The World Health Organization (WHO) defines family planning as the ability of individuals and couples to anticipate and achieve their desired number of children and the timing of their births using contraceptive methods. The 1994 International Conference on Population and Development (ICPD) addressed family planning, birth control, and women’s education, a commitment upheld through subsequent initiatives like the Millennium Development Goals (MDGs), the World Summit, UN Population Fund plans, and the 2030 Sustainable Development Goals (SDGs). The SDGs emphasize universal access to reproductive health care, including family planning, supporting women’s empowerment, gender equality, and health goals in SDGs, Goals 3 and 5. Effective family planning positively impacts economies, maternal and child health, family well-being, and women empowerment. Globally, 966 million women use contraception, 874 million of whom prefer modern methods. However, 164 million still lack access to family planning services. Low- and lower-middle-income countries struggle due to limited service accessibility, weak health systems, sociocultural norms, and legal barriers. High Impact Practices (HIPs)—a group of evidence-based family planning practices to assist in achieving family planning goals—can address these challenges, enhance family planning services, ensure equitable access, and foster positive behavioral change. Implementing HIPs alongside supportive environments has the potential to significantly improve uptake and health outcomes in lower-middle-income countries.