PRACHAR: Promoting Change in Reproductive Behavior in Bihar, India
The David and Lucile Packard Foundation and UNFPA funded the scale up of the most essential approaches of PRACHAR Phases I and II, which successfully changed reproductive behaviors of young couples and the social norms that pressure unmarried adolescents into early marriage, early child bearing, and inadequate child spacing. In the third phase of funding, PRACHAR tested a government-non-governmental organization partnership model to change youth reproductive behavior through education on reproductive health and family planning by frontline government health workers.
PRACHAR has reached more than 84,000 married women and 63,000 unmarried adolescent girls and boys with reproductive health and family planning information. In addition, PRACHAR has reached more than 16,500 unmarried adolescent girls and boys with training on adolescent reproductive and sexual health. A comprehensive evaluation of PRACHAR through its 10 years of implementation is being undertaken to assess its impact, the sustainability of behavior change achieved, and the effectiveness of scaling up the model through public-private partnerships.
PRAGYA: Multisectoral, Gendered Approach to Improve Family Planning and Sexual and Reproductive Health for Young People
PRAGYA, meaning "insight" in Sanskrit, is a mixed methods study commissioned by USAID and conducted by Pathfinder India to improve understanding of the effects of Phases I and II of the PRACHAR project.
This technical brief summarizes the evolution of PRACHAR, describes the intervention model and key evaluation results that informed each phase, and highlights next steps for dissemination and advocacy based on 11 years of project learning.
In 2012, Pathfinder went where the need was greatest—the places where women, men, and young people must fight every day to defend their sexual and reproductive health and rights. This annual report explores our successes during fiscal year 2012.
The Effect of Reproductive Health Communication Interventions on Age at Marriage and First Birth in Rural Bihar, India
This paper describes the results of a survey of participants in an adolescent education program implemented by the PRACHAR project in rural Bihar.
Funded by the MacArthur Foundation, this project works to reduce the morbidity and mortality associated with postpartum hemorrhage in India and Nigeria.
This project aims to increase the practice of maternal and neonatal health behaviors through interpersonal and mass communication and to empower women to make informed decisions about their health.
This project targets more than 25,000 female sex workers and men who have sex with men in the Indian state of Maharashtra to reduce their risks and vulnerabilities towards STIs and HIV.
Pathfinder's Bangladesh Country Representative Halida Akhter writes about the harmful effects of child marriage and early childbirth and efforts to change these norms to promote a brighter and healthier future for girls everywhere.
MSD for Mothers launched a new initiative to reduce maternal mortality rates in India this week, naming Pathfinder International as one of three nonprofit partners that will implement project activities.