Condom availability in high risk places and condom use: a study at district level in Kenya, Tanzania and Zambia.

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Condom availability in high risk places and condom use : a study at district level in Kenya, Tanzania and Zambia. / Sandøy, Ingvild Fossgard; Blystad, Astrid ; Shayo, Elizabeth H.; Makundi, Emmanuel; Michelo, Charles; Zulu, Joseph; Byskov, Jens.

In: B M C Public Health, Vol. 12, No. 1030, 2012.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Sandøy, IF, Blystad, A, Shayo, EH, Makundi, E, Michelo, C, Zulu, J & Byskov, J 2012, 'Condom availability in high risk places and condom use: a study at district level in Kenya, Tanzania and Zambia.', B M C Public Health, vol. 12, no. 1030. https://doi.org/10.1186/1471-2458-12-1030

APA

Sandøy, I. F., Blystad, A., Shayo, E. H., Makundi, E., Michelo, C., Zulu, J., & Byskov, J. (2012). Condom availability in high risk places and condom use: a study at district level in Kenya, Tanzania and Zambia. B M C Public Health, 12(1030). https://doi.org/10.1186/1471-2458-12-1030

Vancouver

Sandøy IF, Blystad A, Shayo EH, Makundi E, Michelo C, Zulu J et al. Condom availability in high risk places and condom use: a study at district level in Kenya, Tanzania and Zambia. B M C Public Health. 2012;12(1030). https://doi.org/10.1186/1471-2458-12-1030

Author

Sandøy, Ingvild Fossgard ; Blystad, Astrid ; Shayo, Elizabeth H. ; Makundi, Emmanuel ; Michelo, Charles ; Zulu, Joseph ; Byskov, Jens. / Condom availability in high risk places and condom use : a study at district level in Kenya, Tanzania and Zambia. In: B M C Public Health. 2012 ; Vol. 12, No. 1030.

Bibtex

@article{060f4db3c7924b9894288b4328adf677,
title = "Condom availability in high risk places and condom use: a study at district level in Kenya, Tanzania and Zambia.",
abstract = "Background A number of studies from countries with severe HIV epidemics have found gaps in condom availability, even in places where there is a substantial potential for HIV transmission. Although reported condom use has increased in many African countries, there are often big differences by socioeconomic background. The aim of this study was to assess equity aspects of condom availability and uptake in three African districts to evaluate whether condom programmes are given sufficient priority. Methods Data on condom availability and use was examined in one district in Kenya, one in Tanzania and one in Zambia. The study was based on a triangulation of data collection methods in the three study districts: surveys in venues where people meet new sexual partners, population-based surveys and focus group discussions. The data was collected within an overall study on priority setting in health systems. Results At the time of the survey, condoms were observed in less than half of the high risk venues in two of the three districts and in 60{\%} in the third district. Rural respondents in the population-based surveys perceived condoms to be less available and tended to be less likely to report condom use than urban respondents. Although focus group participants reported that condoms were largely available in their district, they expressed concerns related to the accessibility of free condoms. Conclusion As late as thirty years into the HIV epidemic there are still important gaps in the availability of condoms in places where people meet new sexual partners in these three African districts. Considering that previous studies have found that improved condom availability and accessibility in high risk places have a potential to increase condom use among people with multiple partners, the present study findings indicate that substantial further efforts should be made to secure that condoms are easily accessible in places where sexual relationships are initiated. Although condom distribution in drinking places has been pinpointed in the HIV/AIDS prevention strategies of all the three countries, its priority relative to other HIV/AIDS measures must be reassessed locally, nationally and regionally. In practical terms very clear supply chains of condoms to both formal and informal drinking places could make condom provision better and more reliable",
keywords = "Faculty of Health and Medical Sciences, HIV prevention, High risk places, Condom distribution, Condom availability, Condom use, HIV Prevention, High risk places, Condom distribution, Condom availability, Condom use",
author = "Sand{\o}y, {Ingvild Fossgard} and Astrid Blystad and Shayo, {Elizabeth H.} and Emmanuel Makundi and Charles Michelo and Joseph Zulu and Jens Byskov",
year = "2012",
doi = "10.1186/1471-2458-12-1030",
language = "English",
volume = "12",
journal = "B M C Public Health",
issn = "1471-2458",
publisher = "BioMed Central Ltd.",
number = "1030",

}

RIS

TY - JOUR

T1 - Condom availability in high risk places and condom use

T2 - a study at district level in Kenya, Tanzania and Zambia.

