and education for all.

Despite efforts by the Government of Tanzania and development partners to improve menstrual health and hygiene, challenges remain particularly among girls from low-income families. Many schoolgirls continue to miss classes because they cannot afford sanitary pads.

At Kwangwa “A” Primary School in Musoma Municipality, Mara Region, the problem remains a significant obstacle to girls’ education. The school has a total enrollment of 1,507 pupils, including 738 girls and 769 boys. Several students including Lightness Jumapili, Gladness Jackson, Maria Peter, and Gloria Amos, shared their experiences.

Photo: Pupils of Kwangwa “A” Primary School after receiving menstrual health education and sanitary pads from Rising Hope Organization.

Fourteen-year-old Lightness Jumapili, a Grade Seven pupil from Mshikamano, says one of the biggest challenges girls face is missing school during menstruation because they lack sanitary pads and the money needed to buy them.

“Sometimes a girl starts her period unexpectedly while at school and stains her clothes without having a change of clothes. It becomes very embarrassing in front of classmates and often forces her to leave school before classes end,” she says.

Picture by Ministry of Health Tanzania

According to Lightness, the challenge affects girls’ participation in class and often undermines their confidence.

“I ask the government and organizations to support us because we are the future leaders. We need access to sanitary pads so that we can attend classes like other students,” she says.

Twelve-year-old Gladness Jackson, a Grade Five pupil at the school, says many girls experience fear and anxiety during menstruation.

“A girl may start her period and become afraid to enter the classroom or sit near other students because she fears staining her clothes and being laughed at. The situation becomes worse when parents cannot afford sanitary pads,” she says.

Gladness calls for greater awareness among parents regarding menstrual health and the importance of providing girls with safe menstrual products.

Maria Peter, a 12-year-old Grade Six pupil, says the lack of sanitary pads causes some girls to stay home for several days every month.

“When girls miss school because they do not have sanitary pads, they fall behind in their studies. We ask the government and private organizations to continue supporting us so we can manage our periods safely and continue learning,” she says.

For Gloria Amos, also a Grade Six pupil, the consequences go beyond education.

“Girls need support. Without basic necessities such as sanitary pads, some become vulnerable to exploitation and risky situations that may lead to teenage pregnancy and school dropout,” she says.

The testimonies of these girls demonstrate how menstruation can become a barrier to education when safe environments and menstrual products are unavailable.

Kulwa Gervas, a teacher and guidance and counseling coordinator at Kwangwa “A” Primary School, says absenteeism among girls during menstruation remains a major concern, largely due to the economic hardships faced by some families.

“Sometimes a girl returns to school after several days and explains that she was on her period but had no sanitary pads. Others are told to use ordinary cloths that may not always be safe,” says Kulwa.

She urges the government and development partners to invest more in menstrual health programs in primary schools.

“A lot of attention is often directed toward secondary schools, yet the challenges in primary schools are equally serious. Children are reaching puberty earlier than before, increasing the need for menstrual health education and support,” she adds.

Rose Nyamhanga, a mother of three and resident of Mwisenge in Musoma Municipality, says poverty makes it difficult for some parents to purchase sanitary pads every month.

“We appreciate organizations that support our children because many parents cannot afford these costs regularly. Such assistance helps girls continue their education,” she says.

The challenges faced by girls in Kwangwa reflect a broader national reality.

Speaking during the 2026 World Menstrual Hygiene Day celebrations in Kibondo District, Kigoma Region, Deputy Minister of Health Dr. Florence Samizi, representing Health Minister Mohamed Mchengerwa, called upon communities, public institutions and private organizations to work together to eliminate menstrual stigma and ensure access to menstrual health services.

Dr. Samizi emphasized that menstruation is a normal biological process and not a disease or a source of shame.

“Communities must challenge harmful myths and stigma that prevent girls from participating fully in education and social life,” she said.

She noted that studies indicate 27 percent of girls in Tanzania miss at least three days of school every month because of menstruation, resulting in the loss of more than 30 school days per year and negatively affecting academic performance.

According to Dr. Samizi, the government continues to invest in menstrual-friendly infrastructure, including improved sanitation facilities, access to water, and safe learning environments that protect the health, dignity, and well-being of girls and women.

Bakari Nyamsosa, Executive Director of Rising Hope Organization Tanzania, says the organization launched its sanitary pad distribution program after discovering that many girls were regularly absent from school.

“Our assessment revealed that lack of sanitary pads was one of the main reasons girls missed four to five days of school every month. We started providing sanitary pads to improve attendance and boost girls’ confidence,” he says.

Photo: Rising Hope Organization Executive Director Bakari Nyamsosa handing over sanitary pads to teacher Kulwa Gervas of Kwangwa “A” Primary School.

According to Nyamsosa, the initiative has already produced positive results.

“Since we started distributing sanitary pads, we have seen improved attendance among girls. However, the demand remains far greater than our capacity. We need stronger collaboration with the government and partners to reach more girls,” he says.


The Ministry of Health warns that poor menstrual hygiene management can increase the risk of urinary tract infections, reproductive health complications, and long-term social and economic disadvantages for girls and women.

The ministry encourages parents, teachers and communities to provide accurate information about menstruation and puberty while ensuring girls have access to safe menstrual hygiene products.

Every year on May 28, the world commemorates Menstrual Hygiene Day to raise awareness, combat stigma, and advocate for access to menstrual health services and products.

The 2026 theme is:

“Empower Dignified Menstrual Environments for All Girls and Women.”

Picture by Ministry of Health Tanzania

For the girls of Kwangwa, this theme represents more than a slogan. It symbolizes hope for a future where no girl will be forced to miss school, lose confidence or abandon her dreams simply because she lacks access to sanitary pads.








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