Context: The societal pressure to keep menstruation a taboo significantly affects women's health-related behaviour in response to menstrual concerns. Understanding their decisions becomes more accessible while considering the social context in which women reside. Context: However, societal norms still stigmatize women's social exposure and participation during menstruation. Therefore, evaluating the level of social participation of women during menstruation become important. Objective: To find the level of social participation before and after the introduction of JASSN was evaluated using Pre-test-Post-test assessment methods. Method: The study was conducted in a purposively chosen area, characterized by established Jan Ausadhi Kendra structures, and neighbouring villages in Muzaffarpur and Samastipur district of Bihar among 160 respondents. Results and Discussion: Results indicated positive changes in the level of social participation in the rural community. The significance level was examined using the parametric Paired comparison’t’ test and non-parametric Wilcoxon Singed Pair Rank test. Finally, the level of social participation using paired 't' test was 10.68750 , the 'Z' value of Wilcoxon Singed Pair Rank Test was -10.979, and the significance level was 1 percent. Thus, JASSN, along with the support of Community Based Organizations (CBO) viz., ASHA & JEEViKA. Both the ASHA (Accredited Social Health Activist) and JEEViKA (Bihar Rural Livelihoods Promotion Society) play crucial roles in community healthcare and livelihood promotion in rural areas. It also enhances women's social participation during menstruation by providing accessible menstrual hygiene products and raising awareness, breaking societal barriers, and fostering gender inclusivity.

Keyword: ASHA, Community Based Organization, JASSN, JEEViKA, Menstruation, Paired sample 't' Test, Social Participation, Wilcoxon Singed Pair Rank Test.