Vaginal Microbicides for HIV/STI Prevention in Zimbabwe: What Key Informants Say

Moon, Martha W.; Khumalo-Sakutukwa, Gertrude; Heiman, J; Mbizvo, Michael T.; Padian, Nancy

doi:10.1177/104365960201300104

Cited by 23 publications

(14 citation statements)

References 4 publications

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“…M. Montgomery et al, 2008;Moon et al, 2002;Veldhuijzen et al, 2006;Venables & Stadler, 2012;C. Woodsong & Alleman, 2008).…”

Section: Discussionunclassified

“…Woodsong et al, 2013). One prominent issue from these studies is the role male partners play in the use of vaginal microbicide (Doggett et al, 2015;Jones, Weiss, Chitalu, Bwalya, & Villar, 2008;Koo, Woodsong, Dalberth, Viswanathan, & Simons-Rudolph, 2005;Lanham et al, 2014; C. M. Montgomery et al, 2010; C. M. Montgomery et al, 2008;Moon, Khumalo-Sakutukwa, Heiman, Mbizvo, & Padian, 2002;Venables & Stadler, 2012;C. Woodsong & Alleman, 2008;Cynthia Woodsong & Holt, 2015; C. Woodsong et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

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The influence of social constructs of hegemonic masculinity and sexual behaviour on acceptability of vaginal microbicides in Zambia

Mweemba

Dixey

White

2017

Global Public Health

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Vaginal microbicides are heralded as a woman's HIV prevention method. This ethnographic study, conducted in a trial setting in Zambia, explored how the social construction of masculinity and sexual behaviour influenced the acceptability of vaginal microbicides from the man's perspective. The data was generated from 18 In-depth Interviews (IDIs), and 8 Focus Group Discussions (FGDs). The data was analysed thematically. The study found that hegemonic masculinity influenced the use of gel use among women in multiple ways: decision to initiate gel use, autonomous use of the gel and consistent use of the gel. Men were seen as heads of households and decision makers who approved their partners' intentions to initiate gel use. Autonomous gel use by women was not supported because it challenged men's position in sexual matters and at family level. The socially accepted notion that men engaged in multiple sexual relationships also influenced women's decision to use the gel. Sustained gel use depended on the perceived effect of the gel on men's sexual desires, sexual performance, fertility, and sexual behaviour. This study suggests that acceptability of microbicides partially lies within the realm of men, with use constrained and dictated by cultural constructs and practice of masculinity and gender.

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“…M. Montgomery et al, 2008;Moon et al, 2002;Veldhuijzen et al, 2006;Venables & Stadler, 2012;C. Woodsong & Alleman, 2008).…”

Section: Discussionunclassified

Section: Introductionmentioning

confidence: 99%

The influence of social constructs of hegemonic masculinity and sexual behaviour on acceptability of vaginal microbicides in Zambia

Mweemba

Dixey

White

2017

Global Public Health

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“…Assessing the reaction of men in Zimbabwe, it has been suggested that 'Many men were concerned that women would be able to use the products without their consent or knowledge. Several products may be acceptable in this culture but must be introduced within the existing gender power structure' [10]. Microbicides will, of course, have to be introduced within existing gender power structures in every culture, not just Zimbabwe.…”

Section: Contextual Microbicide Usage Must Be Considered In Their Devmentioning

confidence: 99%

The introduction of vaginal microbicides must also target men

Smith

Magnet

2007

The Journal of Men's Health & Gender

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Vaginal microbicides hold great hope of reducing the spread of HIV and other sexually transmitted infections, as they provide women with a female-controlled protection option. The design and testing of vaginal microbicides thus far has been targeted primarily towards women. We argue that such thinking is limited and that, by ignoring men's needs and attitudes to microbicides, the burden of health responsibility will fall solely on women and may increase their vulnerability to the HIV epidemic. We suggest that a greater understanding of the range of men's responses to microbicides may be usefully incorporated into the research, development and marketing of microbicides. Demonstrating that men's responses to microbicides depend on a number of factors -including cultural difference, attitudes toward pregnancy, biological ramifications, and the nature of their relationship towards their sexual partner(s) -we propose a number of parameters that would be useful in the study of men's attitudes towards microbicides.

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“…Work in Zimbabwe (Moon et al 2002) have revealed that there is an urgent need for both spermicidal and non-spermicidal microbicides to be made available, especially in contexts where fertility is still highly valued. In settings such as those described here, where sperm are highly valued, microbicides might represent a real alternative to condoms (both male and female) for HIV prevention.…”

Section: Condoms As Non-maasaimentioning

confidence: 99%