A new workplace policy in Nairobi is drawing attention across Kenya, granting female county employees two days of paid menstrual leave each month in a bid to improve well-being and productivity.
The initiative, introduced in December 2025, grew out of a casual discussion among officials about menstrual pain. It is now being closely watched by other counties and the national government.
Gov. Johnson Sakaja said the policy is meant to support women in the workplace and reduce presenteeism.
“To avoid this presenteeism, where you are just there, let us give the ladies two days — any two consecutive days,” Sakaja said. “No questions asked, no forms filled, no letter written. They just alert their immediate supervisor that they will be taking the two days off.”
Supporters say the measure is already showing results.
Janet Opiata, Nairobi County chief officer for public service, said feedback from staff has been positive, with many describing the leave as refreshing and saying it has improved their productivity upon return.
Medical experts say the policy reflects the realities of menstrual health. Eunice Cheserem, a gynecologist, said severe menstrual pain can make it difficult for some women to function, with symptoms including vomiting, headaches and intense cramps that may require strong medication.
Still, some critics warn of unintended consequences.
Christine Akinyi, a businesswoman, said while the policy is a positive step, it could influence hiring decisions in the future, with some employers potentially favoring men.
As debate continues, Nairobi’s policy marks a rare step on the continent toward recognizing menstruation as a workplace health issue, one that could influence how employers support women across Africa.