There is a high prevalence of adolescent girls with ovulatory menstrual (OM) dysfunction, which is associated with school absenteeism and mental health challenges. Low menstrual health literacy among this group has evoked calls to review OM health education. This qualitative study sought to explore gaps in current OM health education and to validate a holistic school-based OM health literacy program named My Vital Cycles®. Findings are based on 19 written reflections, six focus group discussions and three interviews conducted with 28 girls aged 14–18 years from 11 schools, and five mothers.
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