||"Makona, Edgar Dearn" [ profile ]
HIV/AIDS: Female condoms slowly gaining popularity - report
Aug 11th, 2011 - 06:00:37
Long seen as the ugly step-child of HIV prevention, the female condom
seems to be gaining popularity through grassroots campaigns, according
to a new report by the UN Population Fund (UNFPA).
"For the fourth consecutive year, access to female condoms has
increased dramatically, reaching a record number of 50 million... in
2009," the report states.
The female condom is a 17cm-long polyurethane sheath with a flexible
ring at each end. It provides about the same protection from sexually
transmitted infections - including HIV - and unwanted pregnancy as the
male condom, but unlike the male condom, can be used with oil- and
water-based lubricants without the risk of breakage.
The organization credits successful partnerships between governments
and technical agencies for helping to increase access to female
condoms. In 2005, UNFPA launched the Female Condom Initiative in 24
countries to ensure that female condom programming was integral to
national AIDS policies and reproductive health programmes.
"In a number of countries, governments... are applying highly creative
approaches to educating the public about condoms and to overcoming the
stigma and taboos sometimes associated with them," the report's
authors said. "In the process, they are discovering that the female
condom is a tool for women's empowerment, enabling women and
adolescent girls to take the initiative to protect their own and their
In Zimbabwe, billboards, radio spots and TV adverts helped boost
female condom distribution by the public sector from about 400,000 in
2005 to more than two million in 2008, while the sales of female
condoms went up from 900,000 in 2005 to more than three million in
Programmers in Zimbabwe used hairdressers to market the female condom,
which proved highly successful.
"Often the hairdresser will work from a chair in her back yard. Such
improvised salons stay open at all hours, so women can have their hair
done and discuss personal matters in privacy," the authors
UNFPA's partner, Population Services International (PSI), provides
day-long training workshops around the country for the 2,000
hairdressers and 70 barbers who act as sales representatives for the
female condom. PSI also employs 20 female condom promoters who
distribute the condoms to hairdressers and barbers and spread the word
about the training.
''For the fourth consecutive year, access to female condoms has
increased dramatically, reaching a record number of 50 million... in
This approach was also used successfully in Guyana and Malawi.
In Ethiopia, the programme used coffee ceremonies, an age-old social
custom, to reach married women. Because condoms - perceived to be used
by promiscuous people and sex workers - are highly stigmatised in
Ethiopian society, programmers highlighted the family planning
benefits of the female condom.
In Myanmar, efforts targeted high-risk female sex workers and men who
have sex with men, with PSI rebranding the condoms "Feel for Men" to
make them more appealing to MSM.
Although not recommended for anal sex by the UN World Health
Organization, some health authorities have opted to market it for use
by MSM. In a 2002 US study, men reported more frequent problems with
female condoms than male latex condoms, particularly slippage,
discomfort and rectal bleeding; the authors recommended more research
on the safety of female condoms for anal sex.
Lagging behind the male condom
Despite these gains, the female condom still lags behind the male
condom in popularity; according to UNFPA, more than 10 billion male
condoms are used every year globally.
In Kenya, female condoms are part of the country's broader HIV and
family planning programmes, but women have shown little interest. The
country recently received three million female condoms from UNFPA and
"We do not have reliable data on acceptability but we know that among
sex workers there is a high demand," said Peter Cherutich, head of HIV
prevention at the National AIDS and Sexually transmitted infections
Control Programme. "Overall, the demand is low mainly due to general
unavailability and [lack of] information.
"It is still more expensive [than the male condom] and we are yet to
be confident that it is as widely popular as the male condom," he
added. "Except for female sex workers and highly empowered women, most
other women do not have the capacity to demand safe sex... the
majority of women depend on their sexual partners to protect them."
The UNFPA report noted that female condoms can cost as much as US$1
each while male condoms are often distributed free of charge. In
pharmacies in Nairobi, a pack of three male condoms costs from about
$0.20 to just over $1.
"In 2009, only one female condom was available for every 36 women
worldwide," the report states.
One of the major complaints women had about the original FC1 female
condom was that it was noisy during sex. The newer FC2 female condom
is quieter and less expensive to produce but many women still feel it
is more complicated than the male condom.
Photo: Flickr Creative Commons/Canned Muffins
In Ethiopia, traditional coffee ceremonies were used to reach married women
"We are trying to popularize it among sex workers, but they say if you
have five or 10 customers in one night, the male condom is more
convenient - with the female condom, it takes time to put on, then it
has to warm up to your body temperature and the guy knows it's there,"
said Macklean Kyomya, executive director of the Ugandan NGO, Women's
Organization Network for Human Rights Advocacy, which represents sex
Lillian Mwamba, who lives in Nairobi, says she would use the female
condom more often if it were more widely available.
"I have used a female condom on certain occasions but my partner and I
prefer the male one because they are easy to come by and you can walk
into any shop, even a kiosk, and get it; female condoms are very rare
and expensive," she told IRIN/PlusNews. "But on the occasions I have
used it, I can't say it was bad - it gives me as a woman some
Conversations with other Nairobians reveal that ignorance about the
female condom is still widespread. "From the demonstrations I have
seen, the female condom is inserted inside and your penis too goes
inside. Now I am thinking to myself, what if I push it deeper inside
and the woman gets hurt?" said Paul Mayaka. "And where do you get it
even if you wanted your woman to have it?"
Mayaka added that he couldn't "trust my life with something that is
washed like a cloth", referring to the practice of washing the female
condom for reuse, which is not recommended by the UN World Health
NASCOP's Cherutich said the Kenyan government would need to market the
female condom in new ways to increase use. "We have not placed the
female condom as a family planning tool, which if we had, would make
FC less stigmatizing since family planning is now an accepted concept
within family settings," he said.
Courtesy: NAIROBI, 11 August 2011 (PlusNews)
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GYCA's mission is to empower young leaders with the skills, knowledge,
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