The need to include the wider family  Decisions on how big, or small, a family should be; and how it should be structured are not solely the decisions of husband and wife, or man and woman. Extended family members play a key role. For example, research carried out in Nigeria by Smith (2004) indicates decisions remain influenced by cultural norms and pressures. The pressure for a high fertility, amongst Igbo-speaking Nigerians, is shown to be a paradoxical factor of patron-clientalism and the culture of ‘people power’. High fertility and subsequent kinship networks enable state legibility, resource access, and the continuation of ‘tradition’. Elder family members aim to maintain traditions. A crucial distinction therefore emerges, as it is not simply a rational choice when it comes to family planning but rather influenced by political-economy factors and wider family demands. Therefore including men in Uganda does not necessarily allow an understanding of what role the wider family plays. Decisions on family planning are not simple, or always open for discussion.