The aim of the study reported on in the Article was to identify some of the factors influencing contraceptive use in the context of a high prevalence of HIV/AIDS using focus group discussions with men and women. In the focus groups, it was clear that men and women are very aware of the high economic costs of raising large families and they would prefer to have fewer children and they would like to have space between their births. However, there are a number of barriers to correct and consistent use of contraception. Women and men reported fear of side effects of contraceptives, including weight gain, vaginal wetness, fear of infertility and other painful and sometimes frightening changes which have led to the discontinuation of contraceptives. Women were also more likely to report not using a contraceptive method because of their partner's desire for children. The antagonistic attitudes of health staff also serve as a major deterrent to the use of contraception.