"Eight months ago, talking about contraception was a taboo. Nowadays people easily talk about birth spacing practice and its importance.

Four days after giving birth to her sixth child, Lenny Barroga decided to undergo bilateral tubal ligation, a surgical procedure that “ties” woman’s fallopian tubes to block future pregnancies. With a middle-class income by small-town standards, feeding, clothing, and educating six children had become a burden for Lenny and her husband. Today, more than 190 million couples worldwide use surgical sterilization as a safe and reliable method of family planning.

World AIDS Day 2006: Stop AIDS. Keep the Promise. In commemoration of World AIDS Day 2006, the following story provides insight into one of the many ways that MSH is working to mitigate the burden of HIV/AIDS in the developing world. With grants provided by MSH’s Integrated Primary Health Care (IPHC) Project and funded by PEPFAR, Khanyiselani Development Trust (KDT) in Kwa Zulu Natal, South Africa uses ecotherapy (or “nature therapy”) to provide orphans and vulnerable children with vital and high-quality psychosocial support.