Educated and literate couples in urban areas voluntarily accept artificial birth control methods. But here also the information provided is partial, and often very little about the possible side effects is known to the social workers who are the main informers in this regard. The medical practitioners themselves mostly keep their mouths shut and do not feel responsible for any side effects of the methods they prescribe. Poor and illiterate women in general adopt any method considered most suitable by their husbands and social workers. In this kind of situation and context, women, who are educated and quite informed about the pros and cons of each birth control method, have become concerned regarding the helplessness of most women in the country.
Poor women are under pressure to adopt one of the methods offered by the family planning agencies.
They feel the urgent need for spacing childbirth to earn their living. In most cases poor women are not taken care of by their husbands. This indeed is the real situation. Reproductive health activists in Bangladesh have different answers to these questions. She even accepts such controversial methods as Norplant and says that the Norplant trial is a case of 'taking a smaller risk for a bigger benefit.