It is important to understand the social, physical, and administrative environment in which the grassroots components of a health program function and provide services.

The two issues in the field of fertility that have received widest publicity in the recent times in India are the rapidly growing number of clinics that are performing amniocentesis, which is followed by female foeticide and the birth of a test-tube baby in Bombay.

One of the purposes of family planning programmes in developing countries is to provide for the unmet needs of couples for contraception.

Contraception as a behavioral phenomenon has been the focus of many population researches, during the last half a century. In fact, explaining contraceptive behavior is a complex theoretical effort. Learning, motivation,

Infertility has been relatively neglected as both a health problem and a subject for social science research in South Asia, as in the developing world more generally. The general thrust of both programmes and research has been on the correlates of high fertility and its regulation rather than on

The high female infant mortality rates (Miller, 1985); the practice of female infanticide (Krishnaswamy, 1988); the neglect of female children with regard to access to health services, nutrition, (Sen and Sengupta, 1983 and education (Mankekar, 1985); and the sexual abuse of girls (Bhalerao, 1985

A woman would prefer to prevent an unwanted pregnancy rather than having an abortion or carrying the pregnancy to term. No amount of legal or religious restrictions, social stigma or lack of access to professional care can stop her if she decides to seek termination of an unplanned pregnancy.

The paper uses the National Family Health Survey (NFHS, 1992-93) data to examine the extent to which sex preferences have constrained the success of the family planning programme and inhibited the acceptance of contraception in the different states of the country.