New fly species causing human myiasis identified in Eastern Cape, South Africa.

short-acting contraceptive methods, with inadequate counselling and barriers in the health care system being contributory factors in such contraceptive failure. Participant knowledge of sterilisation was greater than that regarding IUDs in this study, probably owing to the presence of sterilisation services in the Western Cape and the lack of IUD promotion and use. The Association for Voluntary Sterilization South Africa (AVSSA), a non-profit organisation, has offered sterilisation services at health care facilities in the Western Cape for many years, including education and awareness campaigns. The survey results raise questions as to whether the full range of contraceptive methods are available and promoted in all services targeting pregnant and postpartum women, including HIV-positive women. They also suggest that recommended education and counselling regarding healthy timing and spacing of children may be overlooked in health services serving pregnant and postpartum women. High rates of unplanned pregnancy are likely to continue without effective planning between a woman and her partner regarding family size, spacing of children and the selection of well-suited contraceptive methods that are supported by family planning service providers at health care facilities. Choice is essential in providing the optimal family planning method to a client. Women in the communities studied have insufficient knowledge about safe, effective and long-acting contraceptive options and therefore are unable to make a fully informed method choice. To provide family planning clients with a choice of contraceptive methods, providers must be adequately trained and equipped to provide counsel about, and offer the full range of, methods available in the public health care sector. Family planning should be appropriate and well-suited to the individual's health and fertility desires. Given their superior effectiveness rates among typical users, long-acting and permanent methods are excellent options for clients who have achieved their desired family size or for those who have recently given birth and wish to plan future pregnancies, and such methods should therefore be promoted and available to clients as part of comprehensive family planning services. and costs of expanding access to family planning programs to women living with HIV. To the Editor: Myiasis is the infestation of tissues of live vertebrates (humans and/or animals) by dipterous larvae. Human myiasis is classified according to the type of larva producing the lesion, location and clinical signs. 1 Myiases in humans are thought to have originated from the close association between humans and domestic animals in ancient times. 2 Flies that …