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Nepal

Articles by Nepal

The gathering at the Youth Conclave
28 April 2022

Family Planning Association of Nepal & YUWA Amplify Youth Voices for SRHR

The conference rooms of the Radisson hotel Kathmandu were alive with the energetic chatter of youth participants on Saturday the 23rd of April as the Family Planning Association of Nepal, together with leading NGO youth platform organisation YUWA hosted a full day’s programme under the theme of ‘Advancing Youth SRHR 2022’. The event was produced with the support of the International Planned Parenthood Federation, South Asia Regional Office. With over 80 young people from diverse backgrounds and experiences in attendance, the event was produced with the aim of building networks amongst youth groups for stronger advocacy of Comprehensive Sexuality Education in Nepal. “It is very important to have programs like this where the youth can take the lead” said Surakshya Giri, a long-time youth champion for FPAN and a member of the Board of Trustees at IPPF. “There is a vital need for improving the quality of CSE and evolving teaching methodologies.” “As a young person working towards Comprehensive Sexuality Education for all, we are very glad we created this space where young people of all backgrounds felt safe to voice their CSE needs.” expressed Riju Dhakal; President of YUWA. Expert Panel Sessions The event featured a thought-provoking plenary comprising of a diverse panel of experts, who shared their views on developing Nepal’s systems to meet the SRHR needs of young people. Amongst this panel was Nisha Joshi from the Family Welfare Division of Nepal’s Ministry of Health. Ms. Joshi shared the government’s vision to implement a National Health Strategy for 2022-2030 that will prioritize Sexual and Reproductive Health & Rights for adolescents. She was joined by Dr Rajendra Bhadra -an eminent CSE & SRHR expert who opined that CSE should be made a mandatory national conversation, Ms. Divya Dawadi of the Center for Education and Human Resource Development (CEHRD) who believes strongly that Nepal needs to address the challenges of social stigma and shame towards CSE, Angel Lama from the Blue Diamond Society who stressed the importance of ensuring content on diversity, inclusivity and intersectionality in the national curriculum and Ms Anu Bista from FPAN who pointed out that advancing SRHR for young people should be the shared responsibility of multiple government and organisational stakeholders working in collaboration. “We need multi-sectoral, inter-departmental involvement and coordination if we are to bridge the gaps in social education”, said Anu. Interactive Participation The day also consisted of multiple interactive breakout sessions on SRHR topics, fun activities and SRHR-themed games, a crowd-sourced art corner, a special advocacy booth that collected participant views and demands for better CSE and booths by the event partners where participants could obtain further information and stimulus material on SRHR. One of the highlights of the programme was a highly impactful flash mob performance by young activists, depicting the reality of growing up as a trans person in South Asian society. “I loved this programme,” gushed Sarozi Niobani, an 18-year old transgender woman who participated at the event. “It was very motivating and gave me a lot of knowledge. There was inclusion, there was education, it was so much fun! Going forward, I believe it’s important for the youth in Nepal to work hand in hand with the government to ensure SRHR for everyone. Someday, I think the youth will make sure that we change society in Nepal.” The programme ended with a youth charter being developed with the collective thoughts of the participants, to form a guide for the ongoing advocacy efforts of FPAN and YUWA. For more information, press only: PR contact name: Dr. Naresh Pratap K.C. Phone number: +977-01-5010201/5010240 Email: [email protected]   For more information on FPAN – https://fpan.org   For more information on YUWA – https://www.yuwa.org.np   For more information on IPPF SARO - https://sar.ippf.org  

 "Stigma, myths and cultural practices can have a damaging effect on sexual  health, family planning and women’s rights"

