Assessing the acceptability, service delivery requirements, and use-effectiveness of the diaphragm in Colombia, Philippines, and Turkey

Bulut, Ayşen; Ortaylı, Nuriye; Ringheim, Karin; Cottingham, Jane; Farley, Timothy M.M.; Peregoudov, Alexander; Joanis, Carol; S, Palmore; Brady, Martha; Dı́az, Juan; Ojeda, G; Ramos, Rebecca

doi:10.1016/s0010-7824(01)00204-9

Cited by 39 publications

(27 citation statements)

References 15 publications

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“…[32][33][34][35] Methods for men should also be made available. Condoms and female condoms do not affect menstruation either, but are short-term methods with currently low use rates in spite of the high prevalence of HIV in Uganda, suggesting limited accessibility or acceptability (and perhaps also insufficient promotion).…”

Section: Recommendations For Family Planning Policymentioning

confidence: 99%

Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda

Hyttel¹,

Rasanathan

Tellier

et al. 2012

Reproductive Health Matters

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Section: Recommendations For Family Planning Policymentioning

confidence: 99%

Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda

Hyttel¹,

Rasanathan

Tellier

et al. 2012

Reproductive Health Matters

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“…The degree to which an STI prevention method decreases or enhances sexual pleasure, particularly among men, is an important factor of acceptance and use (Pool et al, 2000;Bulut et al, 2001;Morrow et al, 2003;Tabet et al, 2003;Bentley et al, 2004;Koo et al, 2005).…”

Section: Implications Of Study Findings For Promotion Of Woman-contromentioning

confidence: 99%

Barriers to the Use of Modern Contraceptives and Implications for Woman-Controlled Prevention of Sexually Transmitted Infections in Madagascar

Randrianasolo¹,

Swezey

Damme

et al. 2008

J. Biosoc. Sci.

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SUMMARYGlobally, unplanned pregnancies and sexually transmitted infections (STIs) persist as significant threats to women's reproductive health. Barriers to the use of modern contraceptives by women might inhibit uptake of novel woman-controlled methods for preventing STIs/HIV. Use of modern contraceptives and perceptions and attitudes towards contraceptive use were investigated among women in Antananarivo, Madagascar using qualitative research. The hypothetical acceptability of the diaphragm, a woman-controlled barrier contraceptive device that also holds promise of protecting against STI/HIV, was assessed. Women consecutively seeking care for vaginal discharge at a public health clinic were recruited for participation in a semi-structured interview (SSI) or focus group discussion (FGD). Audiotaped SSIs and FGDs were transcribed, translated, and coded for predetermined and emerging themes. Of 46 participating women, 70% reported occasional use of male condoms, mostly for preventing pregnancy during their fertile days. Although women could name effective contraceptive methods, only 14% reported using hormonal contraception. Three barriers to use of modern contraceptives emerged: gaps in knowledge about the range of available contraceptive methods; misinformation and negative perceptions about some methods; and concern about social opposition to contraceptive use, mainly from male partners. These results demonstrate the need for programs in both family planning and STI prevention to improve women's knowledge of modern contraceptives and methods to prevent STI and to dispel misinformation and negative perceptions of methods. In addition, involvement of men will likely be a critical component of increased uptake of woman-controlled pregnancy and STI/HIV prevention methods and improved health.

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“…Among these new devices are the FemCap™ cervical cap and SILCS ® diaphragm, both made of medical-grade silicone, which is less allergenic, more durable, and more tolerant of heat, light and petroleum products than the latex diaphragm. In the USA, contraceptive trials have been conducted or are ongoing for these new devices, [22][23][24][25] and acceptability studies have been conducted internationally, primarily in adult women or women in stable monogamous relationship, for the diaphragm 14,15,[26][27][28][29] and for SILCS. 30,31 Although product acceptance has been high in these studies, findings cannot be extrapolated to younger, or unmarried, women whose choices and acceptability differ for other contraceptive and disease prevention methods.…”

mentioning

confidence: 99%

Feasibility and potential acceptability of three cervical barriers among vulnerable young women in Zimbabwe

Straten

Sahin-Hodoglugil²,

Clouse³

et al. 2010

j fam plann reprod health care

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Background We explored the potential acceptability of three cervical barriers (CB) (Ortho All-Flex ® diaphragm, SILCS ® diaphragm, FemCap TM cervical cap) among sexually experienced Zimbabwean young women.Methods Forty-five young women (aged 16-21 years) received an individual CB educational session. Participants were then randomly assigned to one of the three CBs in a 1:1:1 ratio, and practised insertion and removal of their device at the clinic. Next, participants were interviewed on their practice experiences, and their post-practice attitudes towards CB.Results All 45 young women were willing and able to insert their assigned device. The majority reported "easy" insertion and removal and 93% "liked" the device they tried. All showed interest in participating in future CB studies: when asked which device they would like to try 13 IntroductionYoung women are the most vulnerable population for heterosexual acquisition of HIV. 1 Adolescents are more susceptible than adult women, likely because an immature genital tract increases their susceptibility to physical trauma and sexually transmitted infections (STIs). 2 Furthermore, gender inequalities in sexual relationships often leave young women unable to negotiate condom use. [3][4][5] In Zimbabwe, 25% of females aged 15-24 years are infected with HIV compared to 11% of males in that age group. 6 Additionally, with 40% of Zimbabwean women aged 15-49 years being non-current users of modern family planning methods, there remains a significant unmet need for contraception, particularly among young sexually active women (63% non-current users among 15-19-yearolds), as indicated by estimates that up to 60 000-80 000 illegal and unsafe abortions occur each year. 6,7 Male condoms are the only currently available method known to provide dual protection by preventing pregnancy in the future, over half (58%) chose SILCS, regardless of the device they had tried. The majority felt comfortable touching their genitals to insert/remove the CB and most participants favoured methods' attributes associated with female-control and non-interference with sex. Over half the participants said they would prefer to use a CB continuously compared to episodic use. Two-thirds of them expressed interest in CB for dual protection. ConclusionThe concept of CB, and initial insertion experience, were well accepted in this selected, small group of Zimbabwean young women. Evaluating CB in larger studies seems feasible in this population. and STIs including HIV; although not proven in clinical trials, female condoms are believed to provide similar protection. 8,9 While female condoms are woman-initiated, they still require male partner co-operation, as they are noticeable during sex. Cervical barriers (CB), including the diaphragm, are also woman-initiated methods, and act by protecting the cervix from exposure to ejaculate. The diaphragm is one of the oldest contraceptives, although it has lost much of its popularity with the advent of hormonal contraceptives. 10 CB might be of interest to...

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Assessing the acceptability, service delivery requirements, and use-effectiveness of the diaphragm in Colombia, Philippines, and Turkey

Cited by 39 publications

References 15 publications

Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda

Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda

Barriers to the Use of Modern Contraceptives and Implications for Woman-Controlled Prevention of Sexually Transmitted Infections in Madagascar

Feasibility and potential acceptability of three cervical barriers among vulnerable young women in Zimbabwe

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