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2016 ; 31
(2
): 260-72
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Building young women s knowledge and skills in female condom use: lessons learned
from a South African intervention
#MMPMID26956041
Schuyler AC
; Masvawure TB
; Smit JA
; Beksinska M
; Mabude Z
; Ngoloyi C
; Mantell JE
Health Educ Res
2016[Apr]; 31
(2
): 260-72
PMID26956041
show ga
Partner negotiation and insertion difficulties are key barriers to female condom
(FC) use in sub-Saharan Africa. Few FC interventions have provided comprehensive
training in both negotiation and insertion skills, or focused on university
students. In this study we explored whether training in FC insertion and partner
negotiation influenced young women's FC use. 296 female students at a South
African university were randomized to a one-session didactic information-only
minimal intervention (n= 149) or a two-session cognitive-behavioral enhanced
intervention (n= 147), which received additional information specific to partner
negotiation and FC insertion. Both groups received FCs. We report the
'experiences of' 39 randomly selected female students who participated in
post-intervention qualitative interviews. Two-thirds of women reported FC use.
Most women (n= 30/39) applied information learned during the interventions to
negotiate with partners. Women reported that FC insertion practice increased
their confidence. Twelve women failed to convince male partners to use the FC,
often due to its physical attributes or partners' lack of knowledge about
insertion. FC educational and skills training can help facilitate use, improve
attitudes toward the device and help women to successfully negotiate safer sex
with partners. Innovative strategies and tailored interventions are needed to
increase widespread FC adoption.