Between 1971 and 2001 Honduran total fertility rate decreased from 7.4 births to 4.4 births. This is largely attributable to an increase in educational attainment and workforce participation by women, as well as more widespread use of contraceptives. In 1996 50% of women were using at least one type of contraceptive. By 2001 62% were largely due to female sterilization, birth control in the form of a pill, injectable birth control, and IUDs. A study done in 2001 of Honduran men and women reflect conceptualization of reproductive health and decision making in Honduras. 28% of men and 25% of women surveyed believed men were responsible for decisions regarding family size and family planning uses. 21% of men believed men were responsible for both.