Increasing family planning acceptance and efficacy is considered a key
public health issue in many Pacific Island nations. To access the str
ucture of family planning acceptance in Samoa, structured interviews w
ere conducted with 155 reproductive age women from seven villages in b
oth rural and urban settings. The survey data show accord with returns
on contraceptive use from Samoan clinics, and demonstrate that awaren
ess and use of contraception have increased markedly in the previous d
ecade but desired family size remains high in younger women. A notable
feature of the Samoan women's contraceptive experience is the lack of
diversity of reported contraceptive behaviours and attitudes based on
age, urban versus rural residence, and education.