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Family planning improves maternal and child health and is a public health priority. In Belize, contraceptive prevalence is lowest in the Toledo District. Unmet need for contraception in the Toledo District is double that of Belize. Aims of this study were to determine women’s knowledge, current and past use, and preferences for family planning in the Toledo District, Belize. Methodology: We conducted one-on-one semi-structured interviews with a convenience sample of 110 women of childbearing age (15-44 years) who presented for care at Hillside Health Care International’s main clinic, eight mobile clinics, during six home visits, and three community health fairs. Results: Women were predominantly Mayan (80.9%), married (48.1%) or in common-law relationships (30.9%), and had one (30.9%) or 2-4 (28.2%) children. Only 36.8% of women reported ever having had contraceptive options explained to them by a health care provider. Less than half of women were aware of the etonogestrel implant (41.8%), intrauterine devices (22.7%), and female sterilization (6.3%). 58.1% were currently using family planning and 76.4% had ever used family planning. Of women who expressed preference, women preferred injectable progesterone (40.6%), the etonogestrel implant (20.8%), and oral contraceptive pills (18.8%), and less preferred IUDs (6.9%) and female sterilization (2%). Discussion: Knowledge of modern methods of contraception is low among women of the Toledo District, as is uptake of long-acting reversible and permanent methods of contraception. Provider and systems-based opportunities exist to increase contraceptive knowledge and uptake in the region. Correspondence to: Leah M Phillippi MD, MPH, Midtown Pediatrics, Assistant Professor, Children’s Hospital of Wisconsin; Milwaukee, Wisconsin, USA, Tel: (414)277-8900; E-mail: lphillippi@chw.org

Family planning in the Toledo District of Southern Belize: survey of knowledge, contraceptive use, and preferences