The project improves sexual and reproductive health awareness among adolescent girls, women, boys, and men through health education, menstrual hygiene awareness, nutrition, delayed marriage, reproductive choices, community groups, and improved access to healthcare services.

Prayas implements the Sexual and Reproductive Health of Adolescent Girls and Women project across 30 villages in Pratapgarh (Chittorgarh) district of Southern Rajasthan. The initiative addresses widespread sexual and reproductive health challenges among women and girls, including anemia, poor nutrition, limited access to quality healthcare, menstrual health concerns, reproductive tract infections, and early marriage and pregnancy. The project works with adolescent girls and boys aged 14–19 and women up to age 49, while also engaging husbands, young men, frontline health workers, and community members. It aims to challenge traditional beliefs and practices that negatively affect sexual and reproductive health and to build knowledge, life skills, and community support systems. Key activities include educating adolescent girls about delayed marriage and pregnancy until they are nutritionally, cognitively, and legally ready, improving menstrual hygiene, preventing sexually transmitted and reproductive tract infections, and educating boys and husbands about reproductive choices and gender-based violence. Frontline health workers are trained to provide appropriate sexual and reproductive health services, while stronger coordination between public healthcare providers and communities is encouraged. With IDS support, Prayas conducted a 20-question survey involving more than 800 girls and women and 300 boys to assess their knowledge and understanding of sexual and reproductive health. The organization also assessed healthcare facilities, Anganwadi centers, and Public Distribution System (PDS) shops to identify gaps in health and nutrition services. Village-level Report Cards were developed to assess community satisfaction and monitor indicators such as immunization, functioning of healthcare and Anganwadi centers, health-worker performance, maternal and infant deaths, and access to maternal health schemes. Villages were categorized using a Red, Yellow, and Green system, with action plans developed to improve their performance. The project also regularly tracks the health of 217 pregnant women and assists them in accessing maternal health schemes. In addition, an awareness campaign on the importance of immediate and exclusive breastfeeding was conducted across seven Panchayat villages, reaching 268 women. A notable example of community leadership came from adolescent girls in Shahaji Pathar village, who identified the accumulation of dirty water around a school hand pump as a health concern. They mobilized other schoolgirls, dug a drainage channel to remove standing water, and covered the muddy area with sand and stones. Their initiative helped reduce stagnant water and the associated risk of disease, while demonstrating the girls' growing confidence in identifying and addressing community health issues.