One Saturday a couple of years ago, 16-year-old Edgar Anibal Miranda sat in his bedroom in Guatemala City, listening to the radio. He was surprised to hear a group of young people talking openly about sexual health issues.

“It was strange,” he now says. “I’d never heard anyone talk about these topics – not my parents, not even my school.”

Ingrid Idalia Montes Alvarado, a 44-year-old mother of seven from a poor neighborhood in Guatemala City, had tried just about every family planning method.