With all the other methods out there now like the injection/implant/coils which are all far more reliable than the pill and don't require the user to remember to take a pill every day.
I'm a CASH nurse and it always amazes me how so many women flat out refuse to even try any of the alternative methods. One woman who had been on the pill for a few years but had to stop taking it due to health issues outright refused to try out any of the alternatives because they sounded "horrible" and decided to just stick to condoms.
I think there's a lot of myths and misconceptions surrounding these methods and people believe them and this puts people off.