We conducted qualitative interviews with 30 repeated abortion clients in Ho Chi Minh City, Vietnam. Only 5 women were practicing contraception regularly. A common reason for the nonusage of contraceptives was adverse health effects. Half of women were not counseled during the previous abortions, and contraceptives were given without explanation. Women pointed out that the current service was not enough or in-depth and was not meeting their needs. The type of counseling they wanted was a face-to-face discussion with a physician at a hospital using leaflets and pictures. Concerted efforts are needed to improve the quality of contraceptive counseling and to listen to women's voices.