Female condom acceptability and use amongst young women in Botswana

Abstract

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 The FC1 female condom is made from soft thin plastic called polyurethane and has been replaced by FC2 female condom, which is made of synthetic latex.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.

Barriers and Enablers Influencing Women's Adoption and Continuation of Vaginally Inserted Contraceptive Methods: A Literature Review

“…2013; Naidu 2013; Coffey et al. 2013; Mokgetse and Ramukumba 2018) and that the diaphragm and vaginal ring had the potential to offer dual protection in the future (e.g., in combination with a microbicide for the diaphragm, co‐formulated vaginal rings; Shapiro 2016; Hayes and Kilboume‐Brook 2016a; Das et al. 2015).…”

Co-Creation of HIVST Delivery Approaches for Improving Urban Men’s Engagement with HIV Services in eThekwini District, KwaZulu-Natal: Nominal Group Technique

“…The bene ts of promoting health interventions using television as a means to ensure mass communication and raise awareness has been well established in other studies. In Botswana and Zambia television adverts improved uptake of condoms (21,22). Television adverts also improved uptake of voluntary counseling and testing in Ethiopia (23).…”

Co-creation of HIVST delivery approaches for improving urban men’s engagement with HIV services in eThekwini District, KwaZulu-Natal: nominal group technique in intervention development

“…The benefits of promoting health interventions using television as a means to ensure mass communication and raise awareness has been well established in other studies. In Botswana and Zambia television adverts improved uptake of condoms [ 29 , 30 ]. Television adverts also improved uptake of voluntary counseling and testing in Ethiopia [ 31 ].…”