In order to promote uptake of contraceptive services, Government of India has renewed its efforts to focus on postpartum contraceptive services, especially PPIUCD. Several steps were undertaken such as training of service providers, strengthening counseling services and creating awareness about PPIUCD method. These steps have resulted in rapid increase in number of PPIUCD insertions in the several states of India.

The present study was conducted in two states of India; Rajasthan and Maharashtra to assess the status of PPIUCD Program. The specific objectives included a review of the PPIUCD programme implementation in the state in terms of strategy, implementation and monitoring, to assess the quality of care involved at the facility level in terms of counselling, quality of service (including eligibility assessment and infection prevention), and follow up, to understand service providers’ perspectives, practice and experience with PPIUCD service and to understand client’s experience with PPIUCD insertion with regard to: decision-making about method choice, consent, information received, insertion experience, satisfaction, perceived side effects and care seeking for them, continuation of method, and any issues related to the use of PPIUCD.