Survey reveals most facilities in the United States still do not provide period care products

A new national survey from ISSA, the worldwide cleaning industry association, shows that access to free and accessible period care products remains limited in facilities across the United States. According to the Alliance for Period Supplies, one in three low-income women in the U.S. report missing work, school or similar events due to lack of access to period supplies.

According to the 2025 ISSA “End Period Poverty” Facility Survey, conducted by All In One Insights, fewer than half (44 per cent) of organisations reported offering period care products in any form. Only 38 per cent provide them for free in restrooms, a critical step in ensuring dignity, health and accessibility for building occupants.

The survey, which included responses from 421 facility managers, building service contractors and in-house providers across commercial, healthcare, education, hospitality, industrial and public venues, found that:

• Cost and awareness remain the most significant barriers: More than one in three respondents admitted they had “never considered” providing period care products, while 25 per cent cited cost as a primary obstacle.
• Education leads the way: K-12 schools (42.9 per cent) and higher education (60.7 per cent) facilities reported the highest adoption rates of free product programs, often driven by legislation and student demand.
• Ongoing commitment is strong: Encouragingly, 91 per cent of facilities that currently provide period care products said they plan to continue.
• Customer and employee demand make a difference: More than one-third of respondents said customer demand or government requirements would motivate them to adopt a free vending program.
• Disposal solutions are present, but improvements are needed: While most facilities provide some form of menstrual product disposal, there are significant opportunities to expand discreet, single-use in-stall options to reduce flushing and other unsanitary practices.

“These findings underscore the urgent need for greater education, advocacy, and investment to end period poverty,” said ISSA Director of Government Affairs John Nothdurft. “No one should have to choose between their basic health needs and participating fully in school, work, or daily life. Access to period care products is as essential as access to soap and toilet paper.”

Through its End Period Poverty initiative, ISSA is working to close these gaps by:

• Raising awareness among facility managers and service providers about the importance of equitable access.
• Offering educational resources and advocacy tools to support the adoption of free vending programs.
• Engaging industry stakeholders to remove barriers and promote sustainable solutions for period product provision and disposal.

ISSA calls on businesses, schools, policymakers and facility leaders to join its mission to ensure period care products are available, accessible and stigma-free in all public spaces.

For more information about ISSA’s End Period Poverty initiative and to access the full survey report, click here.