PIP: Major modifications in the field structure and program activities of a simple contraceptive distribution program in rural Bangladesh demanded a more elaborate infrastructure to provide an increased range of methods and services. The modified project was better able to meet the fertility control needs of women as evidenced by higher rates of contraceptive acceptance and continuation. The established infrastructure could be used at minimal incremental cost to provide basic MCH services. The various program modifications are described and the results of fertility control activities over the project's 1st 18 months are analyzed, comparing the findings with the experience of the earlier program.