Today, more than 214 million women in low- and middle-income countries who want to avoid pregnancy don’t use modern contraceptives. And women still face 98 million unintended pregnancies every year, some of which result in death. Pressures to meet the evolving needs and priorities of diverse populations pose challenges to health systems globally. At the same time, even as countries redouble their efforts to achieve Universal Health Coverage, sexual and reproductive health planning often does not include a critical and powerful partner: women themselves. Self-care has the potential to change that. Women have been self-managing their contraceptive needs for decades, including through the use of condoms and contraceptive pills. But they need more options.