Poor families are affected badly by not having access to family planning. The women mostly are responsible for the family. If a woman cannot raise her existing children, feed the family by working away from home/in the home/ in the fields etc, the family becomes poor or poorer. Poor families are very unlikely to be able to educate their children to pull themselves out of this cycle. Their living conditions are bad which creates further health problems including malaria, TB, HIV. Children get sex trafficked, stolen or raped going to fetch water, go to the cities for sex work and become open to diseases etc.
A simplistic attitude to this problem will not help.
