Overall goal of CARE Nepal's FP plus project is " to contribute in reduction of morbidity and mortality among women of reproductive age". The major strategic objective of the project is to maximize use of family planning and reproductive health practices and services in Bajhang district through enhanced capacities of PVO/NGO Networks and increasing participation of targeted communities.

Output Packages:
· Capacity Building of Private Voluntary Organizations (PVOs)
· Increase knowledge and safer sexual practices to targeted populations
· Increase PVOs and NGOs networks to support quality FP/RH services
· Expand service coverage through public private and private -private partnerships.

Approaches:
Partnership: The project has been implementing activities partnering with two local NGO partners (Nepal Red Cross Society, District Chapter, Bjhang and Group for Social Development) and has maintained close collaboration with government and non-government counterparts such as District Reproductive Health Coordination Committee (DRHCC), line agencies, DHO etc.

Social mobilization: A number of groups and key persons in the community have been approached to provide quality services to the beneficiaries as well as strengthen social sectors responding YSRH problems.

Parental support: As the project focuses on improving youths sexual and reproductive health, parental support has been considered important to create a safe and supportive environment for the youths at family and community level. On several meetings and community events, parents participate regularly.

Peer education: To provide basic and very personal information related to sex and sexuality often has been challenging. Peer educators are well accepted and have been important part of service delivery.

Major Achievements (July to November 2002:
Increased family planning services to attain couple years of protections (CYPs): 838 CYPs generated through provision of vasectomy, mini-laps, pills, depo provera and condom.

Establishments and strengthening of CBDs: 68 CBDs were regularly supported with IECs, contraceptives, jeevan jaal and other support materials. To fulfill the demand 50 New CBDs were established additionally.

Review with district based stakeholders and policy makers: 2 review meetings were conducted with district level policy makers, counterparts and allies to discuss and update about project activities. Also these meetings were useful to resolve emerging issues related to project implementation at local levels.

Logistic and organizational supports to health institutions: In addition to the technical support that project provides to health institutions regarding enhancing quality of care it also supports logistically. In this semester, 14 health institutions received furniture and various equipments to run YSRH services.

Creating awareness at community levels: A number of channels such as mass media, person-to-person contact, classroom sessions, oratory and essay competitions were conducted to raise awareness level and promote safer sexual practices amongst youths.

Capacity building to
Female community health volunteers (FCHVs) via training: Capacity building to FCHVs have been crucial as this group often attached message dissemination to local men and women including youths. 43 FCHVs received orientation training as well as 30 FCHVs were taken to cross visit to other districts to observe how FCHVs have been performing related tasks.

Refresher training to peer educators: 26 peer educators received refresher training in this quarter and remaining ones will receive in next quarter.

Conducting meeting with youth action groups (YAGs): A total of 260 YAG meetings have been conducted in this quarter. As such these meetings include several YSRH issues and they collectively find solution to overcome problems. Receiving appropriate information youths also get decision-making skills related to their sexual and reproductive health.

Session with both school enrolled and out of school children: Using "Choose the future" manual out of school children received basics on YSRH. Whereas, 17 YSRH sessions were conducted for school based students.

Increased IEC distributions and mediating services through pharmacies and general stores: A wide ranges and bulk of IECs were distributed to the targeted populations through all service outlets including private sectors such as general stores, pharmacies etc.