The purpose of this study was to explore the perceptions of rural Filipinos concerning the various factors influencing birth spacing. The Household Production of Health nested in the Ecological Model was used to provide the conceptual framework for this study. Analysis of ethnographic data produced one domain of meaning, Factors Influencing Birth Spacing, and six categories: (a) gender relations, (b) religion and the Catholic Church, (c) contraceptive technology, (d) media, (e) family and friends, and (f) family planning education. Understanding the factors influencing birth spacing in different cultures may provide health care providers with a broader scope for providing culturally competent care.