224 Million Women Still Lack Access to Family Planning

A mother at a clinic in Goma in the eastern DR Congo receives family planning information.

Since 1990, the number of people using modern contraceptive methods has doubled globally. Despite this progress, nearly 224 million women—mostly in developing regions—still do not have access to safe and effective family planning methods, according to the UN sexual and reproductive health agency, UNFPA.

The increased use of contraception represents a major public health success, allowing millions to avoid unintended pregnancies and make informed choices about their futures. However, UNFPA said that “for far too many, the basic human right to choose whether to have children continues to be undermined.”

‘Contraceptives save lives’

The unavailability of contraception leads to a rise in unintended pregnancies and higher rates of maternal deaths caused by unsafe abortions, UNFPA warned.

The consequences extend far beyond health—contributing to increased adolescent pregnancies, school dropouts, and a heightened risk of gender-based violence.

“Contraceptives save lives,” reiterated Diene Keita, the UNFPA Executive Director.

She added that contraceptive access also brings significant economic benefits. “Every $1 spent on ending the unmet need for contraception yields nearly $27 in economic benefits,” Ms Keita said.

Five common myths about contraception

1. Contraception is unsafe

Modern forms of contraception are among the “most prescribed and well-studied” medications in existence, according to UNFPA. Health risks associated with unintended pregnancy are “significantly higher” than any recommended contraceptive method.

2. Using contraception can cause an abortion

Contraceptives do not cause abortion or miscarriage. They work by preventing fertilisation or ovulation—stopping pregnancy from occurring in the first place.

3. Birth control damages fertility

Contraceptives do not cause infertility. Some hormonal methods, such as injectable contraceptives, may temporarily delay the return of ovulation and menstruation, but they do not lead to permanent infertility.

4. Natural methods are safer than hormonal methods

Alternative methods—such as cycle tracking or fertility awareness—have gained popularity on social media. However, UNFPA stressed that these “natural methods” are “significantly less likely to prevent pregnancy.” The most effective forms of contraception are modern methods.

5. You shouldn’t use contraception if you’re single or if your partner disapproves

Research shows that young people with access to sexual and reproductive health information do not increase their sexual activity. Instead, they make more responsible decisions.

“Every individual has the right to decide whether or not to become pregnant,” UNFPA said. No one should ever be pressured into having unprotected sex—a form of reproductive coercion that UNFPA reiterates constitutes abuse.