Contraceptive use represents a dynamic decision-making realm and thus offers a useful
lens through which to understand broader social processes such as the pursuit of marriage
and education. In light of rising educational opportunities, young women in Malawi are
faced with a decision-making dilemma regarding pregnancy prevention. The goal of
preserving their prospects for marriage discourages their use of highly effective
contraceptive methods, while the hope of continuing an education encourages the use of
contraception. Using focus groups, and in-depth interviews from rural Malawi, this study
distinguishes three types of contraceptive users based on combinations of life goals: the
“Minimalist”, the “Gambler”, and the “Pioneer.” Understanding these three orientations
toward contraception highlights the importance of examining life course transitions as
interdependent, and often, competing pursuits. This paper illuminates the complexity of
sexual health decision-making, which can be difficult to ascertain from quantitative
studies.