 Increasing contraceptive usage and family planning also improves maternal health through reduction in numbers of higher risk pregnancies and by lowering the inter-pregnancy interval.In Nepal a strong emphasis was placed on providing family planning to rural regions and it was shown to be effective.Madagascar saw a dramatic increase in contraceptive use after instituting a nationwide family planning program, the rate of contraceptive use increased from 5.1% in 1992 to 29% in 2008.