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

India's efforts to promote family planning have produced a significant increase in the couple protection rate (CPR) which has increased by about 33 percent during the last 22 years-from 10.4 percent in 1970 to 43.5 in 1992.