The Guatemalan population has increased from 3 million to over 11 million s
ince 1950. A close took at the Guatemalan population boom, especially among
Mayas, reveals several interrelated factors at play, including 1) a lifest
yle based on manual labor and cooperation of kin, 2) inadequate indigenous
contraceptive techniques, 3) poverty and marginality from public services,
4) ethnic distrust, 5) religion, 6) gender inequality, and, ultimately, 7)
inadequate international and state assistance for family planning. Despite
the myriad challenges to family planning in Guatemala, the physical and cul
tural accessibility to contraceptives can be enhanced by a holistic family
planning program.