How cultural traditions affect women’s health

High up in the mountains of central northern Nepal, not far from the Tibetan border, lies the  district of Rasuwa. The people here are  mainly ethnic Tamang and Sherpa, two indigenous  groups with cultural traditions stretching back centuries But these rich cultural traditions can come hand-in-hand with severe social problems,  compounded by entrenched poverty and very low literacy rates.  Binu Koraila is a health facility mentor for the Family Planning Association of Nepal (FPAN)  in Rasuwa. "Stigma, myths and cultural practices can have a damaging effect on sexual  health, family planning and women’s rights", she says.  Misconceptions about contraception are widespread. “People think the intrauterine coil will  go into the brain or will fall out. They think the contraceptive implant will penetrate into the  muscles.” Funeral rites present another problem. “Men who want a vasectomy need permission from their parents,” she explains. “But it’s thought that men who have had vasectomies won’t be able to perform the rituals after their parent’s death: parents think that God won’t accept that, so they don’t allow men to have vasectomies.” The culture here is strongly patriarchal. Among the Tamang, marriage involves boys or men picking out young girls from their communities.Early and forced marriage is widespread among the Tamang. If chosen, the girls have no choice but to get married. “If a boy likes a girl, they can just snatch them and take them to their house,” Binu says. Some girls are as young as 13 years old. “The girls don’t know enough about family planning, so there is a lot of teenage pregnancy.” Early marriage and teenage pregnancy can create all kinds of physical, emotional, social and economic problems for girls and their families. For many, their bodies are not well developed enough for childbirth, and maternal mortality remains a major problem in Nepal, at 258 deaths per 100,000 live births, according to UNFPA data. Their large families also suffer because there is not enough food and money to go around. “Women are the worst affected,” Binu says. Parents and husbands keep strict control of women’s access to contraception. “If they want to use contraception, women tend to need consent from their parents or husbands. “I have seen cases where if a woman gets contraceptive implant services, they get beaten by their father-in-law and husband. One woman asked to have her implant removed because she had been beaten by her husband.” Binu’s role is to deliver sexual health and family planning advice and services to villages across Rasuwa district: “I go to remote places, where people are marginalised and don’t know about family planning.” She also trains government health workers on family planning, and mentors them after they return from training in Kathmandu to Rasuwa. As well as delivering health services, the FPAN team have been working hard to change perceptions. “Recently we had a health camp at Gatland,” she explains. "After two hours of counselling one client requested an IUD. After months there was a rumour in Gatlang that her coil had fallen out. The FPAN volunteer went to the woman’s house and asked if this was true. She said, ‘No, I’m really comfortable with that service.’ After that, the client went door to door and told others how happy she was with it and that they should take it at the next family planning camp. “After four or five months, we went back to the Gatlang camp and at that time another eight women took the IUD.” These numbers might seem small but they are far less so when viewed against the wall of stigma and myth that can obstruct contraception use here, as in so many rural areas of Nepal. The involvement of committed, passionate health mentors and volunteers is vital to show people how important it is to take sexual health and family planning seriously: the benefits are felt not just by women and their families, but by entire communities.

