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Based on the findings and concerns of the respondents, recommendations are suggested in Table 4 classifying them into three categories, namely, policy, intervention, and research.

Table 4

Recommendation from policy, intervention, and research aspects to ensure sustainable WASH and menstruation issues in the slum for the disabled-female

Policy

✓ Introduce participatory slum-gender-disabled-females inclusive planning/policy melding with national planning to ensure improved WASH and MHM.
✓ Formal/vocational education beyond the primary level for adolescents (or above) girls with disabilities should be enforced.
✓ Awareness programmes on WASH should include/encourage MHM discussions enabling environment for disabled-females.
✓ Empowerment options, e.g., the quota system for disabled-females can be initiated.
✓ Income opportunities for disabled-females or her family should be created. Zero-interest credit access or incentives may encourage in this regard.
✓ GO incentive for improvement, e.g., cheap food ration cards can be provided for basic needs.
✓ Vigorous guidelines should be set for the maintenance and monitoring of existing disabled-friendly structures including water supply.
✓ Disabled-females should get priority for renting accommodation within the premises of existing disabled-friendly washrooms.
✓ Disabled focus initiatives and programmes by GO and NGOs should be enhanced.
✓ Youth advocacy groups can be formed in the slum to negotiate with GO service providers.
✓ Options for legal land set up with relevant investment/infrastructure/charity through legal advocacy can be promoted, such as self-help and in-situ upgradation or resettlement.

Intervention

✓ Drainage lines maintenance or replacement is immediately required.
✓ More disabled-friendly structures (e.g., toilets, water points) and public services (e.g., care centres, affordable accommodation, local transport) can be established through co-funding or GO–NGO partnership.
✓ Provide adequate inclusive toilet facilities in public places with the availability of menstrual hygiene commodities at affordable prices.
✓ Disabled-friendly toilet should ensure necessary facilities such as low plinth platform but elevated toilet structure, wide accessible entrance, ramp or stairs with handle in walls, electric light, etc.; introduce piped water system inside and a regular budget for maintenance.
✓ Separate water supply lines for drinking and other domestic uses as a solution to reduce the problems related to water scarcity.
✓ Separate in-house water supply dedicated for disabled-females to be constructed with easy access to water sources.
✓ Schools should have a provision of extra care or health services in and around slums for disabled-females to get extra care and benefit related to WASH and menstruation.

Research

✓ Skill development programmes, e.g., group/collective business plan for entrepreneurship development for disabled-females can be introduced.
✓ More research on changing social views and behaviour towards MHM and disabled-females can contribute to increasing awareness. Knowledge gathering may also be able to reverse the powerlessness situation for disabled-females.
✓ Identify scope to self-help, rehabilitate, or in-situ slum upgradation for Dhaka.
✓ Identify the knowledge gaps and scopes to meld inter-sectoral conflict; hence, improve coordination that can be effective in creating ownership.

Policy	✓ Introduce participatory slum-gender-disabled-females inclusive planning/policy melding with national planning to ensure improved WASH and MHM. ✓ Formal/vocational education beyond the primary level for adolescents (or above) girls with disabilities should be enforced. ✓ Awareness programmes on WASH should include/encourage MHM discussions enabling environment for disabled-females. ✓ Empowerment options, e.g., the quota system for disabled-females can be initiated. ✓ Income opportunities for disabled-females or her family should be created. Zero-interest credit access or incentives may encourage in this regard. ✓ GO incentive for improvement, e.g., cheap food ration cards can be provided for basic needs. ✓ Vigorous guidelines should be set for the maintenance and monitoring of existing disabled-friendly structures including water supply. ✓ Disabled-females should get priority for renting accommodation within the premises of existing disabled-friendly washrooms. ✓ Disabled focus initiatives and programmes by GO and NGOs should be enhanced. ✓ Youth advocacy groups can be formed in the slum to negotiate with GO service providers. ✓ Options for legal land set up with relevant investment/infrastructure/charity through legal advocacy can be promoted, such as self-help and in-situ upgradation or resettlement.
Intervention	✓ Drainage lines maintenance or replacement is immediately required. ✓ More disabled-friendly structures (e.g., toilets, water points) and public services (e.g., care centres, affordable accommodation, local transport) can be established through co-funding or GO–NGO partnership. ✓ Provide adequate inclusive toilet facilities in public places with the availability of menstrual hygiene commodities at affordable prices. ✓ Disabled-friendly toilet should ensure necessary facilities such as low plinth platform but elevated toilet structure, wide accessible entrance, ramp or stairs with handle in walls, electric light, etc.; introduce piped water system inside and a regular budget for maintenance. ✓ Separate water supply lines for drinking and other domestic uses as a solution to reduce the problems related to water scarcity. ✓ Separate in-house water supply dedicated for disabled-females to be constructed with easy access to water sources. ✓ Schools should have a provision of extra care or health services in and around slums for disabled-females to get extra care and benefit related to WASH and menstruation.
Research	✓ Skill development programmes, e.g., group/collective business plan for entrepreneurship development for disabled-females can be introduced. ✓ More research on changing social views and behaviour towards MHM and disabled-females can contribute to increasing awareness. Knowledge gathering may also be able to reverse the powerlessness situation for disabled-females. ✓ Identify scope to self-help, rehabilitate, or in-situ slum upgradation for Dhaka. ✓ Identify the knowledge gaps and scopes to meld inter-sectoral conflict; hence, improve coordination that can be effective in creating ownership.

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