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This report describes the process World Neighbors used to partner with local non-governmental organisations in developing a reproductive health component in Terai, a rural area in the southeastern plains of Nepal. This document describes the setting, design, and unique aspects of the programme, as well as its key accomplishments and lessons learned. The central strategy of the program model is to support reproductive health (RH) through women's empowerment. A key element is the provision of RH services through local NGO-run clinics and outreach services using female providers. Within this framework run several special initiatives include: working with local NGOs that have little or no RH experience; establishing NGO-run self-reliant, rural clinics; providing outreach services linked with self-help groups; the development of formal savings and credit cooperatives (which, in turn, support the clinics); the supportive approach to monitoring and supervision, and addressing the practical needs of rural women