Chronic poverty is a condition that requires an understanding of the processes that make, and keep, people poor. The economic analysis of chronic poverty must take into account the interaction between external circumstances (initial wealth social status, health) and intrinsic psychological factors (aspirations, self-confidence, beliefs).
Poor menstrual knowledge and access to sanitary products have been proposed as barriers to menstrual health and school attendance. Previously there has been no research to support this assertion. This study, a randomised control trial that assessed the impact of providing reusable sanitary pads and puberty education on girls' school attendance and psychosocial wellbeing outcomes, was the first to investigate this issue.