Determinants of demand for condoms to prevent HIV infections among barmaids and guesthouse workers in two districts, Tanzania

Abstract

BackgroundCondoms are scientifically recommended as potential products for preventing infections attributable to human immuno-deficiency viruses (HIV). However, evidence on factors leading to their inadequate use in developing countries is still scanty. This paper reports an exploratory study of factors constraining condoms use in Tanzania from the perspectives of barmaids, guest-house workers and retailers.MethodsData were collected in two districts—Mpwapwa in Dodoma Region and Mbeya Rural in Mbeya Region—between October and December 2011, using structured interviews with 238 individuals including barmaids, guesthouse workers and 145 retailers. Data analysis was performed using STATA 11 software.ResultsAwareness about condoms was high among all study groups. Male condoms were more popular and available than female ones. A considerable proportion of the barmaids and guesthouses were disappointed with condoms being promoted and distributed to young children and disliked condom use during sexual intercourse. Accessibility of condoms was reported as being lowered by condom prices, shortage of information concerning their availability; short supply of condoms; some people shying away to be watched by children or adult people while purchasing condoms; retailers’ using bad languages to condom customers; occasionally condom shops/kiosks found closed when they are urgently needed; and prevailing social perception of condoms to have low/no protective efficacy. Regression analysis of data from barmaids and guesthouse-workers indicated variations in the degree of condom acceptability and methods used to promote condoms among respondents with different demographic characteristics.ConclusionA combination of psychosocial and economic factors was found contributing to lower the demand for and actual use of condoms in study communities. Concerted measures for promoting condom use need to address the demand challenges and making operational research an integral element of monitoring and evaluation of the launched interventions, hence widening the evidence for informed policy decisions.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-015-1621-y) contains supplementary material, which is available to authorized users.

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“…This indicates that availability is not the single barrier for accessing and using condoms. Mbubyazi et al reported that short supply of condoms, shyness to be watched while purchasing condoms and prevailing social perception of condoms to have low/no protective efficacy are the reason for unprotected sex among the risk population in Tanzania [42]. Lack of confidence to negotiate condom use and the perception that using a condom is the sign of prostitution are also reasons for unprotected sex in our study.…”

Prevalence and Correlation of Contraceptive Use Among Females in Jeddah, Saudi Arabia

“…Besides the methods listed above, a less complex method is the condom. Scientifically recommended as potential products for preventing infections attributable to human immunodeficiency viruses (HIV), condoms act as a barrier to keep sperm from entering the uterus [13]. Another wearable contraceptive choice is the patch which provides the systemic delivery of steroid hormones by transdermal technology using patches that contain estrogen or estrogen plus a progestin that has been successfully used for contraception [14].…”