Assessment of family planning awareness and behaviour in a tertiary Healthcare Centre in Vadodara

India’s extensive family planning programme has made great strides, yet a disparity persists between women’s desired fertility and their access to family planning services. The purpose of the present study was to assess the knowledge, attitude towards, and practices of family planning, as well as the unmet need among women in Vadodara, Gujarat, India. A cross-sectional study was conducted among 100 married women of reproductive age attending a tertiary care hospital in Vadodara. Data were collected using pre-tested questionnaires encompassing socio-demographic factors, family planning knowledge, attitudes, practices, and unmet needs. Findings revealed that while 64% of women were aware of family planning, knowledge was associated with age, literacy, and urban residence. All women with knowledge expressed approval, influenced by literacy and urban residence. Family planning practice reached 51%, with method choice varying by age, literacy, urban residence, and accessibility. Unmet needs for family planning were substantial at 28%. The findings of the present study highlighted the need for tailored education, improved access to family planning services, and targeted interventions. Tailored education can enhance knowledge and practice, especially among marginalised groups. Policymakers should prioritise rural access to effective methods. Non-governmental organisations can increase awareness and address unmet needs through community-based interventions. Understanding these factors is crucial for developing effective strategies to improve reproductive health outcomes and achieve desired family size