AU - Sandøy, Ingvild Fossgard

AU - Blystad, Astrid

AU - Shayo, Elizabeth H.

AU - Makundi, Emmanuel

AU - Michelo, Charles

AU - Zulu, Joseph

AU - Byskov, Jens

PY - 2012

Y1 - 2012

N2 - Background A number of studies from countries with severe HIV epidemics have found gaps in condom availability, even in places where there is a substantial potential for HIV transmission. Although reported condom use has increased in many African countries, there are often big differences by socioeconomic background. The aim of this study was to assess equity aspects of condom availability and uptake in three African districts to evaluate whether condom programmes are given sufficient priority. Methods Data on condom availability and use was examined in one district in Kenya, one in Tanzania and one in Zambia. The study was based on a triangulation of data collection methods in the three study districts: surveys in venues where people meet new sexual partners, population-based surveys and focus group discussions. The data was collected within an overall study on priority setting in health systems. Results At the time of the survey, condoms were observed in less than half of the high risk venues in two of the three districts and in 60% in the third district. Rural respondents in the population-based surveys perceived condoms to be less available and tended to be less likely to report condom use than urban respondents. Although focus group participants reported that condoms were largely available in their district, they expressed concerns related to the accessibility of free condoms. Conclusion As late as thirty years into the HIV epidemic there are still important gaps in the availability of condoms in places where people meet new sexual partners in these three African districts. Considering that previous studies have found that improved condom availability and accessibility in high risk places have a potential to increase condom use among people with multiple partners, the present study findings indicate that substantial further efforts should be made to secure that condoms are easily accessible in places where sexual relationships are initiated. Although condom distribution in drinking places has been pinpointed in the HIV/AIDS prevention strategies of all the three countries, its priority relative to other HIV/AIDS measures must be reassessed locally, nationally and regionally. In practical terms very clear supply chains of condoms to both formal and informal drinking places could make condom provision better and more reliable

AB - Background A number of studies from countries with severe HIV epidemics have found gaps in condom availability, even in places where there is a substantial potential for HIV transmission. Although reported condom use has increased in many African countries, there are often big differences by socioeconomic background. The aim of this study was to assess equity aspects of condom availability and uptake in three African districts to evaluate whether condom programmes are given sufficient priority. Methods Data on condom availability and use was examined in one district in Kenya, one in Tanzania and one in Zambia. The study was based on a triangulation of data collection methods in the three study districts: surveys in venues where people meet new sexual partners, population-based surveys and focus group discussions. The data was collected within an overall study on priority setting in health systems. Results At the time of the survey, condoms were observed in less than half of the high risk venues in two of the three districts and in 60% in the third district. Rural respondents in the population-based surveys perceived condoms to be less available and tended to be less likely to report condom use than urban respondents. Although focus group participants reported that condoms were largely available in their district, they expressed concerns related to the accessibility of free condoms. Conclusion As late as thirty years into the HIV epidemic there are still important gaps in the availability of condoms in places where people meet new sexual partners in these three African districts. Considering that previous studies have found that improved condom availability and accessibility in high risk places have a potential to increase condom use among people with multiple partners, the present study findings indicate that substantial further efforts should be made to secure that condoms are easily accessible in places where sexual relationships are initiated. Although condom distribution in drinking places has been pinpointed in the HIV/AIDS prevention strategies of all the three countries, its priority relative to other HIV/AIDS measures must be reassessed locally, nationally and regionally. In practical terms very clear supply chains of condoms to both formal and informal drinking places could make condom provision better and more reliable

KW - Faculty of Health and Medical Sciences

KW - HIV prevention

KW - High risk places

KW - Condom distribution

KW - Condom availability

KW - Condom use

KW - HIV Prevention

KW - High risk places

KW - Condom distribution

KW - Condom availability

KW - Condom use

U2 - 10.1186/1471-2458-12-1030

DO - 10.1186/1471-2458-12-1030

M3 - Journal article

VL - 12

JO - B M C Public Health

JF - B M C Public Health

SN - 1471-2458

IS - 1030

ER -

ID: 43353171