multiple NGOs. ASK reported a total of 161 incidents of sexual harassment against women. Reproductive Rights: There were no reports of coerced abortion or involuntary sterilization on the part of government authorities. A full range of contraceptive methods, including long-acting reversible contraception and permanent methods, were available through government, NGO, and for-profit clinics and hospitals. Low-income families were more likely to rely on public family planning services offered free of cost. Religious beliefs and traditional family roles served as barriers to access. Government district hospitals had crisis management centers providing contraceptive care to survivors of sexual assault. Due to cultural and religious factors, many women were unable to access contraception without their husbands’ permission. Effective access to information on reproductive health, including family planning, is one of the prime objectives of the National Population Policy (2012). Aligned with the national policy, family planning services were supported by programs that emphasized informed choice and voluntarism. To aid these practices, the National Family Planning Program used a job aid on clients’ eligibility criteria, a family planning manual, and clients’ consent forms for long acting and permanent methods of family planning. Family planning service providers were trained on reproductive rights and choice. Weaknesses in the public-health system, such as lack of trained providers and equipment in rural areas, resulted in inequitable access to information and services. Taboos and stigma surrounding menstruation created social and religious barriers for menstruating women. In conservative communities some menstruating women could not use the kitchen or observe religious practices due to fear of contamination. A civil society organization estimated one in four girls stayed home from school while menstruating. The cost of menstrual products was relatively high compared to average wages, prompting some women to use potentially unhygienic materials while menstruating. Throughout the COVID-19 pandemic, an increase in child marriage resulted in girls leaving school at a higher rate than boys. UNICEF noted girls who marry in Page 38

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