Girls face many challenges when menstruating at school from a lack of clean, gender-segregated toilets to feelings of shame. In 2014, UNICEF and Columbia University organized a “MHM in Ten” meeting to map out an agenda for MHM in schools. The meeting brought together academics, donors, NGOs, UN agencies and the private sector. The participants identified five priorities to improve MHM by 2024. The second meeting, in 2015, brought together more participants. The strong interest in MHM in schools was demonstrated by the self-financing of attendance and the increasing number of initiatives highlighted at global, national and local levels.