Pretty confident that it is A, judging by that the word composition is used as a combination or a ratio of 2 things. Also none of the other options make sense.
Answer:
Family planning services are "the ability of individuals and couples to anticipate and attain their desired number of children and the spacing and timing of their births. ... Family planning is sometimes used as a synonym or euphemism for access to and the use of contraception.
C) Flexibility; the type and frequency of activity are on target for improvement in this area
