The 2018-2020 country snapshots reveal that across the region significant experience has been gained in implementing effective WASH in Schools (WinS) programmes. Progress in the region includes: integrating menstrual hygiene (MH) into national policies; costed plans and strategies; active multi-stakeholder coalitions and alliances; advocacy has influenced MH decision-making (including tax removal on pads); MH studies; and research. A number of resources and guidance has been produced including MH books, guidelines, and toolkits; training for teachers; affordable and accessible menstrual materials; and improved WinS.