49. While youth did not have access to reliable information on SRH or family planning, contraceptives are only accessible to married couples.109 Although parents were aware of the importance and support SRH education, age appropriate SRH education was not provided in schools.110 50. MDHS 2018 revealed that 13% of women aged 15-49 are circumcised; prevalence of female circumcision substantially increased with age, from 1% among women aged 1519 to 38% of women aged 45-49. Among women who have heard of female circumcision, 10% believe that the practice is required by their religion, and 8% believe that the practice should be continued.111 Data on the frequency of FGM is not available. Some religious leaders with extreme views have called for revival of the practice, public discussion of the issue is restricted due to societal stigma.112 51. NSFPS requires written spousal consent for surgical sterilization which indicates an indirect barrier to family planning and bodily autonomy. 113 23