 This study examines the relationship between lower tiers of government healthcare facilities and unmet needs for contraception and contraceptive use in Bangladesh. The results show that home visits by family welfare assistants, FWA's and visits to community and satellite clinics are associated with a lower likelihood of unmet need for modern contraception and a higher likelihood of using modern contraception. However, coverage of these services is low in Bangladesh, highlighting the urgent need for greater government initiatives to increase the number of FWA's and monitor their performance at the field level. This article was authored by M.D. Nurujaman Khan, Shinnlin Jaha Khanam, M.D. Mo Stored Ali Khan and others.