PAHAL Issue 27 highlights UP TSU’s ongoing partnership with the Health Department and ICDS to strengthen public health services across communities, facilities, and health systems in Uttar Pradesh. This edition brings together diverse programmatic efforts spanning reproductive, maternal, newborn, child, & adolescent health and nutrition services, family planning, TB, supply chain management, and social and behaviour change communication.

As you browse the issue, you will encounter initiatives ranging from family planning capacity-building and urban health mapping to strengthening the drug supply chain, improving referral systems, and developing mentoring models for doctors and nurses. With a strong focus on evidence, innovation, and collaboration, the issue showcases how targeted technical support and leadership engagement are driving measurable improvements in service quality and last-mile health outcomes.

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PAHAL Issue 26

The 26th edition of the PAHAL newsletter – a reflection of our collective support to the Department of Health Department of Medical Education and ICDS towards strengthening public health services across community, facility, and health systems in Uttar Pradesh.

Understanding Barriers and Challenges in Uptake of New Contraceptives

UP TSU, in collaboration with the Government of Uttar Pradesh, conducted a qualitative study to explore barriers to the continued use of Antara (injectables) and Chhaya (weekly contraceptive pills). Insights from users, FLWs, and providers highlighted concerns regarding side effects, complexity in the dosage schedule, and other factors, deterring their sustained use. The study underscores the need for user-focused strategies and improved provider engagement to enhance sustained use of the new contraceptives.

Exploring Consistent Use of Traditional Family Planning Methods

UP TSU, in consultation with the Government of Uttar Pradesh, conducted a qualitative study with Traditional Method (TM) users and FLWs to understand the factors driving TM adoption and continuation. Findings showed that normative acceptance and clarity on the effects of TM, as opposed to the complexities in the adoption and use of modern methods, facilitated TM use. It also highlighted the need for tailored interventions, specific to the family planning needs of women across all parity levels.