Temporal trends in sexually transmitted infection prevalence and condom use following introduction of the female condom to Madagascar sex workers

Hoke, Theresa; Feldblum, Paul J.; Damme, Kathleen Van; Grey, Tom; Wong, Emelita L.; Ralimamonjy, Louisette; Raharimalala, Leonardine; Rasamindrakotroka, A.

doi:10.1258/095646207781147175

Cited by 34 publications

(25 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Moreover, we are unaware of any published studies that directly report on South African men's attitudes, intentions and use of the female condom, despite their increasing availability locally, without cost, including at higher education facilities. A growing body of evidence suggests that providing male and female condoms together increases the number of protected acts of vaginal sex [34][35][36]. Yet female condoms remain underutilized as an HIV prevention strategy, both in South Africa (4.276 million female condoms compared with 283 million male condoms distributed by the South African government in fiscal year April 2008 through March 2009 [37] and elsewhere) [38,39].…”

Section: Introductionmentioning

confidence: 99%

Everywhere you go, everyone is saying condom, condom. But are they being used consistently? Reflections of South African male students about male and female condom use

Mantell¹,

Smit²,

Beksinska³

et al. 2011

Health Education Research

View full text Add to dashboard Cite

Young men in South Africa can play a critical role in preventing new human immunodeficiency virus (HIV) infections, yet are seldom targeted for HIV prevention. While reported condom use at last sex has increased considerably among young people, consistent condom use remains a challenge. In this study, 74 male higher education students gave their perspectives on male and female condoms in 10 focus group discussions. All believed that condoms should be used when wanting to prevent conception and protect against HIV, although many indicated that consistent condom use was seldom attained, if at all. Three possible situations for not using condoms were noted: (i) when sex happens in the heat of the moment and condoms are unavailable, (ii) when sexual partnerships have matured and (iii) when female partners implicitly accept unprotected sex. Men viewed it as their responsibility to have male condoms available, but attitudes about whose decision it was to initiate condom use were mixed. Almost all sexually active men had male condom experience; however, very few had used female condoms. Prevention initiatives should challenge traditional gendered norms that underpin poor condom uptake and continued use and build on the apparent shifts in these norms that are allowing women greater sexual agency.

show abstract

Section: Introductionmentioning

confidence: 99%

Everywhere you go, everyone is saying condom, condom. But are they being used consistently? Reflections of South African male students about male and female condom use

Mantell¹,

Smit²,

Beksinska³

et al. 2011

Health Education Research

View full text Add to dashboard Cite

show abstract

“…E. Beksinska, Rees, McIntyre, & Wilkinson, 2001;Choi, Gregorich, Anderson, Grinstead, & Gomez, 2003;Farr, Gabelnick, Sturgen, & Dorflinger, 1994;Hoke et al, 2007). Several studies have reported some male partners to be amenable to its use (Ankrah & Attika, 1997;M.…”

Section: Introduction Of the Female Condom To Different Types Of Sexumentioning

confidence: 99%

Central American Sex Workers' Introduction of the Female Condom to Different Types of Sexual Partners

Mack

Grey²,

Amsterdam³

et al. 2010

AIDS Education and Prevention

View full text Add to dashboard Cite

Formative research was conducted in El Salvador and Nicaragua to inform promotion of female condoms to sex workers. Two rounds of focus groups with sex workers were conducted, with female condom training and supplies provided. Structured interviews with sex workers and direct observations of health educators were conducted. One third of sex acts were protected with female condoms in the previous 7 days. Women recommended nonpaying partners as "first try" partners but most frequently reported trying female condoms with clients. With clients, women preferred female condoms over male condoms but expressed no preference with nonpaying partners. Lack of exposure to female condoms among men and women was cited as a key barrier to female condom use. Strategies for persuading all partner types to try the female condom are suggested, and we provided promotional messages, based on results, to assist sex workers in introducing female condoms to different partners.

show abstract

“…Two analyses of particular importance are as follows: (a) an analysis that allows for the possibility that female condom use ''crowds out'' some amount of current male condom use, and (b) an analysis that determines how low the effectiveness of FC2 can fall before the intervention ceases to be cost-saving or cost-effective. Table 1 displays the crowd out parameter employed in a prior analysis in Brazil and South Africa [2], and to our knowledge is the maximum crowd out estimate seen in the literature (and that is based on one particular analysis in one study of female condom use among Madagascar sex workers) [17]. Table 2 contains the results for the cost, threshold, CUA and sensitivity analyses.…”

Section: Sensitivity Analysismentioning

confidence: 99%

Cost–Utility Analysis of A Female Condom Promotion Program in Washington, DC

Holtgrave

Maulsby

Kharfen³

et al. 2012

AIDS Behav

View full text Add to dashboard Cite

A retrospective economic evaluation of a female condom distribution and education program in Washington, DC. was conducted. Standard methods of cost, threshold and cost-utility analysis were utilized as recommended by the U.S. Panel on cost-effectiveness in health and medicine. The overall cost of the program that distributed 200,000 female condoms and provided educational services was $414,186 (at a total gross cost per condom used during sex of $3.19, including educational services). The number of HIV infections that would have to be averted in order for the program to be cost-saving was 1.13 in the societal perspective and 1.50 in the public sector payor perspective. The cost-effectiveness threshold of HIV infections to be averted was 0.46. Overall, mathematical modeling analyses estimated that the intervention averted approximately 23 HIV infections (even with the uncertainty inherent in this estimate, this value appears to well exceed the necessary thresholds), and the intervention resulted in a substantial net cost savings.

show abstract

Temporal trends in sexually transmitted infection prevalence and condom use following introduction of the female condom to Madagascar sex workers

Cited by 34 publications

References 0 publications

Everywhere you go, everyone is saying condom, condom. But are they being used consistently? Reflections of South African male students about male and female condom use

Everywhere you go, everyone is saying condom, condom. But are they being used consistently? Reflections of South African male students about male and female condom use

Central American Sex Workers' Introduction of the Female Condom to Different Types of Sexual Partners

Cost–Utility Analysis of A Female Condom Promotion Program in Washington, DC

Contact Info

Product

Resources

About