Ghana was among the first sub-Saharan African countries to adopt a population policy, in 1969. In this paper, individual women are linked to the characteristics of the nearest pharmacy, health facility and source of family planning to assess the relative importance of socioeconomic background and the availability, price and quality of family planning services on contraceptive use and fertility. The results suggest that raising levels of female schooling will also raise contraceptive use and lower fertility, particularly in rural areas. Distance to services remains a binding constraint for contraceptive use among the entire sample and for the urban sample of women. The number of methods offered at a health facility is associated with lower fertility but has no apparent relation with current contraceptive use. The presence of admission fees at the nearest health facilities has no relation with contraceptive use, while the availability of spermicides raises use. Service characteristics have little relation with fertility, leading to the suspicion that some of the services are placed according to patterns of demand. Measures of the quality of the services show no consistent effect in the demand for contraception or on fertility. (Author/JE)