This publication was developed by the United Nations Population Fund (UNFPA) in collaboration with WaterAid India (Jal Seva Charitable Foundation). The goal of menstrual health, in part, requires sustained access to affordable, good-quality menstrual hygiene products of choice. Government initiatives play a vital role in the menstrual health value chain, enabling access to essential menstrual materials for those who are marginalized and vulnerable. With support from the United Nations Population Fund (UNFPA), WaterAid India and Development Solutions conducted a study to explore and highlight supply chain models by which menstrual hygiene products can most efficiently and sustainably be supplied to adolescent girls and women through Government led initiatives.