Advanced maternal age and high-parity pregnancy -- The role of culture and community support in family planning in Togo and Niger.

In 2015 the Health Communication Capacity Collaborative (HC3) conducted research to better understand the knowledge attitudes practices and socio-cultural factors in Togo and Niger that lead women to continue having children later in life and after they have already had many births. Focusing solely on women age 35 and older and women having five or more births HC3 analyzed Togo and Niger Demographic and Health Survey data as well as data (n=760) from a larger 2014 Camber Collective family planning study. HC3 also conducted qualitative research in Niger and Togo (n=285) with women male partners healthcare providers and community leaders. The research ultimately informed the HC3 Healthy Timing and Spacing of Pregnancy (HTSP) Advanced Maternal Age and High-Parity Pregnancy Implementation Kit. This brief is one of a series of three and presents findings from this research.