Over the past 25 years, as the HIV epidemic took hold in many countries, a number of observational research studies suggested a possible increased risk of HIV acquisition for women using progestogen-only injectables, particularly DMPA-IM.

 The purpose of this guide is to facilitate effective and guided community discussion on the issues of cultural and traditional practices that contribute to the spread of HIV in the community, and to help Change Agents in the community to carry out prevention activities in ways that incorporate appropriate and culturally sensitive messages to achieve project objectives.