Reducing high fertility and slowing population growth provided the dominant rationale for family planning programs in the 1960s and 1970s. The rationale was based on concerns over the potentially negative effects of rapid population growth and high fertility on living standards and human welfare, economic productivity, natural resources, and the environment in the developing world but still surveys showed substantial unmet need for family planning (Bongaars et al., 2012). During the 1980s, the public health consequences of high fertility for mothers and children are set of concerns for international community especially for developing countries. High rates of infant, under-five children mortality, and maternal mortality as well as abortion and its health consequences, were pressing health problems in many developing nations and had also become of greater concern for international development agencies (Defossez, 1989; United States Aids for International Development, 2006; Potts, 1986).

Family planning services contribute significantly in improving the social and economic situation of women. Simply by providing contraceptives to women who desire to use it, we can reduce maternal deaths by as much as one-third because avoiding pregnancy at the extremes of maternal age, decreasing risks by decreasing parity. If all women had five births or fewer, the number of maternal deaths could drop by 26% worldwide; preventing high-risk pregnancies such as decrease maternal deaths by