WASH interventions in the surveyed schools were inadequate and unevenly distributed, with notable gaps in disability inclusion, menstrual hygiene management and policy implementation. Strengthening routine water quality testing, upgrading sanitation infrastructure, ensuring soap availability, and implementing inclusive WASH and menstrual hygiene policies can significantly improve pupil health, reduce disease transmission, and promote equity in educational settings.
Seroney et al. (Fri,) studied this question.