We know that there is a gap into which a minimum of 200million women fall because their needs for contraception are unmet. Getting condoms, pills and other supplies onto the ground is one essential part of what needs to be done to deal with this. But it is only one side of the coin. If women are to be able to make use of these then we need to also tackle the flip side of the coin - the gender inequality and unequal power relations between men and women which mean that women and girls often cannot decide when or whether they have sex, including whether contraception is used.