Abstract: As per NFHS-4, the current fertility levels, a woman in Uttarakhand have an average of 2.1 children in her lifetime. The report suggested that condoms are the most commonly used spacing method (used by 22.7 percent of currently married women). The ninety-four percent of sterilized women had the operation in a government facility and almost equal proportion of IUD users had their IUD insertion in the public (46%) and private (45%) hospitals. More than half of pill users got their most recent supply from the private medical sector, which is also the most common source for condoms.