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

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

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.

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 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.

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.