Laurenia Mangum is a doctoral candidate in the School of Social Work at the University of Pittsburgh. Family planning is an effective way of preventing unplanned pregnancies among birthing people, while providing autonomy and freedom of choice of how to grow one’s family and options for contraception use or terminating unplanned pregnancies. There is a dearth of literature examining contraceptive use and antiretroviral therapy (ART) adherence among women living with HIV in the US. While advances have been made to curb rates of mother-to-child transmission (perinatal HIV transmission) few research studies have examined the decision making of contraceptive use in reducing unplanned pregnancies among women living with HIV. This project will examine attitudes and health-seeking behaviors about contraception among Black mothers living with HIV in the US. More specifically we seek to better understand the decision-making process of 1. choosing whether or not to use contraception, 2. deciding which type to use, and 3. managing contraception use in addition to antiretroviral treatment adherence. This research project expands the existing literature on family planning to better understand contraception self-efficacy among Black women living with HIV.