This brief presents results and lessons learned from a youth-focused project in Kailali District implemented between 2012 and 2014. The project demonstrated that, working in consultation with health-care providers and other adults, young people can play a meaningful—even essential—role in improving the quality of sexual and reproductive health services for young people. It also showed that young people, with appropriate training and support, can effectively inform and counsel their peers about sexual and reproductive health and rights, including abortion.