Menstrual Health and Hygiene (MHH) management is vital to the empowerment and well-being of girls and women and constitutes an essential requirement for personal hygiene, reproductive health, dignity, and prosperity for girls and women. Proper MHH management is still limited as school girls are struggling to use sanitary pads due to lack of awareness, limited availability, accessibility, and affordability of sanitary pads, sociocultural conditions, beliefs and norms, and gender roles on menstruation. Other limiting factors include the availability of teachers oriented on MHH and insufficient MHH infrastructure and services in schools. The literature review shows that only a few (28.1%) of school girls have MHH knowledge (Zanzibar, 28.4%, Mainland Tanzania 87.8%, PWD 2.2%). All these limitations lead to school girls having low self-esteem, reduced school attendance, and reduced attentiveness contributing to low academic performance of the school girls.