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

Every year, as millions of women marry, they dream of starting a family, of having their homes filled with tiny cries and the happy laughter of gurgling babies. In India however, pregnancy is too often followed by the question of
whether the unborn child is a girl or a boy.

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,

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)

There can be little doubt that the last two hundred years have seen advances in health which have seldom before been witnessed in human history.

There can be little doubt that the last two hundred years have seen advances in health which have seldom before been witnessed in human history.

Acceptance and sustained use of family planning especially of modern spacing methods have generally been low in developing countries particularly in India. The use rate for modern spacing methods was only 6 per cent among the eligible couples in India in 1992 (IIPS, 1995).

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.