In many countries and regions of the world, young people (ages 10-24) experience early marriage followed directly by pressure to bear children, making young married women (YMW) a cohort with particularly high fertility rates, high unmet need for contraception, and high rates of closely spaced pregnancies. Young married women and first-time parents (FTPs) face a unique set of challenges to living healthy sexual and reproductive lives—challenges that are different to those faced by unmarried adolescents, older married women or older parents.