Across India’s Bihar and Maharastra states, married couples are joining together to reach young couples with modern contraception.

“Initially, when we went to villages,” said Mithlesh, “we weren’t even allowed to enter. They thought we were here to sterilize people. So, we developed a strategy, to communicate with key leaders in the communities. We discussed what we were doing, that we were there to share information and provide family planning options. The leaders listened, and supported our efforts.”