Outline India, in collaboration with Ipas Development Foundation, leveraged its extensive expertise in reproductive health and public health systems to conduct a qualitative study across Bhopal, Gwalior, Indore, and Jabalpur. The study involved in-depth interviews with key stakeholders, including government officials, healthcare providers, community health workers, and civil society actors. Guided by the World Health Organization Bottleneck Analysis framework, the research assessed governance, financing, service delivery, and community engagement challenges and enablers in scaling up PAFP and PPFP services. Outline India led tool contextualization, field team training, qualitative data collection, transcription, thematic and grid analysis, and comprehensive reporting, working in close coordination with Ipas Development Foundation.