Dec 2016 – Dec 2020

UDAAN – Preventing Adolescent Pregnancy in Rajasthan

India

Country

India – South Asia

To prevent adolescent pregnancy through a combined approach that keeps girls in school, improves their knowledge of and access to sexual and reproductive health; increases the basket of contraceptive choices, and changes social practices that perpetuate early marriage and adolescent pregnancy.

$13,000,000 Multi-Year Grant Value

$650,000 evaluation budget

The adolescent population of Rajasthan is over 15 million. The state also has one of the highest rates of school drop-out, child marriage and adolescent pregnancy in India. 

These trends are offset by some very encouraging developments. The adolescent fertility rate has fallen over the last decade (from 56.8/1000 to 32.7/1000), more girls are in school than ever before and the Government recognises the importance of investing in adolescents.

Our investment seeks to prevent adolescent pregnancy through three inter-related strategies:

  • A user-controlled approach - increasing uptake of cash transfers to keep girls most at risk of early marriage in secondary school (Grade 9 and 10)
  • A user-centered approach - developing models that put adolescents at the centre of design an execution of the National Adolescent Health Programme (known as RKSK)
  • Transforming contraceptive choice - supporting Government-led efforts to introduce contraceptive injectables for all women in Rajasthan

We will co-create, test and demonstrate the investment approaches in the two districts of Udaipur and Dholpur, closely working with the Government from inception to state-wide scale-up. We will also provide strategic support to the Government to effectively roll-out injectable contraceptives in the public sector in 15 priority districts of Rajasthan.

The UDAAN investment will combine system level-interventions with on-ground actions to change social practices around early marriage and adolescent pregnancy, so that adolescent girls are empowered to make informed choices and control their sexual and reproductive health.

Impact

By 2020, the investment aims to establish Rajasthan as an exemplar for adolescent programming in India by achieving the following results: 

  • An increase of 8% in secondary school enrolment in the two target districts by end of the programme - thereby leading to about 40,360 girls being enrolled by year four. 
  • Scale up of the cash transfer system across 33 districts by the state government leading to a 3% increase in enrolment every year.
  • A cost effective user-centred model demonstrated and adopted for scale up by the government.
  • Quality injectable contraceptive services available through the public health system in 15 districts thereby leading to an increase in the modern contraceptive prevalence rate.