“…In the West Bank and the Gaza Strip a positive relationship was found between educational level and attitudes and practice of washing hands before eating (Al-Khatib et al, 2015). Ghrayeb et al (2015) found that prevalence of hand washing among Palestinian school adolescents was high compared with adolescents in other regional studies. Discrimination against Palestinian girls associated with menstrual hygiene is noted where sanitation in schools is inadequate, where there is no water, or waste bins for sanitary pads or a place to change privately, all of which lead to an interruption in the learning process (GVC, AICS, UN Women, Palestinian Water Authority, 2017).…”