Addressing Female Condom Use among Women in South Africa: A Review of the Literature

Haffejee, Firoza; Maharajh, Rivesh

doi:10.1080/19317611.2019.1643813

Cited by 9 publications

(7 citation statements)

References 16 publications

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“…Despite the South African government’s policy of distributing free condoms, one of the largest condom distribution programmes in the world, and efforts to rebrand government-issue condoms, evidence suggests that actual condom use is on the decline (Haffejee & Maharajh, 2019 ; Shrader et al., 2020 ; Simbayi et al., 2019). There is a lack of evidence explaining this decline in condom use, but theories include increased access to PrEP, increased promotion of voluntary medical male circumcision, “condom fatigue”, decreases in perceived risk of acquiring HIV, and a reduction in prevention efforts targeting condom use (Maakamedi, 2017 ; Shisana et al., 2014 ).…”

Section: Introductionmentioning

confidence: 99%

“Condoms Are Boring”: Navigating Relationship Dynamics, Gendered Power, and Motivations for Condomless Sex Amongst Adolescents and Young People in South Africa

Duby

Jonas

Appollis

et al. 2021

International Journal of Sexual Health

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Condoms remain an important method for preventing HIV prevention and unintentional pregnancies, however their use in South Africa is sub-optimal. We analyzed survey data on reported condom use among 3009 sexually active adolescent girls and young women (AGYW) aged 15-24 years, and qualitative data from interviews and focus group discussions with 237 AGYW and 38 male peers. Our findings describe the current condom use landscape among adolescents and young people in South Africa, illustrating relationship dynamics, gendered power and notions of masculinity which influence condom negotiation and use in young heterosexual South Africans' sexual encounters.

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Section: Introductionmentioning

confidence: 99%

“Condoms Are Boring”: Navigating Relationship Dynamics, Gendered Power, and Motivations for Condomless Sex Amongst Adolescents and Young People in South Africa

Duby

Jonas

Appollis

et al. 2021

International Journal of Sexual Health

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“…The high level of awareness about the FC did not translate to a positive attitude towards its use. A similar study among South African women reported low use among more educated females, which in their case was counteracted by their higher use of the male condom, due to better negotiation skills with the latter 36 . Our results support the findings that correct knowledge of health issues may not always translate into appropriate preventive health actions.…”

Section: Discussionmentioning

confidence: 82%

“…These could be responsible for its unpopularity among university students. Some studies have also documented similar challenges, in developed countries 14,[36][37][38] . Despite these challenges, however, there were indications of considerable prospects for acceptability and use of female condoms among the students interviewed, as over two-thirds expressed optimism and willingness to try out the condoms if offered as a trial or made available and will even introduce it to their friends and peers 14 .…”

Section: Discussionmentioning

confidence: 85%

“…Interpersonal communication activities, such as rallies, roadshows, one-on-one educational contacts, group meetings in strategic places like markets, religious houses, schools, and seminars should be encouraged. However, the FC is not an all-or-nothing option, but it should augment the protective options available, there by increasing the choices available to wome 36 . The limitations of this review include paucity of data on FC from the Northern regions of the country and general lack of data on male's perspectives of FC.…”

Section: Discussionmentioning

confidence: 99%

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Systematic review and meta-analysis assessing the knowledge and use of the female condom among Nigerians

Shallie¹,

Haffejee²

2021

Afr H. Sci.

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Background: The female condom (FC) is a critical component in a comprehensive and sustainable approach to prevent HIV, other sexually transmitted infections and unintended pregnancies. Objectives: This review provides comprehensive information about Nigerian’s knowledge and use of FC. Methods: We screened search output, evaluated study eligibility, and extracted data in duplicate. Data from similar studies were combined in a meta-analysis. Results: There was a significantly (p < 0.0001) high-level of awareness amongst the respondents. However, the use of the FC was very low at 5.5% among female respondents. There was a significant (p < 0.0001) difference between FC awareness and use. The main reasons for FC use were prevention of unintended pregnancy (55%) and STIs/HIV (31%). We observed a significant difference between reasons of non-use of the FC [F (5, 13) = 5.195, P = 0.0077]. Furthermore, there were significant differences between the sources of information on FC [F (3, 8) = 32.89, P < 0.0001]. Conclusion: Despite the high levels of awareness, especially among the female respondents, the use of the FC has remained extremely low even among the young, educated undergraduate students. There is aneed for robust and consistent advocacy to make the FC available and affordable. Keywords: Female condom; women; men; awareness; use; Nigeria.

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“…In the 2017-2022 Strategic Plan [16] a target of 40 million FCs was set for FY 2021-2022. Despite these distribution targets, FC uptake has been low-only 7.2% in a population-level survey conducted in 2008 [17], and a recent review of the FC in South Africa found that FC use ranged between 2.9% and 38.7% [18]. Today, South Africa has one of the most robust FC programmes globally.…”

Section: Introductionmentioning

confidence: 99%

Lessons from the evaluation of the South African National Female Condom Programme

et al. 2020

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Background Understanding of the facilitators and challenges to female condom (FC) uptake has been limited due to lack of evaluation of national FC programmes. Setting The FC has been an integral component of South Africa's (SA) HIV prevention programme for 20 years and is the largest government-funded FC programme worldwide. Methods The national FC evaluation used a mixed-methods approach and consisted of key informant interviews and a telephone survey in a national sample of public and non-public sites. A sub-sample of sites participated in client and provider interviews, and a self-administered client survey. A review of distribution statistics from South Africa's District Health Information System was also conducted. Results All 256 public-sector and 28 non-public-sector facilities reported having ever distributed FCs. Less than 5% of these facilities reported stock-outs and less than 3% reported they had a supply of expired female condoms. Systems for male condom (MC) and FC distribution were complementary, with similar ordering, delivery and reporting processes. FC promotion by providers (n = 278) varied with regard to FC training, whether attitudes about FCs influenced providers offer of FCs, and how they counselled clients about FCs. Of the 4442 self-administered client surveys in 133 facilities, similar proportions of women (15.4%) and men (15.2%) had ever used FCs. Although FCs were available at almost all sites surveyed, only two-thirds of clients were aware of their availability.

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Addressing Female Condom Use among Women in South Africa: A Review of the Literature

Cited by 9 publications

References 16 publications

“Condoms Are Boring”: Navigating Relationship Dynamics, Gendered Power, and Motivations for Condomless Sex Amongst Adolescents and Young People in South Africa

“Condoms Are Boring”: Navigating Relationship Dynamics, Gendered Power, and Motivations for Condomless Sex Amongst Adolescents and Young People in South Africa

Systematic review and meta-analysis assessing the knowledge and use of the female condom among Nigerians

Lessons from the evaluation of the South African National Female Condom Programme

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