This landscape assessment of menstrual health and hygiene (MHH) in Fiji evaluates the political and economic factors that influence MHH. It focuses on out-of-school adolescents, working women, gender-diverse individuals, and people living in fragile settings. The assessment identifies challenges such as barriers to accessing menstrual products, water scarcity, and social taboos. It recommends strategic investment in policy, advocacy, markets, research, and programming.