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The report provides information on the key underlying factors behind low uptake of birth spacing services. We hope these findings will guide interventions tailored for birth spacing programmes and improve the lives of women and girls in Somaliland. Additionally, the findings will assist in understanding the impact of the existing interventions towards promoting safe motherhood and inform future programmes that would contribute to behavioral change and increase the tendency of spacing children appropriately hence providing enough space for children to grow. Finally, it will help the government and partners to formulate appropriate programmes for increasing efforts towards promoting child and maternal health.