Without the resources or information to manage menstruation, girls and women miss out during their periods. Girls across underserved communities across Africa can miss between 3-5 days of school each month if they don’t have what they need to mange their periods. This has serious personal and educational consequences, like falling behind in class, being held back or dropping out altogether. Some girls resort to using unsafe substitutes for pads, like mattress filling, leaves or dirty cloth. Others resort to risky behaviors like transactional sex to pay for essential items, like menstrual pads, which increases a girl’s vulnerability to premature sexual debut, early or unplanned pregnancy, child marriage, and sexually transmitted infections including HIV/AIDS.