Sue Napierala, Mi-Suk Kang, Tsungai Chipato, Nancy Padian, and Ariane van der Straten
(2008). Female Condom Uptake and Acceptability in Zimbabwe. AIDS Education and Prevention: Vol. 20, No. 2, pp. 121-134.
Female Condom Uptake and Acceptability in Zimbabwe
Sue Napierala1, Mi-Suk Kang1, Tsungai Chipato2, Nancy Padian1, Ariane van der Straten11 Women's Global Health Imperative, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco.
2 UZ–UCSF Collaborative Research Program in Women's Health and the Department of Obstetrics and Gynecology, University of Zimbabwe, Harare, Zimbabwe.
The authors acknowledge the study staff and participants in Zimbabwe for their contributions to this study.
Support for this study was provided by CONRAD and the Centers for Disease Control and Prevention Contract CSA–99–269.
Address correspondence to Ariane van der Straten, PhD, MPH, RTI International, 114 Sansome Street, Suite 500, San Francisco, CA 94104; E-mail:
ariane@rti.org.
Abstract
As the first phase of a two–phase prospective cohort study to assess the acceptability of the diaphragm as a potential HIV/STI prevention method, we conducted a 2–month prospective study and examined the effect of a male and female condom intervention on female condom (FC) use among 379 sexually active women in Harare, Zimbabwe. Reported use of FC increased from 1.1% at baseline to 70.6% at 2–month follow–up. Predictors of FC uptake immediately following the intervention included interest in using FC, liking FC better than male condoms, and believing one could use them more consistently than male condoms. Women reported 28.8% of sex acts protected by FC in the 2 weeks prior to last study visit. Though FC may not be the preferred method for the majority of women, with access, proper education, and promotion they may be a valuable option for some Zimbabwean women.
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