The Acceptability of Reuse of the Female Condom Among Urban South African Women

Pettifor, Audrey; Beksinska, Mags; Rees, Helen; Mqoqi, Nokuzola; Dickson-Tetteh, Kim

doi:10.1093/jurban/78.4.647

Cited by 14 publications

(17 citation statements)

References 6 publications

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“…Of these, 75% favoured such condoms. Studies in SA have demonstrated acceptability of female condoms [20] and their re-use [21] and cost-effectiveness. [22] As a female-controlled infection prevention strategy, this should be a vital component of sex work interventions.…”

Section: Discussionmentioning

confidence: 99%

Characteristics, sexual behaviour and risk factors of female, male and transgender sex workers in South Africa

et al. 2013

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Background. In South Africa, information on sex workers' characteristics, sexual behaviour and health needs is limited. Current social, legal and institutional factors impede a safe working environment for sex workers and their clients. Objectives. To describe characteristics and sexual behaviour of female, male and transgender sex workers, and assess their risk factors for unprotected sex. Methods. Repeat cross-sectional surveys among sex workers were conducted in Hillbrow, Sandton, Rustenburg and Cape Town in 2010. Sex workers were interviewed once; any re-interviews were excluded from analysis. Unprotected sex was defined as any unprotected penetrative vaginal or anal sex with last two clients. Results. Trained sex worker-research assistants interviewed 1 799 sex workers. Sex work was a full-time profession for most participants. About 8% (126/1 594) of women, 33% (22/75) of men, and 25% (12/50) of transgender people had unprotected sex. A quarter of anal sex was unprotected. Unprotected sex was 2.1 times (adjusted odds ratio (AOR), 95% CI 1.2 -3.7; p=0.011) more likely in participants reporting daily or weekly binge drinking than non-binge drinkers. Male sex workers were 2.9 times (AOR, 95% CI 1.6 -5.3; p<0.001) more likely, and transgender people 2.4 times (AOR, 95% CI 1.1 -4.9; p=0.021) more likely, than females to have unprotected sex. Sex workers in Hillbrow, where the only sex work-specific clinic was operational, were less likely to have unprotected sex than those in other sites. Conclusion. Tailored sex work interventions should explicitly include male and transgender sex workers, sex work-specific clinics, focus on the risks of unprotected anal sex, and include interventions to reduce harm caused by alcohol abuse.

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Section: Discussionmentioning

confidence: 99%

Characteristics, sexual behaviour and risk factors of female, male and transgender sex workers in South Africa

et al. 2013

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“…62 The potential for reusing the female condom also may address in part the challenge of affordability, at least in places where reuse is acceptable. 63 The condom can be washed with a bleach solution, dried and reused up to seven times without compromise to its structural integrity. 64 Still, the World Health Organization recommends single use, 65 thereby leaving the decision about reuse to individual governments, providers or users.…”

Section: Role Of National Promotional Campaignsmentioning

confidence: 99%

The Future of the Female Condom

Hoffman

Mantell²,

Exner³

et al. 2004

Perspect Sexual Reproductive

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“…Re-use is due to many factors, especially limited availability, high unit cost relative to the male condom, perceived strength of the female condom and, perhaps most of all, the limited options available to women -often a choice must be made between re-using a female condom or having no protection at all. [27][28][29] WHO, UNAIDS and USAID, among others, have conducted numerous studies to investigate the safety and feasibility of re-use after disinfection, washing, drying, storage and re-lubrication, and WHO has convened two technical consultations to review data from these studies. The studies clearly indicate that disinfecting, washing and drying a female condom up to seven times does not harm the structural integrity of the device.…”

Section: Technical Issuesmentioning

confidence: 99%