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

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

IT is indeed a tall claim, almost an impossible task - to set in motion the immobile-to create spectators who would continue to perform.

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

STRONG preference for sons over daughters exists in the Indian subcontinent, east Asia, north Africa and west Asia unlike in the western countries [Muthurayappa et al 1997, Lancet 1990, Okun 1996].

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.

In the year 1950, injectable contraceptives were developed (containing only progestin). For the treatment of endometriosis and endometrial cancer as well as of painful menstrual periods, (dysmenorrhoea), excessive hair growth (hirsutism), and bleeding disorders, progestins were finally used.

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.