Shreya Suri
January 27, 2026
Fatima sat across from the community health worker, finally voicing what she’d been afraid to say. “I need to stop having children,” she whispered. “I already have six. My body can’t take another pregnancy. But my husband won’t allow contraception. And even if he did, the nearest clinic is three hours away by bus. I can’t afford the fare.”
The health worker nodded. She hears this story daily in rural Pakistan. Fatima is one of 164 million women of reproductive age worldwide with an unmet need for contraception. They want to prevent or delay pregnancy but aren’t using any contraceptive method.