TABLE 1.

Programmatic Guidance for Family Planning and Menstrual Health Integration on Education and Awareness^{^a}

Preadolescence and Adolescence	Mid-Life and Reproductive Years	Perimenopause and Menopause
Include evidence-based puberty and comprehensive sexuality education for youth/adolescents that includes age-appropriate information on menstruation and fertility, managing menstrual bleeding and MH, and FP, including CIMCs, across settings, including for both in- and out-of-school youth of all genders. Follow evidence-informed guidance on comprehensive sexuality education.⁹	Continue to provide evidence-based sexuality education and information about menstruation and fertility, managing menstrual bleeding and pain, MH, and FP.
	For mid-life and reproductive years: Counseling and education should include information about postpartum return to fertility.	For perimenopause and menopause: Counseling and education should include information about perimenopause and menopause.
Expand access to evidence-based tools that provide access to FP and MH education, products, and services to people of all ages and genders, including tools that can be accessed directly by individuals through digital channels. Examples of existing tools that provide integrated information include AskNivi,¹⁰ Managing Menstruation: Know Your Options,¹¹ Natural Cycles,¹² and Love Matters.¹³
Train and strengthen the capacity of CHWs and hold them accountable in providing sensitive, evidence-based counseling and education about menstruation and fertility, managing menstrual bleeding, pain and disorders, MH, and FP, including CIMCs.
For preadolescence and adolescence: Counseling and education should be age-appropriate and youth-responsive.	For mid-life and reproductive years: Counseling and education should include information about postpartum return to fertility.	For perimenopause and menopause: Counseling and education should include information about perimenopause and menopause.
Provide support information and education to stakeholders, such as educators and school staff, parents/guardians, community-based workers (across sectors), peer educators, and community and faith leaders, that align with and support the education provided by schools, CHWs, and other channels.	Train and strengthen the capacity of stakeholders such as community-based workers (across sectors) and community and faith leaders to provide sensitive, evidence-based education about FP, MH, and CIMCs.
		For perimenopause and menopause: Education should continue throughout perimenopause and until menopause is confirmed.

Abbreviations: CHW, community health worker; CIMC, contraceptive-induced menstrual change; FP, family planning; MH, menstrual health.
↵a In all areas of integration, conduct programmatic research, implementation science, and routine or enhanced monitoring and evaluation that can be used to inform and improve future programs.