This brief, a product of the Strengthening Health Outcomes through the Private Sector (SHOPS) project, led by Abt Associates and funded by USAID,  analysizes 14 Demographic and Health Surveys revealing that wealthier women are more likely than poorer women to use long-acting or permanent contraceptive methods instead of short-acting methods. They are also more likely to obtain these methods from the commercial sector. However, in some countries, a substantial minority of women from low and middle wealth quintiles uses the commercial sector for long-acting or permanent contraceptive methods.