As sterilisation scandals abound, a consensus is emerging for a shift away from sterilisation towards a larger "basket" of contraceptive choices and concomitant improvements in service delivery. That such a shift needs to take place is clear, but precisely how it is to come about, and who gets to determine what is in the basket of choices are questions that deserve greater attention. The neo-Malthusian resurgence, combined with the technical fixation on contraception, favours certain methods over others, but health and safety concerns related to these methods are typically downplayed or suppressed.
