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Family Planning

Family planning services are an important component of USAID’s comprehensive maternal health strategy, which seeks to support the health needs of women from pre-pregnancy through post partum care. Interventions under this maternal health strategic objective focus on providing voluntary child spacing services in order to prevent unwanted pregnancies and abortions and promote optimal birth spacing.

Closely spaced pregnancies, multiple pregnancies, and pregnancy among very young and older women place mothers and their newborns at higher risk for illness and even death. Family planning services can help couples achieve the number and timing of their children, while reducing health risks.

Recent research found that birth intervals of three to five years are safer for mothers and babies compared to birth intervals of two years of less. Children born 36 to 41 months after their next older sibling have a lower risk of neonatal, infant, and under-five death as well as a lower risk of stunting and being underweight than children born 24 to 29 months apart. Mothers benefit as well with longer birth intervals. Birth intervals of 27 to 32 months place women at a decreased risk of maternal death, third trimester bleeding, premature rupture of the membranes, puerperal endometritis, and anemia compared to births spaced 9 to 14 months apart.

Early motherhood is dangerous for both mother and baby. Because of their physical immaturity, teens are more susceptible than their older counterparts to pregnancy and birth complications and death. Family planning services can help women postpone pregnancy until they are physically mature enough to avoid these risks. By delaying early pregnancy, mothers are also more likely to give birth to babies that survive infancy.

Family planning information and services are important components of good quality antenatal, postpartum, and post abortion care. These occasions provide an opportunity for health providers to discuss with women the benefits of birthspacing for their health and health of their current and future children. A woman’s family planning options and desires vary throughout her lifetime, and continuity of reproductive health care promotes appropriate birthspacing and limiting options. For example, during antenatal care, providers and mothers-to-be might discuss the benefits of spacing subsequent children. At a postpartum visit, providers can educate women on the nutritional and birthspacing benefits of breastfeeding. And, during post-abortion care, health providers can discuss family planning options for avoiding unwanted pregnancy.

Learn more about USAID's Family Planning Services.

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