There are couples with unmet family planning needs and couples who do
not use any modern method, yet they desire to space or avoid pregnanci
es. Many of them look for safe and effective options like the natural
family planning methods. The Billings Ovulation Method based on single
index cervical mucus parameter is one such option. The present multic
entre trial conducted in India has shown an encouraging use-effectiven
ess of the method, indicating method failure as low as 1.5+/-0.3 and u
se-failure 15.9+/-0.8 per 200 users at 21 months. The method continuat
ion rates have also been as high as 88.3/100 users at 6 months and 52.
0/100 users at 21 months.