Table 1.

Preliminary themes.

Inadequate Hygiene Practices and School Infrastructure	Lack of Information	Pain
No access to sanitary napkins Use of alternate material instead of disposable napkins WASH issues No management help *	Source of information: mother, sister, friend etc. No management information in school * Skipped the reproductive biology chapter	Fatigue Headaches Not going to doctor Home remedies Normalization Dysmenorrhea Diagnosis of disorders
Cultural Taboos	Impact	Males
Menstrual blood is dirty Menstruating females are impure Restricted participation in daily activities Keep it a secret * Becoming a woman *	Absenteeism * Anxiety * Embarrassment * Discomfort * Depression * Shame *	Sexualizing menstruation Prefer female teachers Harassment by boys Male teacher issue Keep it a secret * Becoming a woman *

* Indicates codes that are common across themes.