Use of Dual Protection in Botswana

Kraft, Joan Marie; Galavotti, Christine; Carter, Marion; Jamieson, Denise J.; Busang, Lesego; Fleming, Douglas T.; Kilmarx, Peter H.

doi:10.1111/j.1728-4465.2009.00214.x

Cited by 10 publications

(13 citation statements)

References 30 publications

(42 reference statements)

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“…Similar to other studies [52,76], college youths that were currently non-desirous of children had higher odds of reporting DMC. This was unsurprising, since dual-method protects optimally against unintended pregnancies [33].…”

Section: Discussionsupporting

confidence: 82%

“…The construction of the variables consulted ecological models [63,64], standardised sexuality-related measures [65], as well as previous DMC studies [47,[51][52][53]55]. Questions were worded in English, the Nigerian lingua franca, to reflect the local socio-cultural context while also ensuring gender neutrality.…”

Section: Sample and Proceduresmentioning

confidence: 99%

“…In addition, individuals are known to be more likely to use DMC if they were younger [43,44]; educated [45,46]; perceived themselves at risk of STIs/pregnancies [39,47]; or perceived themselves to be selfefficacious in terms of using the methods [48,49]. Also, individuals who had relationships of recent onset or short duration [47,50], those who communicate with their partners about contraception [51,52], and those who had multiple partners [53,54] were more likely to combine methods.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Correlates and Barriers of Dual-Method Contraception among College Youths in Nigeria

Buraimo¹,

Simkhada²,

Watson³

et al. 2017

J Contracept Stud

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Background and purpose: The dual problems of unintended pregnancies and sexually transmitted infections/Human Immunodeficiency virus together represent one of the most significant public health challenges globally, particularly amongst youths in Sub-Saharan Africa. Although the simultaneous use of two contraceptives, dual method contraception (DMC), is highly effective in preventing these problems, our understanding of the use of DMC is limited in developing country contexts. Thus, this study sets out to assess the correlates and barriers of DMC use amongst youths in Nigeria.

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Section: Discussionsupporting

confidence: 82%

Section: Sample and Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Correlates and Barriers of Dual-Method Contraception among College Youths in Nigeria

Buraimo¹,

Simkhada²,

Watson³

et al. 2017

J Contracept Stud

View full text Add to dashboard Cite

show abstract

“…In South Africa and Botswana studies, dual method use at last sex ranged from 4% to 28%. [8][9][10][11] However, a limitation of most research on dual protection is the focus on method use at last sex, rather than consistency of simultaneous condom and other contraceptive use at each coital act. These "last sex" measures of dual method use may not reflect optimal dual protection against both pregnancy and disease.…”

mentioning

confidence: 99%

Use of Dual Protection Among Female Sex Workers in Swaziland [

Yam

Mnisi²,

Mabuza³

et al. 2013

IPSRH

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Female sex workers are at high risk of both HIV infection and unintended pregnancy. Although programs and policies targeting female sex workers emphasize HIV prevention and condom promotion, they typically pay limited attention to the family planning needs of these women.Correct and consistent condom use is highly effective at preventing HIV and other STIs, but condoms are not the most effective contraceptive method.1 In contrast, nonbarrier modern contraceptive methods (such as oral contraceptives, injectables and sterilization) are highly effective at preventing pregnancy, but confer no protection against STIs. For protection against both unwanted pregnancy and STIs, one option is a dual method approach: consistent use of condoms in conjunction with a more effective nonbarrier method. However, for many women-particularly female sex workers, who have frequent sex with multiple partners-the use of two methods for every sex act may be burdensome and unrealistic. For these women, a more feasible dual protection strategy might be a singlemethod approach: consistent condom use alone. Most dual protection research has taken place in developed countries, where contraceptive prevalence is relatively high. The reported prevalence of dual method use among American women ranges from 7% to 38%. 2-7 A handful of studies on dual protection have been conducted in Sub-Saharan Africa, where both HIV and unwanted pregnancy are critical public health challenges. In South Africa and Botswana studies, dual method use at last sex ranged from 4% to 28%. [8][9][10][11] However, a limitation of most research on dual protection is the focus on method use at last sex, rather than consistency of simultaneous condom and other contraceptive use at each coital act. These "last sex" measures of dual method use may not reflect optimal dual protection against both pregnancy and disease.Little is known about the dual protection strategies employed by female sex workers, and measurement of their contraceptive behaviors is complicated by the fact that their condom use varies across partners. Specifically, female sex workers use condoms less consistently with more intimate, noncommercial partners than with paying clients. [12][13][14] In addition, their reported condom use at last sex or with their most recent partner likely will not accu-

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“…3 ), studies reveal very low (2.5%) dual contraception use among sexually active men and women aged 15-49 years 4 . The stakeholders therefore highlighted the importance of condom use for dual protection on the front of the wheel, to prompt health providers to incorporate this into their counseling.…”

Section: Review Of Contraceptive Methodsmentioning

confidence: 99%

The Botswana Medical Eligibility Criteria Wheel: Adapting a Tool to Meet the Needs of Botswana’s Family Planning Program

Kim

Kidula

Rammipi

et al. 2016

Afr J Reprod Health

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In efforts to strive for family planning repositioning in Botswana, the Ministry of Health convened a meeting to undertake an adaptation of the Medical eligibility criteria for contraceptive use (MEC) wheel. The main objectives of this process were to present technical updates of the various contraceptive methods, to update the current medical conditions prevalent to Botswana and to adapt the MEC wheel to meet the needs of the Botswanian people. This commentary focuses on the adaptation process that occurred during the week-long stakeholder workshop. It concludes with the key elements learned from this process that can potentially inform countries who are interested in undergoing a similar exercise to strengthen their family planning needs. ResumeDans les efforts visant à lutter pour repositionner la planification familiale au Botswana, le ministère de la Santé a convoqué une réunion pour procéder à une adaptation des critères d'admissibilité médicale pour la roue de l'utilisation de contraceptifs (CAM). Les principaux objectifs de ce processus ont été de présenter des mises à jour techniques des différentes méthodes de contraception, de mettre à jour les conditions médicales actuelles qui prévalent au Botswana et d'adapter la roue MEC pour répondre aux besoins de la population botswanaise. Ce commentaire met l'accent sur le processus d'adaptation qui a eu lieu au cours de l'atelier des parties prenantes qui a duré une semaine. Il conclut avec les éléments clés tirés de ce processus qui peuvent potentiellement informer les pays qui sont intéressés à entreprendre un exercice similaire pour renforcer leurs besoins en matière de la planification familiale. (Afr. J Reprod Health 2016; 20[2]: 9-12)

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Use of Dual Protection in Botswana

Cited by 10 publications

References 30 publications

Correlates and Barriers of Dual-Method Contraception among College Youths in Nigeria

Correlates and Barriers of Dual-Method Contraception among College Youths in Nigeria

Use of Dual Protection Among Female Sex Workers in Swaziland [

The Botswana Medical Eligibility Criteria Wheel: Adapting a Tool to Meet the Needs of Botswana’s Family Planning Program

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