This brief aims to support policy and decision makers to take adequate steps to ensure all women and girls have the right to manage their periods safely and in a dignified way. It unpacks the socio- economic implications of menstruation and acknowledges progress made so far in addressing challenges to menstrual hygiene management in Nepal. It makes policy recommendations with the objective of lessening on-going gaps in policies and practices governing menstrual hygiene management and calls for a comprehensive national policy on safe and dignified menstruation with a framework guided by a human rights approach.