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This literature review was prepared for a technical consultation on fertility awareness held by IRH in July 2013. Literature on fertility awareness was identified and the findings and trends regarding how fertility awareness knowledge, or lack thereof, appears to influence sexual and reproductive health attitudes and behaviors across the life course were analyzed. Findings and lessons learned from interventions and programs that have incorporated a fertility awareness component were also documented.

By searching the literature for the evidence of fertility awareness knowledge across the life course and its possible influences on attitudes and behaviors, this paper aims to document the potential relevance, or value-added, of fertility awareness as an empowering intervention and foundation for good sexual and reproductive health.