Girl from Nepal served by IPPF
09 April 2016

Sustainable Networks

Support for International Family Planning Organizations 2; Sustainable Networks (SIFPO 2) is a five-year programme funded by the United States Agency for International Development (USAID) aimed at improving IPPF's capacity to significantly increase family planning programming worldwide, working in partnership with The Population Council and IPPF Member Associations. USAID, through SIFPO 2 is supporting IPPF to deliver high quality, affordable family planning services to young, poor and, underserved women and men in USAID prioiryt countries. By strengthening IPPF's organizational capacity and by supporting Member Associations directly, SIFPO 2 is helping build a stronger, more effective federation. By the end of the project in 2019, we aim to: Strengthen organizational systems and improved capacity to deliver quality family planning and other health programmes Test, implement and disseminate innovations, tools and approaches for delivering family planning services to young, poor and underserved communities Implement or leverage financing mechanism that improve the sustainability of family planning and other health services Strengthen the capacity of IPPF Member Associations and other partner governments to provide high quality family planning and other health services Pursue innovative partnerships to strengthen health service delivery networks  The Support for International Family Planning Organisations – SIFPO 2 – will transform IPPF’s systems and capacity to deliver quality assured, affordable Family Planning. Through a series of targeted investments, IPPF will move to a new trajectory of performance with new systems that enable data driven decision making and partnerships that increase sustainability.  This investment will revolutionize our network and improve health and rights for millions of young, poor and/or underserved women and men in USAID family planning priority countries. Result areas Strengthening Organizational Capacity. The Sustainable Networks award provides IPPF with the opportunity to invest in strengthening its global systems to deliver high quality family planning. The project will allow for targeted contributions to our health management information system, supply chain management, and quality of care. We will support leadership and implementation of best practice across all MAs through organizational learning and investments in impactful, proven models of service delivery. Increasing Sustainability of Country-Level Family Planning. Sustainable Networks offers USAID the opportunity to leverage IPPF’s broad reach and extensive service delivery network by investing directly in locally owned and managed organizations. Through Sustainable Networks, our Member Associations will build the capacity of their local partners to provide high quality family planning and other health services and will pursue innovative partnerships to strengthen their health service delivery networks. Partners  In order to deliver SIFPO-2, IPPF has partnered with selected family planning and research organizations including: The Population Council conducts research to address critical health and development issues. The Population Council will lead the research components of SIFPO-2 and will ensure that systematic evidence is generated on IPPF's programmes for organizational learning and wider dissemination.  University of California San Diego (UCSD) Center on Gender Equity and Health (GEH) conducts innovative global public health research, including developing and evaluating evidence-based policies and practices related to gender-based violence and other gender inequities and their impact on health. IPPF and GEH are adapting and evaluating a promising clinic-based intervention (ARCHES, Addressing Reproductive Coercion in Health Settings) to reduce intimate partner violence, reproductive coercion, and related unintended pregnancy among women and girls attending family planning clinics.  SIFPO-2 is also working in partnership with IPPF member associations in Nepal, Kenya, Malawi, Liberia, the Ivory Coast, Togo, Domonican Republic, Honduras, Guatemala, and El Salvador.  The Support for International Family Planning Organizations 2 - Sustainable Networks project is a five-year cooperative agreement funded by the US Agency for International Development under Agreement No. AID-0AA-A-14-00038, beginning May 13, 2014. The information provided in this document is not official US government information and does not necessarily represent the views or positions of the US Agency for International Development. Project activities Here is a selection of SIFPO2 project activities across Asia, Africa and Latin America: Family Planning Association of Nepal (FPAN)   Supporting voluntary family planning and Zika prevention in countries affected by Zika   Family Health Options Kenya (FHOK)

