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Multipurpose prevention technologies for sexual and reproductive health: gaining momentum and promise

      Over the past four decades, the world has made substantial gains in the effort to prevent unplanned pregnancies and reduce the risk of sexually transmitted infections (STIs), including HIV, and other reproductive tract infections (RTIs). Yet, STIs and RTIs still cause a heavy health burden, especially in developing countries, and there is an equally urgent unmet need for contraception [
      • Guttmacher Institute and United Nations Population Fund (UNFPA)
      Adding It Up: The Benefits of Investing in Sexual and Reproductive Health Care. New York: AGI.
      ,
      • Stone A.
      Symposium Report: Advancing Prevention Technologies for Sexual and Reproductive Health.
      ,
      • Cates W.
      • Steiner M.J.
      Dual protection against unplanned pregnancy and sexually transmitted infections: what is the best contraceptive approach?.
      ,
      • International Planned Parenthood Federation
      • University of California San Francisco
      • Joint United Nations Program on HIV/AIDS
      • UNFPA
      • World Health Organization
      Sexual & reproductive health and HIV. Linkages: evidence review and recommendations.
      ,
      • Wilcher R.
      • Petruney T.
      • Reynolds H.W.
      • Cates W.
      From effectiveness to impact: contraception as an HIV prevention intervention.
      ,
      • Feldblum P.J.
      • Nasution M.D.
      • Hoke T.H.
      • et al.
      Pregnancy among sex workers participating in a condom intervention trial highlights the need for dural protection.
      ].
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      References

        • Guttmacher Institute and United Nations Population Fund (UNFPA)
        Adding It Up: The Benefits of Investing in Sexual and Reproductive Health Care. New York: AGI.
        (Available at:)
        • Stone A.
        Symposium Report: Advancing Prevention Technologies for Sexual and Reproductive Health.
        (Available at:)
        • Cates W.
        • Steiner M.J.
        Dual protection against unplanned pregnancy and sexually transmitted infections: what is the best contraceptive approach?.
        Sex Transm Dis. 2002; 29: 168-174
        • International Planned Parenthood Federation
        • University of California San Francisco
        • Joint United Nations Program on HIV/AIDS
        • UNFPA
        • World Health Organization
        Sexual & reproductive health and HIV. Linkages: evidence review and recommendations.
        (Available online at:)
        • Wilcher R.
        • Petruney T.
        • Reynolds H.W.
        • Cates W.
        From effectiveness to impact: contraception as an HIV prevention intervention.
        Sex Transm Infect. 2008; 84: ii54-ii60
        • Feldblum P.J.
        • Nasution M.D.
        • Hoke T.H.
        • et al.
        Pregnancy among sex workers participating in a condom intervention trial highlights the need for dural protection.
        Contraception. 2007; 76: 105-110
        • Allsworth J.E.
        • Lewis V.A.
        • Peipert J.F.
        Viral sexually transmitted infections and bacterial vaginosis: 2001���2004 National Health and Nutrition Examination Survey data.
        Sex Transm Dis. 2008; 35: 791-796
        • Frost J.J.
        • Singh S.
        • Finer L.B.
        US women's one-year contraceptive use patterns, 2004.
        Perspect Sex Reprod Health. 2007; 39: 48-55
        • Glasier A.
        • Gulmezoglu A.M.
        • Schmid G.P.
        • Moreno C.G.
        • Van Look P.F.A.
        Sexual and reproductive health: a matter of life and death.
        Lancet. 2006; 368: 1550-1551
        • CDC
        HIV/AIDS Surveillance Report 2003; (Vol. 15).
        US Department of Health and Human Services, CDC, Atlanta2005
      1. The World Bank and International Monetary Fund. Global Monitoring Report 2009: A Development Emergency. 2009; Washington DC.

        • Bosch F.X.
        • de Sanjos�� S.
        The epidemiology of human papillomavirus infection and cervical cancer.
        Dis Markers. 2007; 23: 213-227
        • UNFPA
        Empowering women to protect themselves: promoting the female condom in Zimbabwe.
        (Available at:)
        • Verguet S.
        • Young Holt B.
        • Szeri A.
        Reframing behavioral acceptability of microbicide gel vehicles in conjunction with biophysical constraints. Presented at the 2009 Advancing Prevention Technologies for Sexual and Reproductive Health Symposium, Berkeley California.
        (Available at:)
      2. Morrow K, Fava J, Rosen R, Kiser P, Katz D. Linking biophysical functions to user perceptions and acceptability in preclinical product development. Presented at the 2009 Advancing Prevention Technologies for Sexual and Reproductive Health Symposium, Berkeley California. Available at: http://www.cami-health.com/APT2009/posters.html.

      3. Arntzen C, Herbst-Kralovetz M, Mason H, Tacket C, Khanna N, Zeitlin L, Whaley K The vaccine and microbicide alliance. Presented at the 2009 Advancing Prevention Technologies for Sexual and Reproductive Health Symposium, Berkeley California. Available at: http://www.cami-health.com/APT2009/posters.html.

      4. Alliance for Microbicide Development. HIV/STI Prevention Research and Development: October 2009 Pipeline Update of Microbicide and PrEP Candidates. Silver Spring, MD. Available at: http://www.microbicide.org/uploads/3/1/2/1/3121935/microbicide_pipeline_update_1_oct_2009.pdf.

        • Nath A.
        • Sitruk-Ware R.
        Novel non-oral hormonal contraceptive methods for women.
        Exp Rev Obstet Gynecol. 2009; 4: 565-573
        • Bolton M.
        • van der Straten A.
        • Cohen C.R.
        Probiotics: potential to prevent HIV and sexually transmitted infections in women.
        Sex Transm Dis. 2008; 35: 214-225
        • Liu X.
        • Lagenaur L.A.
        • Simpson D.A.
        • et al.
        Engineered vaginal lactobacillus strain for mucosal delivery of the human immunodeficiency virus inhibitor cyanovirin-N.
        Antimicrob Agents Chemother. 2006; 50: 3250-3259