Why do men often not use condoms in their relationships with casual sexual partners in Uganda?

Rutakumwa, Rwamahe; Mbonye, Martin; Kiwanuka, Thadeus; Bagiire, Daniel; Seeley, Janet

doi:10.1080/13691058.2015.1053413

Cited by 26 publications

(24 citation statements)

References 51 publications

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“…This is consistent with other studies done elsewhere [33]. Special training programs on condom use and on negative attitudes about gender norms have been reported to be effective in reducing condom failure and HIV prevalence in some FSWs communities [33,[34][35][36]. The study participants reported that often times, efforts to stop men to continue sex after condom failure failed.…”

Section: Discussionsupporting

confidence: 90%

Actions taken by female sex workers (FSWs) after condom failure in semi urban Blantyre, Malawi

Twizelimana¹,

Muula

2020

Preprint

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Background Little is known about action taken by female sex workers (FSWs) after condom failure during sexual intercourse. The objective of this study was to investigate the actions taken by FSWs after condom failure among FSWs in semi – urban, Blantyre in Malawi. Methods A cross sectional, qualitative study was conducted among FSWs in Blantyre, Malawi between May and July 2019. Snowballing technique was used to recruit study participants in four purposively selected study sites. Focus group discussions and in-depth interviews were conducted by trained research assistants among 40 FSWs. Data were analyzed using thematic content analysis. Results Study participants reported different actions taken after condom failure. Many FSWs reported to have stopped sex immediately and changed the condom and then resumed sexual intercourse. Other than condom replacement no further actions were taken. Few FSWs reported to have stopped sexual intercourse and thereafter sought medical care which included post-exposure prophylaxis for HIV, sexually transmitted infections’ treatment, and emergency hormonal contraceptives. Urination, vaginal douche, and squatting after condom failure were reported as actions taken by some participants with the aim to avoid HIV transmission and pregnancy. Some FSWs interviewed reported to have not stopped sexual intercourse and no any other actions were taken after condom failure. Some FSWs reported to have douched, squatted or asked for higher pay from their clients after condom failure. Conclusion We reported some inadequate behaviors among FSWs after condom failure. Health programs should develop interventions for safe sex among FSWs to prevent STIs including HIV, and unplanned pregnancies. There is a need to address misconceptions related to health illiteracy among FSWs. There are interpersonal, structural and policy factors hindering FSWs’ access to health care providers.

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Section: Discussionsupporting

confidence: 90%

Actions taken by female sex workers (FSWs) after condom failure in semi urban Blantyre, Malawi

Twizelimana¹,

Muula

2020

Preprint

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“…The practice of having multiple sexual partners, as a demonstration of a man's masculinity, a practice associated with high risk behaviour, may affect the uptake and consequently HIV protection (Allison & Seeley, 2004;Kissling et al, 2005;Mojola, 2011). We have found in similar settings that men are reluctant to use condoms even with casual partners (Rutakumwa et al, 2015); faith in the efficacy of circumcision to provide protection, may make condom use even less likely (Andersson et al, 2011;Hallett et al, 2008).…”

Section: Discussionmentioning

confidence: 88%

Voluntary medical male circumcision for HIV prevention in fishing communities in Uganda: the influence of local beliefs and practice

Mbonye

Kuteesa

Seeley

et al. 2016

African Journal of AIDS Research

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Local beliefs and practices about voluntary medical male circumcision (VMMC) may influence uptake and effectiveness. Data were gathered through interviews with 40 people from four ethnically mixed fishing communities in Uganda. Some men believed that wound healing could be promoted by contact with vaginal fluids while sex with non-regular partners could chase away spirits - practices which encouraged unsafe sexual practices. Information given by providers stressed that VMMC did not afford complete protection from sexually-transmitted infections, however, a number of male community members held the view that they were fully protected once circumcised. Both men and women said that VMMC was good not just for HIV prevention but also as a way of maintaining hygiene among the men. The implementation of VMMC in high-HIV prevalence settings needs to take account of local beliefs about circumcision, working with local religious/social group leaders, women and peers in the roll-out of the intervention.

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“…Such relationships are shaped by dominant masculine norms which place the man firmly in control. The desire for greater sexual pleasure or children, and the concern to validate trust in a relationship means that condom use is forgotten in these sexual relationships, resulting in an increased risk of HIV-infection (Aho, Koushik, & Rashed, 2012;Goldenberg et al, 2010;Matovu & Ssebadduka, 2014;Murray et al, 2007;Rutakumwa et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Relationship dynamics and sexual risk behaviour of male partners of female sex workers in Kampala, Uganda

Mbonye

Siu

Kiwanuka

et al. 2016

African Journal of AIDS Research

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Male regular partners of female sex workers represent an important population to reach with HIV-prevention interventions. In this paper we discuss the relationship dynamics and HIV/STI risk behaviour of men involved with self-identified female sex workers (FSW) in Kampala. Between 2011 and 2014 we conducted repeat in-depth interviews with 42 male partners of FSWs attending a clinic for women at high risk of HIV-infection in Kampala. Men publicly struggled with the stigma of dating women who are considered to be engaged in a shamed profession, but privately saw meaning in these relationships. In coping with the stigma, some described the work of their partners in terms that distanced them from sex work, while others struggled to have the control that `being a man' demanded since they could not monitor all movements of their partners. Dealing with HIV disclosure was hard, and seeking support difficult for some of the men leading to missed opportunities and guilt. Despite challenges, relationships with sex workers offered men some benefits such as access to much needed care and treatment. A few men also admitted to being motivated by material and financial benefits from sex workers who they perceived as being rich and this was one factor that helped them sustain the relationships. These findings offer insights into the complex relationship dynamics within high risk sexual partnerships but the findings suggest that effective interventions that are couple centred can be established to promote better health.

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Why do men often not use condoms in their relationships with casual sexual partners in Uganda?

Cited by 26 publications

References 51 publications

Actions taken by female sex workers (FSWs) after condom failure in semi urban Blantyre, Malawi

Actions taken by female sex workers (FSWs) after condom failure in semi urban Blantyre, Malawi

Voluntary medical male circumcision for HIV prevention in fishing communities in Uganda: the influence of local beliefs and practice

Relationship dynamics and sexual risk behaviour of male partners of female sex workers in Kampala, Uganda

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