One Key Question®


Best Practice

One Key Question®

State/JurisdictionSettingPopulationTopic AreaNPMs
NationalClinicalWomen/Maternal HealthReproductive Health1

One Key Question® is a transformative tool for health and social service providers that starts the conversation about if, when, and under what circumstances women want to get pregnant and have a child. The notion behind One Key Question® is simple: it provides a framework for health providers, social service providers, and champions who support women age 18-50 to routinely ask, “Would you like to become pregnant in the next year?” Though this is a seemingly simple question, the answers are more complex. One Key Question® meets women where they are, by offering four responses: yes, no, ok either way, and unsure. Follow up counseling is patient-centered and can be tailored appropriately based on a woman’s response.

One Key Question® is effective because it focuses on understanding a woman’s goals and providing follow-up care based on her response, whether that is for birth control, preconception health, prenatal care, or referral to other services. One Key Question® proactively addresses the root causes of mistimed pregnancies, poor birth outcomes, and disparities in maternal and infant health. It is non-judgmental and equally supports women who want to become pregnant, those who do not, and those who are ambivalent.


contact information

Power to Decide
Becky Griesse, Director of Programs at Power to Decide
bgriesse@powertodecide.org
703-581-4795

Project Website