Negative menstrual experiences are associated with poor health and social outcomes including poor participation in schools. This  presents barriers to many girls and undermines progress towards many of the Sustainable Development Goals. Available data shows that negative menstrual experiences among school girls is driven by among other factors, a lack of knowledge about puberty in general and menstruation in particular. In sub-Saharan Africa, parents, relatives, and teachers are adolescents' main sources of puberty information. Often, these adults are ill-informed and/or uncomfortable discussing puberty and menstruation. Additionally, the school climate itself is often ill-equipped to support adolescent girls’ menstrual and broader puberty-related health for the following reasons: a) Poor water, sanitation, and hygiene (WASH) facilities prohibit effective menstrual management. b) Pervasive bullying and abusive behaviour from boys and teachers cause menstrual-related shame and anxiety.