Sterilization is the most popular method of contraception in India. The 1992-93 National Family Health Survey found that of the 36.2 percent of eligible couples using any modern method, most (30.7 percent) had been sterilized and only 5.5 percent were using temporary methods (IIPS 1995).

The notion of quality in the public health system is becoming increasingly an issue for policymakers and planners in India. The Eighth Five-Year Plan identified the poor quality of family welfare services as one of the factors

In recent years there has been a growing concern in many countries, including India, that public health and family planning programs have placed insufficient emphasis on the quality of their services (Ickis 1992; Khan et al. 1994; Mensch 1993; Miller et al. 1991).

Sterilization for men and women is the most commonly used contraceptive method both in India at large and in Uttar Pradesh.

Legal reforms have been at the centre of the agenda for strategizing gender justice in India. This has been so, right from the time of nine-teenth century social reforms movements, through the period of nationalist struggles, down to the contemporary women's movement.

With the increase in the urbanization and industrialization, the concept of family in India, which once was to create and maintain a common culture among the members of the family, is undergoing changes.

The Shodhini experience has been able to draw upon a range of disciplines in an attempt to develop a woman-centered health care alternative.

The women's health movement in India today is fast gaining momentum, although there continues to be a vast gap between ground realities and women's aspirations. Women's groups are extremely active and are working towards the betterment of health care services nationwide.

The International Conference on Population and Development (ICPD) held in Cairo in 1994 reiterated the need for appropriate health care services that will enable women to go safely through pregnancy and childbirth and produce a healthy infant.

In 1978, the Bangladesh family planning program launched a national program of outreach services that continues to the present. Young married women were hired and trained to visit women in their homes, offer contraceptive services, provide information, and support sustained use over time.