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Infectious Diseases in Obstetrics and Gynecology
Volume 2011, Article ID 376432, 8 pages
Research Article

Prevalence of and Barriers to Dual-Contraceptive Methods Use among Married Men and Women Living with HIV in India

1Indian Network for People Living with HIV/AIDS (INP+), 50 (Old # 42/12), Second Main Road, Kalaimagal Nagar, Ekkaduthangal, Chennai 600032, India
2Centre for Sexuality and Health Research and Policy (C-SHaRP), 38, Ground Floor, Rangarajapuram Main Road, Kodambakkam, Chennai 600024, India
3Yale School of Public Health, Yale School of Medicine, 60 College Street, P.O. Box 208034, New Haven, CT 06520-8034, USA
4Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, ON, Canada M5S 1A1
5Center for Health, Intervention, and Prevention, University of Connecticut, 2006 Hillside Road, Unit 1248, Storrs, CT 06269, USA

Received 15 April 2011; Accepted 29 July 2011

Academic Editor: Tessa Madden

Copyright © 2011 Venkatesan Chakrapani 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.


Objective. To describe the prevalence and correlates of dual-contraceptive methods use (condoms and an effective pregnancy prevention method) and barriers to their use among married persons living with HIV (PLHIV) in India. Methods. We conducted a quantitative survey (93 men, 97 women), 25 in-depth interviews, seven focus groups, and five key informant interviews. Results. Prevalence of dual- contraceptive method use increased from 5% before HIV diagnosis to 23% after diagnosis (P < 0.001). Condoms were the most common contraceptive method, with prevalence increasing from 13% before diagnosis to 92% after diagnosis (P < 0.001). Barriers to using noncondom contraceptives were lack of discussion about noncondom contraceptives by health care providers, lack of acceptability of noncondom contraceptives among PLHIV, and lack of involvement of husbands in family planning counseling. Conclusion. There is a need for interventions, including training of health care providers, to increase dual-contraceptive methods use among married PLHIV.