The Helping Mothers and Children Thrive (HEMAYAT) Project is a five-year USAID funded project whose goal is to increase utilization of high quality family planning, maternal, newborn, and child health (FP/MNCH) services through culturally-appropriate and cost-effective interventions to strengthen and enhance existing primary care services provided through and in partnership with the Ministry of Public Health (MoPH) BPHS (Basic Package of Health Services) and private sector. Specific project objectives include increasing access to and availability of sustainable health services at facility and community levels, improving quality of equitable, gender-sensitive health care services, increasing individual, household, and community demand for health services, and strengthening MoPH’s stewardship of FP/MNCH programs. The project will focus on the 23 provinces with low utilization of skilled birth attendance, 16 of which also have the lowest utilization of modern family planning methods. Together these provinces account for 48% of the national population. Vulnerable and difficult-to-reach populations may have low health seeking behavior, misconceptions that drive harmful traditional practices, specific health needs, or outreach needs based on milieu. Recognizing that significant variations in health situation exist between districts and sub-districts in each province, we will promote access to and generate demand for FP/MNCH services by working with provincial health authorities and communities to strive toward universal coverage in priority areas.