BACKGROUND: Family planning is a critical aspect of reproductive health, influencing individuals and couples
decisions regarding contraception. This study explores the pattern of usage of contraceptives viz. condom, injectables, centchroman tablets, oral contraceptive pills and sterilization, including tubectomy and vasectomy. Understanding these associations is vital for improving the role of counselling in family planning services. OBJECTIVE: To assess the magnitude and pattern of contraception usage in an urban health centre in East Delhi. METHODOLOGY: Data were collected and analysed from the family planning counselling register from November 2022 till October 2023 among the couples coming to the family planning clinic of UHTC located in East Delhi. Information about demographic details, live issues, contraceptive being used, contraceptive recommended, client choice and outcome (whether they accepted the recommended contraceptive or not). Responses of beneficiaries were analysed to determine the magnitude and pattern of contraceptive usage. RESULTS: Among 764 couples, the mean age of females and males was 30.36 years (±5.6) and 34.32 years (±6.2), respectively. Among all participants, 38.32% of couples had two children. The usage of condoms was reported by 40.6% of the participants. Out of the total participants, 58.6% received counselling for permanent methods. The unmet need was identified in 25.2% of the participants. CONCLUSION: The study underscores the importance of counselling in shaping family planning decisions. Insights gained in this study can help healthcare providers tailor counselling approaches to better address the diverse needs of individuals and couples.