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 …