Promoting Female Condoms in HIV Voluntary Counselling and Testing Centres in Kenya

Mung'ala, Lucy; Kilonzo, Nduku; Angala, Patrick; Theobald, Sally; Taegtmeyer, Miriam

doi:10.1016/s0968-8080(06)28260-0

Cited by 6 publications

(5 citation statements)

References 11 publications

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“…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. 98 , 101 In Zimbabwe, having observed an FC demonstration in a hair salon more than doubled a woman’s likelihood of having tried the device. 22 In Tanzania, a mass media campaign, which triggered communication about the FC between partners, increased women’s intention to use the device.…”

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

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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%

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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show abstract

“…In the South African qualitative data, many providers commented that availability in the clinic is still a problem, although the majority reported in the national survey that if FCs were more easily available, they would offer them. As in a previous study from Kenya, 14 providers from both countries noted in interviews that the FC was not always available in clinics even though it was distributed in the public sector. FCs, a basic technology, had counselling patterns that were similar in rural and urban areas and clinics and hospitals, unlike for more sophisticated technologies which in general are more available to urban populations or in hospital settings.…”

Section: Discussionmentioning

confidence: 52%

A nationally representative survey of healthcare provider counselling and provision of the female condom in South Africa and Zimbabwe

Holt

Blanchard

Chipato³

et al. 2013

BMJ Open

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ObjectivesFemale condoms are the only female-initiated HIV and pregnancy prevention technology currently available. We examined female condom counselling and provision among providers in South Africa and Zimbabwe, high HIV-prevalence countries.DesignA cross-sectional study using a nationally representative survey.SettingAll facilities that provide family planning or HIV/sexually transmitted infection (STI) services.ParticipantsNational probability sample of 1444 nurses and physicians who provide family planning or HIV/STI services.Primary and secondary outcome measuresFemale condom practices with different female patients, including adolescents, married women, women using hormonal contraception and by HIV status. Using multivariable logistic analysis, we measured variations in condom counselling by provider characteristics.ResultsMost providers reported offering female condoms (88%; 1239/1415), but perceived a need for novel female barrier methods for HIV/STI prevention (85%; 1191/1396). By patient type, providers reported less frequent female condom counselling of adolescents (55%; 775/1411), women using hormonal contraception (65%; 909/1409) and married women (66%; 931/1416), compared to unmarried (74%; 1043/1414) or HIV-positive women (82%; 1161/1415). Multivariable results showed providers in South Africa were less likely to counsel women on female condoms than in Zimbabwe (OR=0.48, 95% CI 0.35 to 0.68, p≤0.001). However, South African providers were more likely to counsel women on male condoms (OR=2.39, 95% CI 1.57 to 3.65, p≤0.001). Nurses counselled patients on female condoms more frequently than physicians (OR=5.41, 95% CI 3.26 to 8.98, p≤0.001). HIV training, family planning training, location (urban vs rural) and facility type (hospital vs clinic) were not associated with greater condom counselling.ConclusionsFemale condoms were integrated into provider counselling and care, although providers reported a need for new female-initiated multipurpose prevention technologies, suggesting female condoms do not meet all patient/provider needs or are not adequately well known or accessible. Providers should be included in HIV training efforts to raise awareness of new and existing products, and encouraged to educate all women.

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“…The 95% confidence interval, the precision of 0.05, and the prevalence rate were used to compute the sample size. According to the findings of a 2006 study, 14% uptake of female condoms was reported [13]. A semi-structured questionnaire was used to collect data using-through faceto-face interviews.…”

Section: Methodsmentioning

confidence: 99%

Utilization of Female Condoms among Women Living with Human Immunodeficiency Virus (HIV) in Murang’a County, Kenya

Ndwiga,

Mugo,

Nyang’echi

et al. 2024

EJMED

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Background: To prevent the risk of transmission of the Human Immune Deficiency Virus (HIV) and other sexually transmitted infections (STIs), as well as achieve family planning targets, the use of Female Condom, a women-initiated method, has been prioritized across the globe. Nevertheless, knowledge regarding the utilization of Female Condoms among HIV-positive women remains inconclusive. The main objective of this study was to determine the utilization of Female Condoms (FC) among HIV-positive women in Murang’a County, Kenya. Method: This study adopted a cross-sectional analytical survey design. A total of 204 women living with HIV (WLHIV) were recruited in the study. Multi-stage sampling was conducted to get three participating sub-counties and three clinics. Systematic sampling and purposive sampling techniques were used to select WLHIV. Structured questionnaires, interview schedules and focus group discussions were used to collect data. Descriptive and inferential statistics were generated using Statistical Package for Social Sciences (SPSS) version 25.0. The statistical significance of the association between categorical variables was determined using Pearson’s Chi-square test. The level of significance was fixed at a P-value of 0.05 level of significance (p ≤ 0.05). Results: 38.8% of the respondents were aged 31–40 years (Mean = 3.11; SD = 1.004). 42.2% of study participants had attained secondary education (mean = 2.05; SD = 0.899). FC use was low at 17.6% among the women living with HIV. There was a statistically significant association between the age of the respondents and the view that FC has the potential to prevent unwanted pregnancy (p = 0.002; χ2 = 17.246; df = 4). The relationship between marital status and “ever heard about FC” (p = 0.042; χ2 = 32.529; df = 5), “ever seen an FC” (p = 0.048; χ2 = 34.982; df = 5), “FC has a potential to prevent unwanted pregnancy” (p = 0.006; χ2 = 23.079; df = 5) was significant. Married women who were revealed to have seen FC were significantly associated with the current use of the FC (p = 0.001; χ2 = 12.852; df = 1). 26.5% of the participants put on FC as a measure to prevent HIV during sexual activities. Most married women did not know whether their sexual partner does not like them to use FC when having sex compared to separated, cohabiting, divorced or single WLHIV (p=0.034; χ2=7.949; df = 10). Conclusion: The relatively high knowledge among WLHIV does not translate to the use of FC for appropriate and consistent utilization of the device.

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Promoting Female Condoms in HIV Voluntary Counselling and Testing Centres in Kenya

Cited by 6 publications

References 11 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

A nationally representative survey of healthcare provider counselling and provision of the female condom in South Africa and Zimbabwe

Utilization of Female Condoms among Women Living with Human Immunodeficiency Virus (HIV) in Murang’a County, Kenya

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