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Date:19th January 2024 REQUEST FOR QUOTATION RFQ Nº UNFPA/IND/RFQ/2024/004 Dear Sir/Madam, UNFPA hereby solicits a quotation for the following service: “MY RIGHTS, MY CHOICES” Project: Qualitative behavioral Study and Intervention Design for Increasing Uptake of Family Planning Methods among Young People and Couples in Madhya Pradesh and Rajasthan” UNFPA is interested in engagingan agency for conducting a behavioral study and developing an Human Centric Design interventionfor “Increasing Uptake of Family Planning Methods among Young People and Married Couples” in Madhya Pradesh and Rajasthan. The result/expected outcome of this engagement is a human-centric designstrategy with behavioral interventionsfocused on improved community outreach, counseling modelsand follow-up strategy to increase the reversible contraceptive uptake among the target groups. This Request for Quotation (RFQ) is open to all legally constituted companies that can provide the requested services and have the legal capacity to deliver in the country, or through an authorized representative. About UNFPA UNFPA, the United Nations Population Fund (UNFPA), is an international development agency that works to deliver a world where every pregnancy is wanted, every childbirth is safe and every young person’s potential is fulfilled. UNFPA is the lead UN agency that expands the possibilities for women and young people to lead healthy sexual and reproductive lives. To read more about UNFPA, please go to: UNFPA about us Service Requirements/Terms of Reference (ToR) A. Background and Context: UNFPA 10th Country Programme (2023-27) is inspired by UNFPA’s Strategic Plan (2022 - 2025) and is aligned to the United Nations Sustainable Development Cooperation Framework, supporting in achieving the National Development Goals and the Agenda 2030. UNFPA will support national programmes that aim to advance the sexual reproductive health and rights of women, girls, and young people, and accelerate achieving the three transformative goals of zero unmet need for family planning, zero preventable maternal deaths, and zero gender-based violence and harmful practices and the unfinished agenda of ICPD Programme of Action. India has made remarkable progress in the family planning (FP) arena, as the Total Fertility Rate (TFR) has reached 2.0 which is below the replacement level of fertility. However, decline in teenage pregnancy has been minimal (7.9% in NFHS 4, 2015-16 to 6.8% in NFHS 5, 2019-20). As per NFHS 5, only 19% married adolescents and 32% young women were using modern methods of contraception. Adolescent pregnancycan have various medical consequences, some possibly life threatening for both the pregnant adolescentand the developing foetus/ often prematurely delivered baby. The link between teenage pregnancies andmaternal mortality and morbidity is well-documented. This data and evidence indicate that accessibility and acceptability of modern contraceptive services needs to be enhanced for adolescents and youth. This is in alignment with the Government of India’s (GoI’s) commitment for FP 2030. Madhya Pradesh and Rajasthan in the last decade have achieved improvement in reproductive health indicators, however, the NFHS data highlights that though the modern contraceptive adoption has increased, the female sterilization uptake remains high. TheNFHS-5 revealed that the unmet need for family planning among the young people remains high though the total unmet need for both the states is lower than the national average- Madhya Pradesh (7.7%) and Rajasthan(7.6%). Although awareness of any contraceptive methods is high, awareness drops by about a quarter for at least 4 reversible methods. Emergency contraceptive awareness is relatively low in Madhya Pradesh (49.4%), and Rajasthan (55.2%). When bifurcated by age group the mCPR for 15-29 age group is much lower than the State average, 45.1% for MP. An analysis of the use of family planning methods in Madhya Pradesh as per NFHS -5 has indicated that the use is highly skewed towards female sterilization (79.2%) and the contribution of the spacing methods is very low. As far as Rajasthan is concerned, NFHS-5 revealed that mCPR stands at 72.3%. In 15-29 age groups, mCPR is much lower at 55.1% and the use is also skewed towards female sterilization (58.6%) of the total mCPR in the state. The Total Fertility Rate as per the latest SRS Report 2020 which is more of a robust survey than NFHS is 2.6 for Madhya Pradesh and 2.4 for Rajasthan, which highlights the importance of strengthening the access and availability of family planning services to achieve the replacement level fertility. Thus, improving the availability and accessibility of contraceptive information and services to adolescents and youth is one of the key strategies for preventingearly pregnancy among adolescents and young girls and thereby improving maternal and infant health outcomes. In this regard, UNFPA plans to conduct a qualitative behavioral study and Intervention Design study to improve of modern methods of Family Planning among Young People and Married Couples in Madhya Pradesh and Rajasthan and to design a human-centric comprehensive strategy with behavioral interventions which may be focused on ways for community outreach, counseling models for service providers and follow-up strategy to increase the contraceptive uptake among the target users. B.Key Objectives: To conduct a rapid desk review of recent studies on barriers and challenges regarding uptake of modern family planning (FP) methods (with emphasis on reversible methods) among users in India. To conduct detailed |