The study will be conducted in two selected administrative divisions of Bangladesh: one high performing (Rajshahi) division and one low performing (Chittagong) division. Based on the performance of health and family planning indicators, the selected districts are: Natore from the high performing (Rajshahi) division and Cox's Bazar from the low performing (Chittagong) division. In high performing division, one upazila (Bagatipara) of Natore district will be the intervention upazila while Baraigram of the same district will be the comparison upazila. On the other hand, one upazila (Chakaria) of Cox's Bazar district will be the intervention upazila while Ramu will be the comparison upazila. A total of 4 upazilas (2 intervention and 2 comparision upazilas) from the two divisions will be selected for the study.