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The place of experimental work in laboratories has always assumed a high profile at all levels of chemical education. This paper seeks to review the main strands of evidence available today and argues that the place of experimental work needs to be reconsidered at higher education levels. There is a need for a clarification of aims and objectives, and these need to be communicated to learners. It argues that higher education needs to be acutely aware of what goes on at school and to build on these skills. Pre-laboratory exercises are strongly supported by the evidence, while there needs to be a radical re-thinking of the use of laboratory manuals, with assessment being explored afresh. In addition, seeing the laboratory experience in the context of what goes on before and after, as well as other learning, will enhance the learning potential of this time. Examples of some ways forward are presented. Overall, it is argued that much more could be gained by the students if the laboratory experience, using similar experiments, was radically rethought. [Chem.

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Tailoring sexual and reproductive health services to meet the needs of people living with the human immuno-deficiency virus (HIV) is a growing concern but there are few insights into these issues where HIV is most prevalent. This cross-sectional study investigated the fertility intentions and associated health care needs of 459 women and men, not sampled as intimate partners of each other, living with HIV in Cape Town, South Africa. An almost equal proportion of women (55%) and men (43%) living with HIV, reported not intending to have children as were open to the possibility of having children (45 and 57%, respectively). Overall, greater intentions to have children were associated with being male, having fewer children, living in an informal settlement and use of antiretroviral therapy. There were important gender differences in the determinants of future childbearing intentions, with being on HAART strongly associated with women's fertility intentions. Gender differences were also apparent in participants' key reasons for wanting children. A minority of participants had discussed their reproductive intentions and related issues with HIV health care providers. There is an urgent need for intervention models to integrate HIV care with sexual and reproduction health counseling and services that account for the diverse reproductive needs of these populations.