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Improving the accessibility of condoms in South Africa

The role of informal distribution

Bibliographic Data

ID19438707
AuthorsLandon Myers (0000-0002-8106-7658, South African Medical Research Council), L Myer (Columbia University), Catherine Mathews (0000-0001-5368-1127, South African Medical Research Council), Francesca Little (0000-0002-5917-9928, University of Cape Town)
Year2002
Volume14
Issue6
Pages773-778
Publication date2002-12-01
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0954012021000031840
PMID12511210
OpenAlexW2087389754
LanguageEN
Citations received6
References cited10

Lack of access to condoms presents a fundamental barrier to HIV prevention across most of sub-Saharan Africa. One strategy to enhance the accessibility of condoms is to promote their informal distribution outside of health facilities through existing social networks. To investigate the prevalence and practices of informal condom distribution, we administered a questionnaire to individuals procuring condoms at 12 public health facilities in four regions of South Africa. Of the 554 individuals interviewed, 269 (48%) reported either giving or receiving condoms informally in the month before the study. In multivariate analysis, reporting informal condom distribution was associated with increased education, male gender, multiple sex partners and recent condom use. The specific practices involved in giving or receiving condoms differed between males and females, with women more likely to involve family members and men more likely to involve friends. These results indicate that informal condom distribution is surprisingly common among individuals procuring public sector condoms in South Africa, and begin to suggest the gendered nature of informal condom distribution networks. While these findings require confirmation in other populations, the practices of informal condom distribution described here provide an excellent opportunity for enhancing condom accessibility and delivering other interventions for HIV prevention

Condom · Developing country · Economic growth · Economics · Environmental health · Family medicine · Family planning · Population · Psychological intervention · Public health · Research methodology · Socioeconomics · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Nursing · Sex work and related issues

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    Open Access•Jonathan Kitonsa, Sheila Kansiime et al.•Global Health Action•2023

  • Condom embarrassment

    Sarah G Moore, Darren W Dahl et al.•AIDS Care•2008

  • Micro-social structural approaches to HIV prevention

    Carl Latkin, C A Latkin et al.•AIDS Care•2005

  • The Young Ones are the Condom Generation”

    Ann-Maree Nobelius, Bessie Kalina et al.•The Journal of Sex Research•2011

  • Farming with Your Hoe in a Sack

    Open Access•Mary L Plummer, Daniel Wight et al.•Studies in Family Planning•2006

  • Randomised, controlled, community-level HIV-prevention intervention for sexual-risk behaviour among homosexual men in US cities

    Open Access•Jeffrey A Kelly, Dean A Murphy et al.•The Lancet•1997

  • Understanding constraints to adolescent condom procurement

    Dominique Meekers, Gehad Ahmed et al.•AIDS Care•2001

  • Reducing the risk of HIV infection among South African sex workers

    Quarraisha Abdool Karim, S S Karim et al.•American Journal of Public Health•1995

Citations per year0.29
Citation span2005 - 2023 (19)
Highly citedNo
Open DOISci-Hub
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