Menstrual hygiene management (MHM) is a neglected topic in the water and sanitation sector, with waste disposal often absent in most MHM programming. This work illustrates that the integration of private and safe disposal mechanisms for menstrual absorbents into sanitation facilities is valued. It brings many co-benefits in health and dignity, and safeguards community environmental health and protects toilet facilities. The integration of MHM, including waste management into WASH investments furthers SDG goals for access, empowerment, dignity and public environmental health.