As people grow older, they face shifting pressures to fulfil community and familial expectations related to sex, marriage, and childbearing. As their roles evolve, their need for family planning often recedes from the view of policymakers and programme designers. The younger a girl is at the time of marriage, the greater the challenges she feces in controlling her own fertility, and the more subject she is to closely spaced and repeated pregnancies (Rutstein 2008). Often overlooked in the design of family planning policies and programmes are men over the age of 49 whose fertility declines only gradually as they age.