• Pakistan has exceeded South Asia's annual growth rate (1.2%) at its current rate of 2.5%, with a high fertility rate of 3.56 births per woman.

• Despite the introduction of the Costed Implementation Plan in 2020, the utilization of MCM is just 26.1% in the region, as found in this study.

• The most common short-term methods were condoms, pills, and injectables, while long-term methods were less common (among them, implants and IUDs were used). 

• The most accurate predictors of MCM usage were reported as

             -Number of children (4 or more),

            - mother’s education (primary level),

            - husband’s education (middle level),

            - postnatal care visits of the mother, Lady Health Worker’s counseling as part of post-natal visits

• The study showed that women preferred to use MCMs to limit their family size rather than for spacing, particularly among older women, hence, there is a high unmet need for younger women to utilize MCMs to space out their pregnancy.

• The study underscored the need for counseling and guidance for women, especially during the postnatal period, and spousal support to increase the uptake of MCMs.

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