One Key Question™

One Key Question®

One Key Question® is a transformative tool 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 desire for or ambivalence about pregnancy.

One Key Question® is used by thousands of health care and social service providers in approximately 30 states. One Key Question® providers include clinicians, community health workers, home visiting nurses, and many more. One Key Question® has been adopted by large health systems, state and local public health departments, and others to address a myriad of health equity efforts, including perinatal equity and maternal child health.

One Key Question® has been endorsed by both the American Public Health Association and the American College of Obstetricians and Gynecologists as an appropriate and effective Reproductive Life Planning strategy, supported as a promising practice to improve the provision of reproductive health services for women, and is aligned with the Office of Population Affairs and Centers for Disease Control and Prevention’s Quality in Family Planning service delivery recommendation for clinical practice.

To bring One Key Question® to your program:

Please visit our Select360 page or email us for more information.

Power to Decide has exclusive rights to all One Key Question® activities, trainings, agreements, and licenses. 

Our Select360 practice offers providers, organizations, public agencies and others ready-made solutions and technical assistance in program development and evaluation, communication, advocacy, and more.