FPAN Logo
31 March 2016

Family Planning Association of Nepal

Established in 1959. the Family Planning Association of Nepal (FPAN) is Nepal's first national family planning service delivery and advocacy organization. It is a major collaborator of the Government of Nepal's national sexual and reproductive health (SRH) program, contributing a greater percentage of all SRH services in Nepal annually. FPAN serves Nepalese people in 44 districts, focusing on the poor, marginalized, socially excluded and underserved (PMSEU) populations, which include female sex workers, people living with HIV (PLHIV), LGBTIQ people, injecting drug users, men who have sex with men (MSM), migrant workers, people with disabilities (PWD), survivors of gender-based violence (GBV), urban slum dweller and people affected by disaster and crisis. The mission of FPAN is to "champion a volunteer movement for increased provision of SRHR to all, particularly to those most at risk, marginalized, and under-served". The planned outcomes set by FPAN for the strategic planning period (2016-2022) include: Nepal Government respects, protects and fulfil sexual and reproductive rights and gender equality; Nepalese people empowered to act freely on their sexual and reproductive health and rights; a high quality integrated sexual and reproductive health services delivered; and a high performing, accountable and strong FPAN. The success of FPAN is due to its extensive and diverse network of service delivery points, as well as its expertly trained staff and volunteers who provide services in areas where they would otherwise be unavailable. FPAN provides an Integrated Package of Essential Services (IPES), which includes sexuality counselling, contraception, including emergency contraception, safe abortion, STIS/RTIs, HIV & AIDS, obstetrics, gynecological and sexual & gender-based violence services. These services are provided across 974 service delivery points (including 270 clinical SDPs, 22 family health clinics, 56 community health clinics, 75 associate clinics, 117 mobile teams, and 794 non-clinical service delivery points). FPAN provides approximately four million SRH services each year across its service delivery points, with family planning accounting for 40%, STIs/RTIs for 14%, gynaecological services for 12%, HIV services for 10%, and other services accounting for the remaining 24%. FPAN has eight clinical training centres that are connected to its family health clinics, which provide full range of family planning and reproductive health services. The training centres are accredited by the National Health Training Centre, (MoHP). These centres provide a variety of family planning and sexual and reproductive health training to health care providers from FPAN, government, and non-governmental organizations (NGO) health facilities. USPs of FPAN: Trusted: FPAN is leading SRHR agency in Nepal having established its credentials by: Chairing the Non-government Organization Coordination Committee (NGOCC); providing technical capacity to national and local health CSOs and CBOs on SRH including family planning and; being a member of provincial RH committees of all seven provinces of the country Last mile reach: FPAN has service delivery points across the country providing 25% of the national share of basic reproductive health services and of which  85 percent clients coming  from the poor, marginalized and vulnerable communities. Strategic Partner: Played a significant role in the formulation and implementation of Safe Motherhood and Reproductive Health Act, RH regulation and various guidelines (RMNCAH guideline, helpline guideline) (SMRHR & NAHDS 2020). Community-led: Delivers a very effective and efficient  contraceptive and abortion care services through successful task shifting and a well-organized Community Based Distributors (CBDs) network which helped place FPAN in top 10 providers of Couple Years Protected amongst IPPF MAs. ​ Youth - focussed : Pioneer for youth based SRHR, including the successfully integration of Comprehensive Sexuality Education (CSE) into grade 9-12 curriculum, in Health and Physical Education subject. Agile: Forerunner in adopting IPPF’s Social Franchise Framework Development, diversifying funding sources and advancing towards sustainability. (Raised 206,000 USD in 2020). FPAN is also ready to start IVF and hormonal clinics soon.

The gathering at the Youth Conclave
28 April 2022

Family Planning Association of Nepal & YUWA Amplify Youth Voices for SRHR

The conference rooms of the Radisson hotel Kathmandu were alive with the energetic chatter of youth participants on Saturday the 23rd of April as the Family Planning Association of Nepal, together with leading NGO youth platform organisation YUWA hosted a full day’s programme under the theme of ‘Advancing Youth SRHR 2022’. The event was produced with the support of the International Planned Parenthood Federation, South Asia Regional Office. With over 80 young people from diverse backgrounds and experiences in attendance, the event was produced with the aim of building networks amongst youth groups for stronger advocacy of Comprehensive Sexuality Education in Nepal. “It is very important to have programs like this where the youth can take the lead” said Surakshya Giri, a long-time youth champion for FPAN and a member of the Board of Trustees at IPPF. “There is a vital need for improving the quality of CSE and evolving teaching methodologies.” “As a young person working towards Comprehensive Sexuality Education for all, we are very glad we created this space where young people of all backgrounds felt safe to voice their CSE needs.” expressed Riju Dhakal; President of YUWA. Expert Panel Sessions The event featured a thought-provoking plenary comprising of a diverse panel of experts, who shared their views on developing Nepal’s systems to meet the SRHR needs of young people. Amongst this panel was Nisha Joshi from the Family Welfare Division of Nepal’s Ministry of Health. Ms. Joshi shared the government’s vision to implement a National Health Strategy for 2022-2030 that will prioritize Sexual and Reproductive Health & Rights for adolescents. She was joined by Dr Rajendra Bhadra -an eminent CSE & SRHR expert who opined that CSE should be made a mandatory national conversation, Ms. Divya Dawadi of the Center for Education and Human Resource Development (CEHRD) who believes strongly that Nepal needs to address the challenges of social stigma and shame towards CSE, Angel Lama from the Blue Diamond Society who stressed the importance of ensuring content on diversity, inclusivity and intersectionality in the national curriculum and Ms Anu Bista from FPAN who pointed out that advancing SRHR for young people should be the shared responsibility of multiple government and organisational stakeholders working in collaboration. “We need multi-sectoral, inter-departmental involvement and coordination if we are to bridge the gaps in social education”, said Anu. Interactive Participation The day also consisted of multiple interactive breakout sessions on SRHR topics, fun activities and SRHR-themed games, a crowd-sourced art corner, a special advocacy booth that collected participant views and demands for better CSE and booths by the event partners where participants could obtain further information and stimulus material on SRHR. One of the highlights of the programme was a highly impactful flash mob performance by young activists, depicting the reality of growing up as a trans person in South Asian society. “I loved this programme,” gushed Sarozi Niobani, an 18-year old transgender woman who participated at the event. “It was very motivating and gave me a lot of knowledge. There was inclusion, there was education, it was so much fun! Going forward, I believe it’s important for the youth in Nepal to work hand in hand with the government to ensure SRHR for everyone. Someday, I think the youth will make sure that we change society in Nepal.” The programme ended with a youth charter being developed with the collective thoughts of the participants, to form a guide for the ongoing advocacy efforts of FPAN and YUWA. For more information, press only: PR contact name: Dr. Naresh Pratap K.C. Phone number: +977-01-5010201/5010240 Email: [email protected]   For more information on FPAN – https://fpan.org   For more information on YUWA – https://www.yuwa.org.np   For more information on IPPF SARO - https://sar.ippf.org  

