Joyce has 11 children. Mary says this casually, as if it’s commonplace. And in her experience as a midwife in Uganda, it is. For women in her community, contraception is largely out of reach. Employment is scarce, so families make ends meet by selling crops from their small gardens. They cannot afford the prices of family planning from private clinics. “The demand for family planning is so high,” Mary explains. “It is really embarrassing for women to have these frequent deliveries when they have other possible ways of preventing them. So access to family planning should be the first priority...