Various programmatic responses have over time been initiated and implemented in Kenya by the government with the support of various donors. These have been earmarked at reducing unmet needs and fertility rate while at the same time increase contraceptive prevalence rate (CPR). Despite the initiatives, CPR is estimated to be less than 50% while fertility and unmet needs are still very high. The question is? Which way to go to enhance utilization of contraceptives amongst women in reproductive age especially the poor living in major slums in Kenya including Nairobi, Mombasa and Kisumu