USAID recognizes that lack of access to safe sanitation facilities and sufficient water and supplies for hygiene, including for menstrual hygiene, disproportionately affect women and girls. As part of the the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2019, USAID was required by Congress to include a report on its current sanitation and hygiene programs address these issues, including ensuring the availability of feminine hygiene products.