Sex Transm Infect 81:184-185 doi:10.1136/sti.2004.012013
  • Letter

Contraception’s proved potential to fight HIV

  1. H W Reynolds,
  2. M J Steiner,
  3. W Cates, Jr
  1. Family Health International, USA
  1. Correspondence to:
 Heidi Reynolds PhD MPH
 Health Services Research, Family Health International, PO Box 13950, Research Triangle Park, NC 27709, USA;
  • Accepted 23 June 2004

Mitchell and Stephens1 bring attention to an issue we believe warrants much more emphasis, contraception for HIV infected women. A World Health Organization meeting identified prevention of unintended pregnancies to HIV infected women as a key strategy in preventing mother to child transmission (MTCT).2 To date, three different models have shown the potential impact of family planning services on preventing HIV sequelae. Firstly, a simulation model demonstrated that just moderate reductions in unintended pregnancies to HIV infected women would yield equivalent reductions in infant HIV infections as nevirapine for pregnant, HIV infected women.3 Secondly, another model showed adding family planning to MTCT programmes produced major reductions in infant HIV infections and orphans with this strategy.4 Finally, a third model found that increasing contraceptive use among non-users of contraception who do not want to get pregnant …