 "Stigma, myths and cultural practices can have a damaging effect on sexual  health, family planning and women’s rights"

How cultural traditions affect women’s health

High up in the mountains of central northern Nepal, not far from the Tibetan border, lies the  district of Rasuwa. The people here are  mainly ethnic Tamang and Sherpa, two indigenous  groups with cultural traditions stretching back centuries But these rich cultural traditions can come hand-in-hand with severe social problems,  compounded by entrenched poverty and very low literacy rates.  Binu Koraila is a health facility mentor for the Family Planning Association of Nepal (FPAN)  in Rasuwa. "Stigma, myths and cultural practices can have a damaging effect on sexual  health, family planning and women’s rights", she says.  Misconceptions about contraception are widespread. “People think the intrauterine coil will  go into the brain or will fall out. They think the contraceptive implant will penetrate into the  muscles.” Funeral rites present another problem. “Men who want a vasectomy need permission from their parents,” she explains. “But it’s thought that men who have had vasectomies won’t be able to perform the rituals after their parent’s death: parents think that God won’t accept that, so they don’t allow men to have vasectomies.” The culture here is strongly patriarchal. Among the Tamang, marriage involves boys or men picking out young girls from their communities.Early and forced marriage is widespread among the Tamang. If chosen, the girls have no choice but to get married. “If a boy likes a girl, they can just snatch them and take them to their house,” Binu says. Some girls are as young as 13 years old. “The girls don’t know enough about family planning, so there is a lot of teenage pregnancy.” Early marriage and teenage pregnancy can create all kinds of physical, emotional, social and economic problems for girls and their families. For many, their bodies are not well developed enough for childbirth, and maternal mortality remains a major problem in Nepal, at 258 deaths per 100,000 live births, according to UNFPA data. Their large families also suffer because there is not enough food and money to go around. “Women are the worst affected,” Binu says. Parents and husbands keep strict control of women’s access to contraception. “If they want to use contraception, women tend to need consent from their parents or husbands. “I have seen cases where if a woman gets contraceptive implant services, they get beaten by their father-in-law and husband. One woman asked to have her implant removed because she had been beaten by her husband.” Binu’s role is to deliver sexual health and family planning advice and services to villages across Rasuwa district: “I go to remote places, where people are marginalised and don’t know about family planning.” She also trains government health workers on family planning, and mentors them after they return from training in Kathmandu to Rasuwa. As well as delivering health services, the FPAN team have been working hard to change perceptions. “Recently we had a health camp at Gatland,” she explains. "After two hours of counselling one client requested an IUD. After months there was a rumour in Gatlang that her coil had fallen out. The FPAN volunteer went to the woman’s house and asked if this was true. She said, ‘No, I’m really comfortable with that service.’ After that, the client went door to door and told others how happy she was with it and that they should take it at the next family planning camp. “After four or five months, we went back to the Gatlang camp and at that time another eight women took the IUD.” These numbers might seem small but they are far less so when viewed against the wall of stigma and myth that can obstruct contraception use here, as in so many rural areas of Nepal. The involvement of committed, passionate health mentors and volunteers is vital to show people how important it is to take sexual health and family planning seriously: the benefits are felt not just by women and their families, but by entire communities.

