In 1993, the Jamaica Contraceptive Prevalence Survey was conducted among 15-44 year old women and 15-54 year old men. The total fertility rate was 3 compared to 2.9 in 1989. Contraceptive use by women in a union increased from 55% to 62%. Condom use increased from 9% to 17%, suggesting the success of campaigns to increase condom use to prevent HIV/AIDS. 69% of men in 1993 used contraception. The most frequently used contraceptives for women in a union were oral contraceptives (OCs) (21%), condoms (17%), and female sterilization (12%). Those men in a union were condoms (33%) and OCs (21%). Use of more effective methods increased with age. Contraceptive use did not vary greatly by sociodemographic group. 94% of 24-month-old or younger children had been breast fed. Mean length of postpartum amenorrhea was 4.7 months. Most pregnancies were unplanned (53% mistimed and 21% unwanted). Women's knowledge levels of contraceptive methods were high for OCs (99%), condoms (99%), injectables (97%), tubal ligation (95%), and IUD (84%). Knowledge levels for men of contraceptives were 98% for condoms, 96% for OCs, 88% for injectables, 86% for tubal ligation, and 53% for IUD. Few women (30%) and men (13%) knew when during the menstrual cycle that women are most likely to conceive. The hospital was the only source for sexual sterilization. Health centers were the leading source of injectables and an importance source of OCs. Pharmacies were an important source of OCs and condoms. Overall unmet need for family planning was 14% for women and 20% for men. Among females, 44% of 15-17 year olds, 80% of 18-19 year olds, and 91% of 20-24 year olds reported sexual experience. Among males, 63% of 15-17 year olds, 96% of 18-24 year olds reported sexual experience. Female youths were more likely to use contraception, especially condoms (>80%) during first intercourse than were male youths (43% vs. 21%).