Investments in quality family planning programs have proven to be an essential, cost-effective international development strategy and is a critical component of universal health coverage. Expanding method choice has been found to contribute to the desired outcomes of family planning programs, such as higher satisfaction and improved continuation. This brief builds upon previous work in order to broaden the thinking surrounding method choice, to include a fuller examination of how individuals interact with the healthcare system based on their socio-ecological context and how that impacts their choices. The framework proposed in this brief highlights a need to expand traditional voluntary family planning program outcome indicators. Family planning programs should embrace metrics of reproductive agency so that programs consider themselves successful when individuals are able to realize their reproductive intentions.