Nepal: The Distributional Impact of Participatory Approaches on Reproductive Health for Disadvantaged Youth

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Abstract

This paper presents findings from a community-based study testing the effectiveness of participatory approaches in improving services and outcomes for youth reproductive health in Nepal. The study was motivated by the desire to test the impact of participatory approaches in improving youth reproductive health. Nepal was chosen because it is a country where youth reproductive health needs are especially acute and little is being done to meet them. In this study, the authors test whether many of the key principles advocated by development practitioners for making services work for poor people can be effectively operationalized through small, community-based programmatic interventions. In particular, the study seeks to establish whether participatory intervention programs can increase empowerment of poor and disadvantaged populations and accountability to them.