USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project | Niger


Prevention of unwanted pregnancy through timely access to high-quality family planning services is an important determinant of future maternal mortality and morbidity. Healthy timing and spacing of pregnancies is a highly cost-effective intervention for reducing maternal mortality and morbidity. The postpartum period, just after a woman delivers a baby, is a time when many women and their families want access to effective, affordable methods to prevent or delay a subsequent pregnancy. However, routine integration of modern family planning services into postpartum maternal care remains very limited in many settings.

Building on a World Health Organization-funded maternal health implementation research study, URC is working with the Niger MOH in one urban and one rural district to achieve better health and social outcomes for women of reproductive age and their children and families by promoting healthy timing and spacing of pregnancy with a focus on reducing unmet need for family planning services during the early and extended postpartum period.

Key Activities

  • Test approaches to integrate routine postpartum family planning counseling and contraceptive services into postpartum care in referral and peripheral MOH maternities in an urban and a rural setting.
  • Improve the quality of postpartum family planning counseling and contraceptive services.
  • Improve women’s choice and access to long-acting contraceptive methods.
  • Develop an implementation package that can be scaled up to other facilities in Niger.
2013 to present
US Agency for International Development (USAID), Office of Population and Reproductive Health
Niger Ministry of Health
Regions/ Countries 
Geographic Scope 
Ministry of Health (MOH) maternities in one urban and one rural district in Niger’s southwest