Lecture | Quiz | Learning Exercise | Answer Key

Developed by JHPIEGO’s Training in Reproductive Health Project with funding from USAID.

Lesson 5: Barrier Methods of Family Planning, Dual Protection, and Emergency Contraception
Instructor: Emmanuel 'Dipo Otolorin, MD

Answer Key

Quiz

1. Typical use failure rates for male condoms is of the order of:
   1. 0.2% 
   2. 2.0% 
   3. 20% 
   4. 40% 
   5. 80%
2. Dual protection can be achieved by all of the following EXCEPT:
   1. Male condom alone 
   2. Female condom alone 
   3. Male condom and IUD (Intrauterine Device) 
   4. IUD and Oral pills 
   5. Female condom and Oral pills
3. Which of the following contraceptive methods protect against HIV:
   1. IUDs 
   2. Combined oral pills 
   3. Bilateral tubal ligation 
   4. Norplant implants 
   5. None of the above
4. The following is NOT suitable for use as an emergency contraceptive:
   1. Copper T 380A IUD 
   2. Combined oral contraceptives 
   3. Progestin-only oral contraceptive 
   4. Norplant implants 
   5. All of the above

Learning Exercise

Mrs. X, a 28-year-old housewife, presents in the postnatal clinic 6 weeks after delivery at home with concerns about getting HIV infection from her husband. Prior to conception, she had used Norplant implants for contraception. Her husband, a 33-year-old mineworker, was recently diagnosed with HIV. During discussion with the counselor, she expressed an interest in having her Norplant implants re-inserted so that she will not get HIV from her husband whom she suspects has other sexual partners.

1. What important information will you give the woman about her family planning intentions?
   
   Answer: Even though Norplant implants are excellent contraceptive methods for the prevention of unintended pregnancy, they do not protect against HIV.
2. How can the woman protect herself from both unintended pregnancy and HIV infection?
   
   Answer: Since only condoms have been proven to protect against HIV infection, the woman should be advised to use DUAL PROTECTION by adding condoms to her Norplant insertion to achieve her twin objectives of preventing unintended pregnancy and HIV infection.
3. What other advice will you give the woman?
   
   Answer: It is important for the woman to know her own and her child’s serostatus so that she can act appropriately to prevent infection to or from others. She should undergo VCT (Voluntary Counseling and Testing). She should also discuss with her husband about coming for couple counseling, including discussion of risk reduction behaviors.