The female condom: dynamics of use in urban Zimbabwe.

Abstract

The goal of this cross-sectional research is to increase understanding of the patterns and dynamics of female condom use in order to inform policy-makers and program planners involved in decisions about promotion and distribution of the female condom in Zimbabwe. An intercept survey was conducted among women and men in urban sales outlets. A total of 493 female condom users 633 male condom users and 624 nonusers were enrolled. Male and female users of the female condom also participated in the in-depth interviews and focus groups. Users of the female condom are generally in their mid- to late 20s have higher levels of education and access to household resources are unmarried women or married men and have used the male condom at least once prior to trying the female condom. Experimentation pregnancy prevention and prevention from sexually transmitted infections (STIs) and HIV/AIDS are primary reasons for female condom use. Users perceive the female condom to be effective and reliable as both an STI and HIV/AIDS prevention method and a contraceptive method but some difficulty with its use were also reported. Women more than men initiate dialogue about using a female condom decide on its use and procure the product. Overall about 15% of women and men reported always using the female condom but consistent use was reported less frequently with spouses than with regular extramarital partners. Of the inconsistent female condom users who have used the male condom 93.8% reported continued use of the male condom. Policy implications are discussed.