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This study aimed to evaluate the impact of integrating family planning with maternal and child health (FP-MCH) on the uptake of modern contraceptive methods (MCMs) and related health outcomes in two rural districts of Sindh, Pakistan using a quasi-experimental control before-after study design. Intervention package integrated FP with MCH in the existing public sector at facility and community levels. This included capacity building of health care providers, ensuring sustained supplies of family planning commodities, and community engagement activities through Lady Health Workers (LHW). Data was collected through household surveys at baseline (1st October- 31st December 2020) and endline (1st October- 31st December 2022). Sample size was calculated as 880 married women of reproductive age (MWRA) in each district. The Difference-in-Differences (DiD) analytical method was used to assess the impact of intervention. There was an increase of 11.7% in current use of MCMs in the intervention group compared to the control group (p-value