Family planning in Tanzania dates back to 1959 when the International Planned Parenthood Foundation (IPPF) introduced family planning programming through its affiliate, UMATI – the Family Planning Association of Tanzania. The government’s move in 1974 to grant UMATI the approval to expand family planning services to public-sector maternal and child health (MCH) clinics throughout the country, was a testimony to its commitment. Despite growing challenges, a steady rise in contraceptive uptake over the years and has been a strong indication in government’s commitment in the implementation of family planning interventions in the country with the first National Family Planning Program launched in 1989 whereby only 5 percent of women were using modern family planning methods. Between 1992 and 1996, the percentage of women using modern methods doubled from 6.6 percent to 13.3 percent, and number of children per woman dropped from an average of 6.3 to 5.8 births per woman. Ever since, contraceptive prevalence rate (CPR) has been growing and fertility levels dropping, albeit gradually.