Postpartum family planning (PPFP) and postabortion family planning (PAFP) are recognized as high-impact, evidence-based interventions that can reduce maternal and child mortality and morbidity, respond to unmet need for voluntary contraception, and accelerate progress toward the Sustainable Development Goals. Although there has been progress over time and some notable success, efforts in scaling up PPFP and PAFP have been uneven, as the result of a variety of continuing barriers. Scaling up PPFP and PAFP requires stronger health system stewardship, community and private sector engagement, measurement, and financing. Maternal health leadership is also essential.