Despite the high coverage of reproductive health services, there are a number of remaining challenges: the need to reduce maternal mortality due to AIDS, the low level of exclusive breastfeeding, and the prevalence of low birthweight. There was an increase in the prevalence of births to adolescents (ages 11–19 years), from 12.5% of the total in 1996 to 16.1% in 2009.11 This paper contributes to global policy debates on how reproductive and child health interventions can be improved, by taking into account the equity gaps across different socio-economic and geographic groups and what has caused them, such as malnutrition.