This regional study provides a comprehensive analysis of contraceptive use, preferences and barriers across 17 countries and territories in Eastern Europe and Central Asia. Drawing on mixed-methods research involving women and health-care providers, it examines how policy environments, service delivery, individual experiences and community dynamics shape access to modern contraceptives. The report highlights persistent challenges and recommends measures to strengthen individual autonomy, improve service quality and ensure equitable access to modern contraceptive methods throughout the region.