the overall contraceptive use has stood at around per cent since the last decade the policy on paper appears to be ideal however it has faced major setbacks during various stages of being implemented women completely rely on publicly supported services but in the absence of adequate and quality family planning services they forgo the use of contraceptives as a result more than half of the women receive services from private providers which are not cost effective and thus cost has become one of the major barriers in use of family planning methods