Family planning (FP) is a key priority of the Government of Nepal (GoN); specifically, in slowing population growth, ensuring access to high quality services, and reducing unmet need. In 2014, the Adventist Development and Relief Agency (ADRA) began implementation of the two-year Technical Integration for Coverage and Access (TICA) project  in Nepal, funded by USAID through the Advancing Partners and Communities program. TICA was designed as an innovative, integrated FP project to respond to this context, aligned with GoN priorities and policies, and particularly focusing on the needs of adolescents, youth, and rural populations. TICA targeted fifteen village development committees in the three districts of Palpa, Rupandehi, and Kapilvastu.