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Community Midwives (CMWs) are a key cadre of community-level reproductive health service providers in Pakistan. CMWs provide a range of maternal and child health (MCH) services including family planning (FP), but due to a lack of supplies and training and other reasons they are currently not providing FP services. This pilot study examined the effects of providing training in client-centered FP service provision, a regular supply of free contraceptives, and necessary equipment on the uptake, outreach, and quality of CMWs’ FP services. The study was conducted in Tando Allah Yar, a district of Sindh with average provincial demographic and socioeconomic characteristics. The aim was to identify expeditious and cost-effective ways of utilizing existing health resources to improve women’s rights-based access to FP services in Sindh, particularly its rural areas. The longer-term goal was recommending the involvement of CMWs in strategies to enhance availability of quality FP services to Pakistani women and men elsewhere. The study used a quasi-experimental mixed-methods design, and data were used to assess changes in the quality, uptake, and outreach of FP services provided by CMWs.