“…Even though an estimated 12% of women of reproductive age have a disability, an increasing body of evidence demonstrates that women and girls with disabilities face layers of additional challenges in achieving menstrual health in development and humanitarian settings [41,42,47,48]. Barriers encompass being excluded from menstrual health policy and practice, encountering inaccessible WASH facilities (including disposal mechanisms for menstrual materials), and lacking guidance for caregivers to perform menstrual health support [34,35,39,40,[49][50][51][52][53]. Women and girls with disabilities, particularly those with intellectual disabilities, may endure severe consequences such as physical restraint, abuse, and sterilisation due to insufficient menstrual health support [54][55][56].…”