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The year 2018 was historic for menstrual health management (MHM) in Africa as it was the year when bold and action-oriented decisions were taken in an effort to address the numerous challenges faced by women, girls and other people who menstruate. Following its launch at the first East and Southern Africa Symposium on Menstrual Health Management, more than 400 practitioners in the field have signed to become members of the newly established African Coalition for Menstrual Health Management (ACMHM), with the aim of strengthening their voices and calls to address challenges in menstrual health.