Many girls in rural Uganda stop attending school when they start menstruating, due to social stigma and lack of sanitary products. Before COVID-19, TILT provided funds for training and to purchase sewing machines and fabric to enable schoolgirls to sew reusable menstrual pads for their own use and for sale.

The COVID-19 lockdowns inhibited progress. In 2024, TILT was able to provide $2600 for a safe menstrual hygiene room at one school in the Nebbi district to further address this need. In the Zombo district, seven of ten schools in which TILT-sponsored menstrual hygiene proejcts were started have continued successfully and independently, and one school is attempting to start commercial production.