Awareness, acceptability, and use of female condoms among university students in Nigeria: implications for STI/HIV prevention

Tobin-West, Charles; Maduka, Omosivie; Onyekwere, Victor N; Tella, Adedayo O

doi:10.1515/ijamh-2013-0300

Cited by 16 publications

(29 citation statements)

References 3 publications

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“…Triggers for initial FC use included novelty, 43 , 61 , 67 , 71 , 96 dual protective properties, partners’ or clients’ unwillingness to use MCs, 42 , 67 , 92 and the feeling that it was woman-initiated. 43 , 61 , 67 , 97 Promotion and support were frequently-reported facilitators of initial use. 22 , 53 , 71 , 81 , 88 , 98 – 100 For example, counselor training and peer support groups in Kenya helped women introduce the FC into sexual relationships.…”

Section: Resultsmentioning

confidence: 99%

“…For example, university students in Nigeria reported that a key reason for FC use was the sense of empowerment that the method afforded. 97 FC provision in Cambodia reinforced FSWs’ intentions to share experiences and support each other to adopt new methods. 127 In Mozambique, nearly 5,000 women have met in FC “empowerment groups” to discuss negotiation tactics with partners and the correct use of FCs, including basic education about women’s bodies.…”

Section: Resultsmentioning

confidence: 99%

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Knowledge, attitudes, practices and behaviors associated with female condoms in developing countries: a scoping review

Moore¹,

Beksinska²,

Rumphs³

et al. 2015

OAJC

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Women in developing countries are at high risk of HIV, sexually transmitted infections, and unplanned pregnancy. The female condom (FC) is an effective dual protective method regarded as a tool for woman’s empowerment, yet supply and uptake are limited. Numerous individual, socioeconomic, and cultural factors influence uptake of new contraceptive methods. We reviewed studies of FC knowledge, attitudes, practices, and behaviors across developing countries, as well as available country-level survey data, in order to identify overarching trends and themes. High acceptability was documented in studies conducted in diverse settings among male and female FC users, with FCs frequently compared favorably to male condoms. Furthermore, FC introduction has been shown to increase the proportion of “protected” sex acts in study populations, by offering couples additional choice. However, available national survey data showed low uptake with no strong association with method awareness, as well as inconsistent patterns of use between countries. We identified a large number of method attributes and contextual factors influencing FC use/nonuse, most of which were perceived both positively and negatively by different groups and between settings. Male partner objection was the most pervasive factor preventing initial and continued use. Importantly, most problems could be overcome with practice and adequate support. These findings demonstrate the importance of accounting for contextual factors impacting demand in FC programming at a local level. Ongoing access to counseling for initial FC users and adopters is likely to play a critical role in successful introduction.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Knowledge, attitudes, practices and behaviors associated with female condoms in developing countries: a scoping review

Moore¹,

Beksinska²,

Rumphs³

et al. 2015

OAJC

View full text Add to dashboard Cite

show abstract

“…[15][16][17] Studies conducted among general university students' population in Nigeria also showed higher rates of sexual activity. 18 The proportion is however higher than those conducted among female secondary school students. 19 This is probably related to the ages of the students.…”

Section: Discussionmentioning

confidence: 85%

Prevention of unintended pregnancies in Nigeria; the effect of socio-demographic characteristic on the knowledge and use of emergency contraceptives among female university students

Abiodun

Sotunsa

Jagun

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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Background: The proportion of unintended pregnancy remains high in developing regions due to unmet need for contraception and inconsistent use of modern contraceptives. Practice of emergency contraception is particularly important because of the high rates of unintended pregnancy. The aim was to assess the practice of emergency contraception among female students. Methods: A cross-sectional study was conducted among 5,233 female university students in Nigeria. Results: About 25.4% of the students had ever had sex while 64.3% had heard about emergency contraceptives. About half (49.6%) had good knowledge while 70% thought that emergency contraceptives are effective and easy to access and use. Good knowledge about emergency contraceptives was predicted by dwelling urban or suburban areas (AOR=1.750 and 1.817; P<0.05), being single (AOR=2.597, P=0.001), being in the fourth year (AOR=2.096, P<0.001) and having ever had sex (AOR=1.449, P<0.001). Having ever used emergency contraceptive is predicted by good knowledge (AOR=1.852, P<0.001) and perception that emergency contraceptives are effective (AOR=139.774, P<0.001) and easy to access and use (AOR=8.429, P<0.001). Conclusions: Despite a significant risk of unintended pregnancy among female university students, the usage rate of emergency contraceptive is very low. There is a need to actively promote emergency contraception along with other contraceptive methods with the involvement of health workers and the media.

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“…Women are disproportionately affected by the epidemic and account for 31% of new infections and such rates are three times higher than in men. Tobin-West et al ( 2014 ) revealed that at the end of 2014, an estimated 36.9 million people were living with HIV globally, of which 34.3 million were adults and women accounted for 17.4 million. Botswana continues to have one of the highest rates of HIV prevalence in the world.…”

Section: Introductionmentioning

confidence: 99%

“…Since the beginning of the AIDS epidemic, condoms have been promoted as most efficient. In 1993, the United States Food and Drug Administration approved the female condom as a safe and efficient contraceptive and protective device (Peters, Van Driel & Jansen 2010 ; Tobin-West et al 2014 ). In response to women’s disproportionate disease burden, much effort in HIV prevention research has been focused on the identification of female-initiated barrier methods (Montgomery et al 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Female condom acceptability and use amongst young women in Botswana

Mokgetse

Ramukumba

2018

Curationis

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BackgroundThe female condoms are a barrier method of contraception. The FC1 female condom is made from soft thin plastic called polyurethane and has been replaced by FC2 female condom, which is made of synthetic latex. The female condom is worn inside the vagina and acts as a barrier to prevent semen getting to the womb. It is about 75% – 82% effective with normal use. When used correctly all of the time, female condoms are 95% effective. Despite evidence of its effectiveness, the use of the female condom has continued to face resistance from both women and men.ObjectivesThe objectives of this study were to determine clients’ level of knowledge of female condom, identify predominant methods of contraception, examine young women’s views regarding the female condom and identify barriers to the use of female condoms by young women.MethodA simple random sampling approach was used to recruit young women between 15 and 34 years in Jwaneng, Botswana. Data were collected using self-administered structured questionnaire from women accessing healthcare services in the three health facilities in 2015. Descriptive statistics, exploratory factor analysis and the chi-square test techniques were applied using the Statistical Package for the Social Sciences (SPSS) statistical programme version 23 for Windows to analyse data.ResultsThe findings based on factor loadings show low utilisation of the female condom and highlights the significant challenges about the material, size, shape and timing of insertion. Respondents had stronger views on the structure of the condom. There was no significant relationship between attitude and method of contraception.ConclusionAcceptability of the female condom involves complex factors such as women position and decision-making power in a relationship, attitude and knowledge. Attitude, knowledge and power relations play a role in the extent to which women would want to try or use it. Various strategies need to be developed to effectively promote the female condom amongst young women.

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Awareness, acceptability, and use of female condoms among university students in Nigeria: implications for STI/HIV prevention

Cited by 16 publications

References 3 publications

Knowledge, attitudes, practices and behaviors associated with female condoms in developing countries: a scoping review

Knowledge, attitudes, practices and behaviors associated with female condoms in developing countries: a scoping review

Prevention of unintended pregnancies in Nigeria; the effect of socio-demographic characteristic on the knowledge and use of emergency contraceptives among female university students

Female condom acceptability and use amongst young women in Botswana

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