This case describes a FPAI project for distributing contraceptive oral pills in a rural block of 80,000. The administrator, prior to launching the project, was aware of two major shortcomings of earlier projects: 1) no medical screening of women before prescribing the pills and 2) break down of oral pill supply resulting in discontinuation. Before launching the project, he ensured medical examination and a regular distribution channel. Initially the response was very good with 2,000 acceptors in the first three months but by the end of the first year the discontinuation rate, for various reasons, was 74 per cent. The problem facing the administrator was what he should do to improve the acceptance rate.