Acceptability of Depo-subQ Provera 104 in Uniject vs. Intramuscular Depo-Provera Among HIV+ Women & Providers, Uganda

Acceptability of Depo-subQ Provera 104 in Uniject Versus Intramuscular Depo-Provera Among HIV-positive Women and Family Planning Providers in Rakai, Uganda

The purpose of this study is to assess acceptability and side effects of a low-dose injectable contraceptive formulation which is delivered under the skin (subcutaneously), as compared with injectable contraception delivered into the muscle (intramuscularly) among adult HIV-positive women who attend mobile clinics for HIV care and wish to use injectable contraception. The investigators will also assess experiences experiences delivering these two types of injections among health care providers working within the HIV care clinics.

Inclusion Criteria:

• HIV+
• Woman aged 18-45
• Wishes to prevent pregnancy by use of injectable contraception and intends to continue using injectable contraception for next nine months
• Medically eligible for injectable contraception
• Capable of providing informed consent
• Willing to provide contact information
• Agrees to trial participation
• Intends to live in the area for the next nine months
• May or may not be currently using a first-line antiretroviral therapy regimen (includes: AZT/3TC/EFV; AZT/3TC/NVP; CBV/EFV; D4T/3TC/EFV; D4T/3TC/NVP; TDF/3TC/EFV; TDF/3TC/NVP)

Exclusion Criteria:

• Currently pregnant
• Desires pregnancy within next nine months
• Contraindications to using injectable contraception
• On second-line antiretroviral therapy regimen