Sexual health.

Trends in the location of the HIV-positive population in Australia: implications for access to healthcare services and delivery M. Carman, J. Grierson, M. Pitts, M. Hurley and J. Power 154–158 Although trials have not been able to show a role for the diaphragm in HIV prevention, the associated acceptability studies suggest much potential for this old, but safe and reversible, method of contraception. Worldwide, up to half of all pregnancies are unintended, contributing to deaths from unsafe abortion and childbirth. Although not suitable for all, many motivated women in low-income settings could benefit if they were able to choose the diaphragm, especially a one-size-fits-all version. Research is needed to establish efficacy when the diaphragm is used continously and without spermicide.