Knowledge, acceptance and utilisation of the female condom among women of reproductive age in Ghana

Ananga, Mark Kwame; Kugbey, Nuworza; Akporlu, Jemima Misornu; Asante, Kwaku Oppong

doi:10.1186/s40834-017-0042-9

Cited by 15 publications

(23 citation statements)

References 24 publications

(30 reference statements)

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“…Low awareness and perceptions of diseases among the population is known to negatively impact preventive measures (Ajayi et al, 2019;Ananga et al, 2017), which may influence early detection and acceptability to test for the SARS-CoV-2. Moreover, culture and religious beliefs of the people may also play a crucial role in accepting preventive measures taken to curb the spread of diseases (Spittel, Maier, and Kraus, 2019).…”

Section: Introductionmentioning

confidence: 99%

COVID-19: Knowledge, Perceptions and Attitudes of Residents in the Northern Region of Ghana, West Africa

Saba¹,

Nzeh²,

Addy³

et al. 2020

Preprint

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Africa is gradually becoming an epicentre for the COVID-19 pandemic. From the current trends of the disease, Africa might be the last hardest hit continent. While scientific investigations are ongoing to develop effective management through medications and vaccines, existing knowledge, perceptions and attitudes could be harnessed to develop an effective strategy to curb community transmission of the COVID-19. The present study assessed the awareness level, perceptions and attitudes of people living in rural, peri-urban and urban communities in Northern Ghana and their preparedness for the prevention and containment of COVID-19. We conducted a face-to-face interview and administered 553 semi-structured questionnaires in eighteen (18) rural and peri-urban/urban communities under Tolon District, Kumbungu Districts, Sagnarigu Municipality, Savelugu Municipality and Tamale Metropolis from 23rd of April to 8th of June 2020. The percentage of male to female among the respondents was 56.8% and 43.2%, respectively. Nearly half (41%) of the respondents had no formal education and 91.3% of them were Muslims. Most of the respondents (85%) held the view that COVID-19 is a punishment from God. There was a significant difference (P<0.05) between the time rural and peri-urban/urban communities first heard of COVID-19. Majority (63%) of the rural respondents depended on radio, while the peri-urban/urban respondents (51%) relied on television for information on COVID-19. All respondents were aware of COVID-19 and 91.7% could mention at least two symptoms of the disease but 18% believed there was no COVID-19 in Ghana. Most of the respondents (69.6%) believed they will not contract the virus. Our findings may provide useful data to government and other stakeholders in the COVID-19 fight.

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Section: Introductionmentioning

confidence: 99%

COVID-19: Knowledge, Perceptions and Attitudes of Residents in the Northern Region of Ghana, West Africa

Saba¹,

Nzeh²,

Addy³

et al. 2020

Preprint

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“…Targeted FC promotion towards specific populations was perceived to facilitate increased uptake. Some argued that targeting young people (16)(17)(18)(19)(20)(21)(22)(23)(24)(25) would be best as they represent a group at risk of STIs. A couple of participants expressed the importance of familiarizing young people with the FC towards the beginning of their sexual history and believed that doing so would normalize FCs to young people: "…if they know that their friends are using it, …., then they would know "ah other people at my age are using it as well" (age 42, sexual health advisor).…”

Section: Education and Promotionmentioning

confidence: 99%

“…These include a lack of FC production and supply, higher cost compared to the MC, resistance from male partners, negative press, and minimal promotional efforts (11). A descriptive cross-sectional study (16) assessing Ghanaian women aged 15-49 years demonstrated low FC use, with only 48.4% of the 380 participants aware of FCs. This underutilisation may be explained by low FC accessibility and partner resistance, highlighting a gender power imbalance.…”

Section: Introductionmentioning

confidence: 99%

Perceived barriers and facilitators to female condoms among UK based healthcare professionals

Burton

Bedford

Graham

et al. 2020

The European Journal of Contraception & Reproductive Health

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Objectives: The female condom (FC) is an effective strategy against sexually transmitted infections (STIs) in susceptible women and men who have sex with men. FCs are the only female-initiated dual protection method that protects against both STIs and unintended pregnancy. As healthcare professionals (HCPs) are a key element in the promotion of contraceptive use, it is important to examine attitudes toward FCs among this group. Study participants: 15 male and female HCPs aged between 22-57 years recruited from sexual and reproductive health settings located in Brighton, London, and Glasgow. Sampling method: purposive sampling with targeted advertisements (newsletters and bulletins). Study design: face-to-face and telephone interviews with sexual health HCPs. Main outcome measure: potential barriers and facilitators to FCs in the UK. Data were analysed thematically to identify common views and perspectives. Results: FCs were thought to be unacceptable to most women due to stigma, design, negative visual appeal, insertion difficulties and lack of familiarity. The perceived unavailability and higher cost of FCs, in comparison to male condoms, are major barriers to their use. Conclusions: HCPs are reluctant to promote FCs, often due to the perceived social stigma surrounding FCs. Further education and promotion are needed to increase acceptability and correct usage. Future research needs to explore strategies to increase the acceptability of FCs among women, men who have sex with men and HCPs.

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“…Historically, the FC has suffered from low demand, due to high cost, inadequate promotion and introduction by programs, and limited acceptability. This low acceptability of the FC includes pervasive male partner objection[3, 4]. However, studies suggest levels of protected sex increase when FCs are added to the available method mix[5–9].…”

Section: Introductionmentioning

confidence: 99%

The evaluation of the Woman’s Condom marketing approach: What value did peer-led interpersonal communication add to the promotion of a new female condom in urban Lusaka?

Pinchoff

Boyer

Chowdhuri³

et al. 2019

PLoS ONE

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During a mass media campaign accompanying the launch of the Maximum Diva Woman’s Condom (WC) in Lusaka, Zambia, a cluster-randomized evaluation was implemented to measure the added impact of a peer-led interpersonal communication (IPC) intervention on the awareness and uptake of the new female condom (FC). The WC and mass media campaign were introduced simultaneously in 40 urban wards in April 2016; half of the wards were randomly assigned to the treatment (IPC intervention) with cross-sectional surveys conducted before (n = 2,364) and one year after (n = 2,430) the start of the intervention. A pre-specified intention-to-treat (ITT) analysis measured the impact of randomization to IPC at the community level. In adjusted ITT models, there were no statistically significant differences between intervention and control groups. Due to significant implementation challenges, we also conducted exploratory secondary analyses to estimate effects among those who attended an IPC event (n = 66) using instrumental variable and inverse probability weighting analyses. In addition to increases in FC identification (IPC attendees had higher reported use of any condom, improved perceptions of FC’s, and were more likely to have discussed contraceptive use with their partner as compared to non-attendees). The introduction of a new FC product combined with an IPC intervention significantly increased general knowledge and awareness in the community as compared to media alone, but did not lead to detectable community level impacts on other primary outcomes of interest. Observational evidence from our study suggests that IPC attendance is associated with increased use and negotiation. Future studies should explore the intensity and duration of IPC programming necessary to achieve detectable community level impacts on behavior.Trial Registration: AEARCTR-0000899

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Knowledge, acceptance and utilisation of the female condom among women of reproductive age in Ghana

Cited by 15 publications

References 24 publications

COVID-19: Knowledge, Perceptions and Attitudes of Residents in the Northern Region of Ghana, West Africa

COVID-19: Knowledge, Perceptions and Attitudes of Residents in the Northern Region of Ghana, West Africa

Perceived barriers and facilitators to female condoms among UK based healthcare professionals

The evaluation of the Woman’s Condom marketing approach: What value did peer-led interpersonal communication add to the promotion of a new female condom in urban Lusaka?

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