BACKGROUND Access to timely initiation of postpartum family planning (PPFP), defined as starting contraception within 12 months of childbirth, is both a critical public health strategy and an essential component of women's reproductive rights (World Health Organization 2013). Short interpregnancy intervals (less than 24 months) are associated with elevated risks of maternal complications, preterm birth, low birthweight, and neonatal mortality (Ali, Bellizzi, and Shah 2023; Conde-Agudelo et al.