A quasi-anthropological study, relying on structured and unstructured interviews and observation of participants, reveals several factors that have a strong bearing on birth control in a South Indian village, where the level of contraceptive use is lower than the statewide level. These factors are the lack of follow-up services, gender inequality and the unsuitability of sterilization to all working situations and living conditions. To improve program performance and quality of life, the government family planning program needs to address the side effects associated with the adoption of sterilization and facilitate individual choice, taking into account the village's social and economic context.
(International Family Planning Perspectives, 21:98-103, 1995)