Dual Protection = prevent pregnancy + avoid STI/HIV

Options using family planning: Any family planning method with uninfected partner  Condoms Male condoms Female condoms or  Condoms and another family planning method and For example:  Other safe forms of intimacy Some other options:   Delay or avoid having sex Ways to Avoid Both Pregnancy and STIs/HIV Source: WHO and JHU/CCP, 2005.

Why Encourage Dual Method Use Reduces: Risk of unintended pregnancy Transmission of HIV between partners Risk of acquiring or transmitting other STIs Use condoms to protect against STIs/HIV plus another method for increased protection against pregnancy. Dual method use requires ongoing support and encouragement by providers.

Counseling about Dual Method Use Encourage clients to consider: Limitations of a single-method approach Their individual risk of pregnancy Whether partners have HIV or other STIs The negative consequences that may result Users of other methods may be less likely to use condoms. Source: Diaz, 1995.

Counseling about Dual Method Use continued... Teach clients: To negotiate condom use How to use condoms Importance of using condoms consistently and correctly with all partners Encourage dual method use for all clients with HIV who wish to protect themselves.