Multipurpose prevention technologies for sexual and reproductive health: mapping global needs for introduction of new preventive products

• Published in: Contraception (Stoneham) Vol. 93; no. 1; pp. 32 - 43
• Main Authors: Schelar, Erin, Polis, Chelsea B, Essam, Timothy, Looker, Katharine J, Bruni, Laia, Chrisman, Cara J, Manning, Judy
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.01.2016
• Subjects: Adolescent; Adult; Africa - epidemiology; Americas - epidemiology; Asia - epidemiology; Contraception; Contraceptive Agents - supply & distribution; Europe - epidemiology; Female; Geographic Information Systems; Geographic Mapping; Global Health; Health Services Needs and Demand; Herpes Genitalis - epidemiology; Herpes Genitalis - prevention & control; HIV; HIV Infections - epidemiology; HIV Infections - prevention & control; HPV; HSV-2; Humans; Middle Aged; Multipurpose prevention technologies; Obstetrics and Gynecology; Oceania - epidemiology; Papillomavirus Infections - epidemiology; Papillomavirus Infections - prevention & control; Pregnancy; Pregnancy, Unplanned; Prevalence; Unintended pregnancy; Young Adult; Americas; Asia; Europe; Africa; Oceania; Multipurpose prevention technologies; HIV; HSV-2; Unintended pregnancy; HPV
• ISSN: 0010-7824; 1879-0518
• DOI: 10.1016/j.contraception.2015.09.002

Abstract Objectives Worldwide, women face sexual and reproductive health (SRH) risks including unintended pregnancy and sexually transmitted infections (STIs) including HIV. Multipurpose prevention technologies (MPTs) combine protection against two or more SRH risks into one product. Male and female condoms are the only currently available MPT products, but several other forms of MPTs are in development. We examined the global distribution of selected SRH issues to determine where various risks have the greatest geographical overlap. Study design We examined four indicators relevant to MPTs in development: HIV prevalence, herpes simplex virus type 2 prevalence (HSV-2), human papillomavirus prevalence (HPV) and the proportion of women with unmet need for modern contraception. Using ArcGIS Desktop, we mapped these indicators individually and in combination on choropleth and graduated symbol maps. We conducted a principal components analysis to reduce data and enable visual mapping of all four indicators on one graphic to identify overlap. Results Our findings document the greatest overlapping risks in Sub-Saharan Africa, and we specify countries in greatest need by specific MPT indication. Conclusions These results can inform strategic planning for MPT introduction, market segmentation and demand generation; data limitations also highlight the need for improved (non-HIV) STI surveillance globally. Implications MPTs are products in development with the potential to empower women to prevent two or more SRH risks. Geographic analysis of overlapping SRH risks demonstrates particularly high need in Sub-Saharan Africa. This study can help to inform strategic planning for MPT introduction, market segmentation and demand generation.