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Integrating information about fertility, menstruation, and our bodies into social and behavior change programs

Publication | FACT Project | Family Planning | Fertility Awareness

Though population surveys in Nepal continue to show a declining total fertility rate (TFR), the contraceptive prevalence rate (CPR) has stagnated over the past several years. This stagnation has been attributed to a combination of factors including migration, fear of side effects from hormonal methods, and limited access to family planning (FP) among marginalized communities. […]

Publication | FACT Project | Family Planning | Fertility Awareness

On a Wednesday afternoon in the Siraha district of Nepal, high school principal Shivanarayan Yadav gathers the 9th and 10th grade students in his class to play a game. The students listen intently as Yadav explains that they will be playing the Son/Daughter Game to learn about how a child’s sex is determined.

Blog | FACT Project | Fertility Awareness

An emerging body of evidence shows that group learning — a community-based approach outside the health system — can be effective in delivering vital health information and encouraging behavior change. WALAN is a community-based group learning approach. Young facilitators, selected by their peers, work in male/female pairs to lead community learning on fertility awareness and […]

Publication | FACT Project | Fertility Awareness | Family Planning

IRH researchers are studying women’s use of the app for 13 menstrual cycles, or about one year. The ongoing prospective study design is the first to apply best-practice guidelines for assessing fertility awareness based methods in the testing of an app. The interim results following Dot’s use for six cycles are published in the journal Contraception. dot […]

Journal Article | FACT Project | Fertility Awareness | Mobilizing technology for reproductive health

Nepal has a high unmet need for family planning. There are many reasons for unmet need. Discussing reproductive health is taboo, and there are pervasive myths about family planning use. As part of the FACT Project, we set out to combat these problems by teaching fertility awareness: actionable information about fertility and the ability to […]

Publication | FACT Project | Fertility Awareness | Family Planning

In recent years, reproductive health has been improving in Nepal. However, in some communities, there are still physical and social barriers to care. Roving Auxiliary Nurse Midwives (RANMs) are health workers who live and work in marginalized communities in Nepal. As part of the FACT Project, nine RANMs were hired and deployed in Rupandehi, Nepal. This short […]

Video | FACT Project | Family Planning | Fertility Awareness

The FACT Project team presents three innovative solutions developed to address an unmet need for family planning, and demonstrates how fertility awareness can be integrated into variety of SBC approaches.

Journal Article | FACT Project | Fertility Awareness

Recently, Nepal has received a lot of attention from the international community due to a New York Times article on Chhaupadi – the practice of isolating menstruating women and girls – and social taboos around menstruation. As part of the Fertility Awareness for Community Transformation (FACT) Project, the Institute for Reproductive Health (IRH), at Georgetown University is undertaking the Pragati intervention […]

Blog | FACT Project | Gender Equality | Fertility Awareness

Recently, Nepal has received a lot of attention from the international community due to a New York Times article on Chhaupadi – the practice of isolating menstruating women and girls – and social taboos around menstruation. As part of the Fertility Awareness for Community Transformation (FACT) Project, the Institute for Reproductive Health (IRH), at Georgetown University is undertaking the Pragati intervention […]

Blog | FACT Project | Fertility Awareness | Gender Equality