This community-based cross-sectional study investigates the prevalence of postpartum family planning (PPFP) uptake and its association with joint spousal family planning decision-making among married women in rural Sindh, Pakistan. The study, conducted in Thatta District with a population of approximately 0.98 million people, addresses sociodemographic challenges including high fertility rates, maternal and newborn mortality, and low contemporary contraception use. Targeting married women aged 18-49 who gave birth within the past year, the research utilizes data from the Global Network's Maternal and Newborn Health Registry. Data collection involves a pretested questionnaire administered by trained female data collectors. Statistical analysis includes descriptive statistics and logistic regression using STATA 17. The study aims to fill knowledge gaps regarding factors influencing PPFP uptake, particularly the role of joint decision-making in family planning. Findings could inform targeted interventions to enhance maternal and child health, contribute to existing knowledge, and guide policymakers and healthcare providers in addressing the unmet need for family planning in rural Pakistan.

Inclusion Criteria:

• Women who are married and gave birth a year ago
• Living within the Maternal Neonatal Health Registry catchment area for at least one year.
• Women who will give their consent.

Exclusion Criteria:

• Pregnant women.
• Women who are critically ill and who face significant cognitive barriers that hinder their understanding and participation in the study.

Married women of reproductive age (18-49) who gave birth a year ago and registered in the Maternal and Newborn Health Registry in Thatta District Sindh, Pakistan.