You might want to contact Gregory and/or Anita from Hands of Hope.

http://hands-of-hope.com

They have founded a clinic in a different rural area of the country. If nothing else, they would be another set of ears to bounce ideas off of. Also, they have had some luck in educating women that it is better for the already born baby and better for the mother if the mother's body can rest a while before she gets pregnant again. Recognizing that most women do not have control of their bodies, with the above argument, they have had some women who have chosen the five-month birth control shot. They can get the shot, and their husband doesn't have to know.

Beth in MN