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Infectious Diseases in Obstetrics and Gynecology
Volume 2011 (2011), Article ID 261453, 8 pages
Research Article

Modern Contraceptive and Dual Method Use among HIV-Infected Women in Lusaka, Zambia

1University of Alabama School of Medicine, 1530 Third Avenue South, CRWH-379, Birmingham, AL 35294, USA
2Centre for Infectious Disease Research in Zambia, P.O. Box 34681, Lusaka 10101, Zambia
3Zambian Ministry of Health, Ndeke House, Lusaka 10101, Zambia

Received 15 April 2011; Revised 14 June 2011; Accepted 6 July 2011

Academic Editor: Maura K. Whiteman

Copyright © 2011 Carla J. Chibwesha et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


HIV-infected women in sub-Saharan Africa are at substantial risk of unintended pregnancy and sexually transmitted infections (STIs). Linkages between HIV and reproductive health services are advocated. We describe implementation of a reproductive health counseling intervention in 16 HIV clinics in Lusaka, Zambia. Between November 2009 and November 2010, 18,407 women on antiretroviral treatment (ART) were counseled. The median age was 34.6 years (interquartile range (IQR): 29.9–39.7), and 60.1% of women were married. The median CD4+ cell count was 394 cells/uL (IQR: 256–558). Of the women counseled, 10,904 (59.2%) reported current modern contraceptive use. Among contraceptive users, only 17.7% reported dual method use. After counseling, 737 of 7,503 women not previously using modern contraception desired family planning referrals, and 61.6% of these women successfully accessed services within 90 days. Unmet contraceptive need remains high among HIV-infected women. Additional efforts are needed to promote reproductive health, particularly dual method use.