Girl from Nepal served by IPPF
09 April 2016

Sustainable Networks

Support for International Family Planning Organizations 2; Sustainable Networks (SIFPO 2) is a five-year programme funded by the United States Agency for International Development (USAID) aimed at improving IPPF's capacity to significantly increase family planning programming worldwide, working in partnership with The Population Council and IPPF Member Associations. USAID, through SIFPO 2 is supporting IPPF to deliver high quality, affordable family planning services to young, poor and, underserved women and men in USAID prioiryt countries. By strengthening IPPF's organizational capacity and by supporting Member Associations directly, SIFPO 2 is helping build a stronger, more effective federation. By the end of the project in 2019, we aim to: Strengthen organizational systems and improved capacity to deliver quality family planning and other health programmes Test, implement and disseminate innovations, tools and approaches for delivering family planning services to young, poor and underserved communities Implement or leverage financing mechanism that improve the sustainability of family planning and other health services Strengthen the capacity of IPPF Member Associations and other partner governments to provide high quality family planning and other health services Pursue innovative partnerships to strengthen health service delivery networks  The Support for International Family Planning Organisations – SIFPO 2 – will transform IPPF’s systems and capacity to deliver quality assured, affordable Family Planning. Through a series of targeted investments, IPPF will move to a new trajectory of performance with new systems that enable data driven decision making and partnerships that increase sustainability.  This investment will revolutionize our network and improve health and rights for millions of young, poor and/or underserved women and men in USAID family planning priority countries. Result areas Strengthening Organizational Capacity. The Sustainable Networks award provides IPPF with the opportunity to invest in strengthening its global systems to deliver high quality family planning. The project will allow for targeted contributions to our health management information system, supply chain management, and quality of care. We will support leadership and implementation of best practice across all MAs through organizational learning and investments in impactful, proven models of service delivery. Increasing Sustainability of Country-Level Family Planning. Sustainable Networks offers USAID the opportunity to leverage IPPF’s broad reach and extensive service delivery network by investing directly in locally owned and managed organizations. Through Sustainable Networks, our Member Associations will build the capacity of their local partners to provide high quality family planning and other health services and will pursue innovative partnerships to strengthen their health service delivery networks. Partners  In order to deliver SIFPO-2, IPPF has partnered with selected family planning and research organizations including: The Population Council conducts research to address critical health and development issues. The Population Council will lead the research components of SIFPO-2 and will ensure that systematic evidence is generated on IPPF's programmes for organizational learning and wider dissemination.  University of California San Diego (UCSD) Center on Gender Equity and Health (GEH) conducts innovative global public health research, including developing and evaluating evidence-based policies and practices related to gender-based violence and other gender inequities and their impact on health. IPPF and GEH are adapting and evaluating a promising clinic-based intervention (ARCHES, Addressing Reproductive Coercion in Health Settings) to reduce intimate partner violence, reproductive coercion, and related unintended pregnancy among women and girls attending family planning clinics.  SIFPO-2 is also working in partnership with IPPF member associations in Nepal, Kenya, Malawi, Liberia, the Ivory Coast, Togo, Domonican Republic, Honduras, Guatemala, and El Salvador.  The Support for International Family Planning Organizations 2 - Sustainable Networks project is a five-year cooperative agreement funded by the US Agency for International Development under Agreement No. AID-0AA-A-14-00038, beginning May 13, 2014. The information provided in this document is not official US government information and does not necessarily represent the views or positions of the US Agency for International Development. Project activities Here is a selection of SIFPO2 project activities across Asia, Africa and Latin America: Family Planning Association of Nepal (FPAN)   Supporting voluntary family planning and Zika prevention in countries affected by Zika   Family Health Options Kenya (FHOK)

