Background:After independence family planning programme implemented in 1952 and continuously run the program by the various strategies to curb down population pressure in the study area. In the twenty first century, fertility of the Sagar district is very high and not reached the satisfactory outcome to implementation of the family welfare program. This study try to find out the reality of the family welfare program in the study area and why the implementation out of the program is not reached the satisfactory level.

Methods: This research used primary as well as secondary data. 900 married respondent between the aged 15-49 years of the district interviewed and Census of India data used as a secondary source. Women autonomy index prepared for knowing the status of women in the study area. Bi-variate and Logistic regression analyses are used to examine the association between adoption of contraceptive and socioeconomic factors.

Results: Overall women autonomy index is very low in the district though less educated, rural, Muslim's and higher aged women have low women autonomy index. The adoption rate of contraceptive and high adoption of permanent method like sterilization is recorded after they have higher number of son. Higher education and women autonomy, low son preference increase the adoption of modern contraceptive in the study area which resulted reduced unmet need and fertility. Adoption of contraceptive also reduces 6 percent infant death and 13 percent unwanted birth averted in the study area.

Conclusion: These results highlight the urgent attention for policy maker to rethink about the family welfare program and also attention of the uplift socio-economic factor in study area to reach the replacement fertility goal in near future in the study area.