The relationship between availability of health services, particularly family planning services, and fertility is central to demography. In this paper we investigate the relationship between access to family planning, maternal, and child health services and the transition to first and third births. Further, we examine whether these relationships vary by women’s education. This paper builds on the vast, robust empirical evidence in this area in multiple ways. By examining birth timing, as opposed to contraceptive use, we are able to see the overall relationship between health services and fertility, regardless of any contraceptive failures or changes in desires. Additionally, by looking at the transitions to multiple parities we provide evidence on the mechanisms through which increasing access to health services influences fertility. In subsequent analyses we also plan to explore whether these relationships have changed over time along with the secular increases in health services and decreases in fertility.