Prevalence of and barriers to dual-contraceptive methods use among married men and women living with HIV in India.
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.


CONCLUSIONS
There is a need for interventions, including training of health care providers, to increase dual-contraceptive methods use among married PLHIV.
Indian Network for People Living with HIV/AIDS (INP+), Kalaimagal Nagar, Ekkaduthangal, Chennai 600032, India.
Venkatesan
V
Chakrapani
Trace
T
Kershaw
Murali
M
Shunmugam
Peter A
PA
Newman
Deborah H
DH
Cornman
Robert
R
Dubrow
D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D003268:Contraception Behavior; D005193:Family Planning Services / Q000592:standards; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007194:India; D008297:Male; D055815:Young Adult