FPAN Logo
31 March 2016

Family Planning Association of Nepal

Established in 1959. the Family Planning Association of Nepal (FPAN) is Nepal's first national family planning service delivery and advocacy organization. It is a major collaborator of the Government of Nepal's national sexual and reproductive health (SRH) program, contributing a greater percentage of all SRH services in Nepal annually. FPAN serves Nepalese people in 44 districts, focusing on the poor, marginalized, socially excluded and underserved (PMSEU) populations, which include female sex workers, people living with HIV (PLHIV), LGBTIQ people, injecting drug users, men who have sex with men (MSM), migrant workers, people with disabilities (PWD), survivors of gender-based violence (GBV), urban slum dweller and people affected by disaster and crisis. The mission of FPAN is to "champion a volunteer movement for increased provision of SRHR to all, particularly to those most at risk, marginalized, and under-served". The planned outcomes set by FPAN for the strategic planning period (2016-2022) include: Nepal Government respects, protects and fulfil sexual and reproductive rights and gender equality; Nepalese people empowered to act freely on their sexual and reproductive health and rights; a high quality integrated sexual and reproductive health services delivered; and a high performing, accountable and strong FPAN. The success of FPAN is due to its extensive and diverse network of service delivery points, as well as its expertly trained staff and volunteers who provide services in areas where they would otherwise be unavailable. FPAN provides an Integrated Package of Essential Services (IPES), which includes sexuality counselling, contraception, including emergency contraception, safe abortion, STIS/RTIs, HIV & AIDS, obstetrics, gynecological and sexual & gender-based violence services. These services are provided across 974 service delivery points (including 270 clinical SDPs, 22 family health clinics, 56 community health clinics, 75 associate clinics, 117 mobile teams, and 794 non-clinical service delivery points). FPAN provides approximately four million SRH services each year across its service delivery points, with family planning accounting for 40%, STIs/RTIs for 14%, gynaecological services for 12%, HIV services for 10%, and other services accounting for the remaining 24%. FPAN has eight clinical training centres that are connected to its family health clinics, which provide full range of family planning and reproductive health services. The training centres are accredited by the National Health Training Centre, (MoHP). These centres provide a variety of family planning and sexual and reproductive health training to health care providers from FPAN, government, and non-governmental organizations (NGO) health facilities. USPs of FPAN: Trusted: FPAN is leading SRHR agency in Nepal having established its credentials by: Chairing the Non-government Organization Coordination Committee (NGOCC); providing technical capacity to national and local health CSOs and CBOs on SRH including family planning and; being a member of provincial RH committees of all seven provinces of the country Last mile reach: FPAN has service delivery points across the country providing 25% of the national share of basic reproductive health services and of which  85 percent clients coming  from the poor, marginalized and vulnerable communities. Strategic Partner: Played a significant role in the formulation and implementation of Safe Motherhood and Reproductive Health Act, RH regulation and various guidelines (RMNCAH guideline, helpline guideline) (SMRHR & NAHDS 2020). Community-led: Delivers a very effective and efficient  contraceptive and abortion care services through successful task shifting and a well-organized Community Based Distributors (CBDs) network which helped place FPAN in top 10 providers of Couple Years Protected amongst IPPF MAs. ​ Youth - focussed : Pioneer for youth based SRHR, including the successfully integration of Comprehensive Sexuality Education (CSE) into grade 9-12 curriculum, in Health and Physical Education subject. Agile: Forerunner in adopting IPPF’s Social Franchise Framework Development, diversifying funding sources and advancing towards sustainability. (Raised 206,000 USD in 2020). FPAN is also ready to start IVF and hormonal clinics soon.