Efficacy Testing of a Multi-Level Family Planning Intervention

Inclusion Criteria: * Women aged 18 (or emancipated minors - those 15-17 who are married and/or have children) to 49 and men aged 18 (or emancipated minors age 15-17) to 54. The upper age limits follow those used by the Demographic and Health Surveys (DHS) to define "reproductive age." * Married or considers themselves married and living together most of the time * Residing in communities selected for study inclusion * Luganda speaking * Sexually active with spouse within the past 3 months or planning to resume sex within the next 3 months if the woman is within 2 months postpartum * Not currently pregnant (confirmed via pregnancy test); can be eligible to enroll later once postpartum * The woman has an unmet need for family planning, i.e., the woman reports not wanting to become pregnant within the next 2 years but is not using any effective methods (IUD, injection, oral pill, implant, vasectomy, tubal ligation, condoms 90% of the time or more) or is using only lower-efficacy methods (condoms less than 90% of the time, lactational amenorrhea, fertility-awareness based methods e.g., counting method, withdrawal). Exclusion Criteria: * At least one person in the couple does not expect to be available for all sessions * The woman or man is not able to reproduce due to a known medical reason (e.g., hysterectomy, as told by a doctor) or last period greater than 6 months for women that are not postpartum.