In 1960, FDA approval of the first hormonal contraceptive—more commonly known as “the pill”—revolutionized sexual and reproductive health, giving women unprecedented control over their fertility for the first time in history. Today, there are a range of contraceptive products available to women across the globe. Of the over 30 MPTs in the product development pipeline, 18 have a contraceptive component combined with protection against select sexually transmitted infections (STIs), including HIV, herpes simplex virus (HSV), and chlamydia. Still, women around the world need more choices. As a woman’s needs change and evolve over her lifespan, having a suite of product options for protection against unplanned pregnancy, HIV, and other STIs remains critical.

Imagine if women could take one pill every day and be protected from unintended pregnancy AND HIV? 

And what if this pill was available within several years? 

We believe the fastest route to a contraceptive MPT is to combine two products that are ALREADY ON THE MARKET into a single pill.

A dual-purpose pill has the potential to play an important role in helping women protect themselves against both unintended pregnancy and HIV infection.

The Population Council is working with partners to fast-track development of dual- purpose pill

As an HIV tester and counselor during my university days and beyond, I learned very quickly that most people have more pressing issues to deal with in their lives than HIV prevention. At at Oberlin College, I often saw clients shortly after an unprotected sexual encounter. For most, condom use to protect against HIV and other STIs had to be negotiated alongside myriad influential experiences and other barriers – including insecurity around the sexual relationship, fear around the sexual encounter, school stress, mental illness, and financial hardship, just to name a few. The very fact that these clients had proactively sought out an HIV test, demonstrated to me that they were both aware of and concerned about HIV risk, but that the prevention methods available to them just did not meet their needs or circumstances.

The Initiative for MPTs (IMPT) is dedicated to advancing the comprehensive sexual and reproductive health of women and girls worldwide. The Secretariat staff, who manage this global learning network, comprise a group of women who have worked a combined eight decades in the women’s health and sexual and reproductive health fields. From working with underserved women in Mauritania and the Ivory Coast as Peace Corps volunteers, to HIV testing and counseling in Baltimore, to community organizing in San Francisco and Sacramento, to conducting ethnographic research in Newfoundland, to coordinating HIV prevention clinical trials in Cape Town, our team’s diverse experiences and skills have contributed to the strategic advancement of the MPT field.

Every four minutes, three young women will become infected with HIV—that’s close to 900,000 new infections a year. While HIV prevention research and drug development have progressed rapidly, there is still work to be done. This World AIDS Day, we reflect on our work to advance MPTs by asking the IMPT Advisory Council for their perspective on the role of MPTs in the fight to end the HIV epidemic.