scholarly journals Condom use education, promotion and reasons for condom use: Perspectives of healthcare providers and young adults in Vhembe district, Limpopo province

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Namadzavho J. Muswede ◽  
Livhuwani Tshivhase ◽  
Azwihangwisi H. Mavhandu-Mudzusi
Keyword(s):  
Young Adults ◽  
Data Analysis ◽  
Condom Use ◽  
Critical Role ◽  
Healthcare Providers ◽  
Consistent Condom ◽  
Team Approach ◽  
Healthcare Facilities ◽  
Unintended Pregnancies ◽  
Vhembe District

Background: Condom use is a critical component of a comprehensive and sustainable approach to the prevention of unintended pregnancies and sexually transmitted infections (STIs) (including HIV). Despite government making condoms freely available in the healthcare facilities in Vhembe district, there are reports of an increase in teenage pregnancies and STIs, including HIV, amongst young adults. The aim of the study was to gain an in-depth understanding of condom use promotion and reasons of condom use amongst young adults in Vhembe district, in Limpopo province.Methods: A descriptive phenomenological design was used to explore the reasons for promoting condom use amongst young adults themselves and from the perspectives of healthcare providers who are critical role players in condom education and provision. Purposive sampling was used to sample young adults and healthcare providers at three of Vhembe district’s primary healthcare facilities. Individual semi-structured interviews were conducted, after which thematic data analysis was used to develop themes and subthemes.Results: Two superordinate themes emerged from data analysis, namely approaches to promote condom use and reasons for condom use. Two themes emerged in respect of approaches for promotion of condom use: information sharing in the form of education, the distribution of informative material, and the adoption of a multi-sectoral approach. Self-protection emerged as a reason for condom use, to prevent disease, pregnancy and ‘u wela’, and was indicative of not trusting a sexual partner.Conclusion: To effectively promote condom use, a multidisciplinary team approach involving nurses, lay counsellors and peer educators need to be strengthened at local primary health facilities in order to facilitate the distribution of condoms and educate young adults on consistent condom use.

scholarly journals Promoting Consistent Condom Use among Young Adults in the Vhembe District, Limpopo, South Africa

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Namadzavho Joyce Muswede ◽  
Azwihangwisi Helen Mavhandu-Mudzusi
Keyword(s):  
South Africa ◽  
Young Adults ◽  
Condom Use ◽  
Sex Education ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Consistent Condom ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Vhembe District

Condoms are considered useful in the prevention of unplanned pregnancies and sexually transmitted infections including the human immunodeficiency virus. However, condom use is a challenge among young adults in rural areas. This paper reports the views of young adults regarding the strategies which can be utilised for promoting condom use in one of the rural clinics in the Vhembe district, Limpopo, South Africa. This quantitative, cross-sectional, descriptive study was conducted in one of the clinics in the Vhembe district. Data were collected using structured questionnaires administered to 372 young adults who came to visit the clinic. Data analysis was done using Statistical Package for Social Sciences (SPSS) version 28. Results indicate that condom use among the youth can be promoted though (i) improving the negative attitudes of healthcare providers to condom issuing and use, (ii) involving other stakeholders who have an impact on the use of condoms, and (iii) promoting condom use. Retraining of healthcare providers to improve negative attitudes is a matter of priority. In-service training should focus on disseminating information about patients’ rights. The following recommendations were put forth: enhancement of communication strategies for marketing condom use, broadening sex education in the school curriculum, and improving the negative attitudes of healthcare providers to the promotion of condom use.

scholarly journals Determinants of Consistent Condom Use Vary by Partner Type among Young Men in Kisumu, Kenya: A Multi-level Data Analysis

2008 ◽  
Vol 14 (4) ◽  
pp. 949-959 ◽  
Author(s):  
Nelli Westercamp ◽  
Christine L. Mattson ◽  
Michelle Madonia ◽  
Stephen Moses ◽  
Kawango Agot ◽  
...  
Keyword(s):  
Data Analysis ◽  
Condom Use ◽  
Young Men ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Partner Type ◽  
Level Data ◽  
Multi Level

scholarly journals Systematic Review of Peer-Reviewed Literature on Global Condom Promotion Programs

2020 ◽  
Vol 17 (7) ◽  
pp. 2262
Author(s):  
William D. Evans ◽  
Alec Ulasevich ◽  
Megan Hatheway ◽  
Bidia Deperthes
Keyword(s):  
Condom Use ◽  
Health Care Cost ◽  
Cost Savings ◽  
Cost Effective ◽  
Adolescent And Young Adult ◽  
Consistent Condom ◽  
Middle Income ◽  
Positive Effects ◽  
Unintended Pregnancies ◽  
Donor Support

Background: Globally, 1.7 million people were newly infected with HIV in 2018. Condoms are inexpensive, cost-effective, reduce HIV/STI incidence, morbidity, mortality, and unintended pregnancies, and result in health care cost savings. Given the rapid increase in at-risk adolescent and young adult (AYA) populations in countries with high HIV/STI prevalence as well as the reductions in donor support, promoting consistent condom use remains crucial. We synthesized all peer-reviewed literature on condom promotion programs with a focus on promotion in low and lower middle income (LMIC) countries and with AYA users. Methods: We systematically reviewed the published literature. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methods, we identified 99 articles published between 2000–2019. Results: Condom promotion programs were generally effective in changing attitudes, social norms, and beliefs in favor of condom use, and 85% demonstrated positive effects on multiple condom use measures. Programs targeting AYA were at least equally as effective as those targeting others and often showed greater use of best practices, such as mass media (66%) and audience segmentation (31%). We also saw differences between programs in the intervention strategies they used and found greater effects of marketing strategies on AYA compared to the overall sample. Conclusion: Condoms remain essential to prevention, and donor support must be maintained to combat the HIV/STI epidemic.

TRUST AND CONDOM USE AMONG YOUNG ADULTS IN RELATIONSHIPS IN DAR ES SALAAM, TANZANIA

2014 ◽  
Vol 46 (5) ◽  
pp. 651-668 ◽  
Author(s):  
MEGAN KLEIN HATTORI
Keyword(s):  
Young Adults ◽  
Condom Use ◽  
Negative Relationship ◽  
Dar Es Salaam ◽  
Negative Association ◽  
Sub Saharan Africa ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Sub Saharan ◽  
The Relationship

SummaryYoung adults in sub-Saharan Africa most often state ‘I trust my partner’ as the reason for not using condoms consistently. This study assesses the extent to which young adults in Dar es Salaam, Tanzania, trust their partners, how trust influences condom use and whether certain relationship characteristics influence the relationship between trust and condom use. Data were taken from the 2003 Tanzania Trust Survey, and the level of trust reported by 509 male and female young adults aged 15–24 who were in relationships was examined. The analysis showed that reported trust in a partner has the expected negative relationship with consistent condom use. However, this negative association differs by relationship characteristics. To facilitate the interpretation of interactions between marriage and trust, the predicted probabilities of consistent condom use by level of trust were calculated for males and for females by marital status, showing that the negative association is strong among those who are not married, but that there is no association between trust and condom use among young married adults.

scholarly journals Risky sexual behaviours among young adults attending Higher Learning Institutions in Mbeya, Tanzania: implications for STIs and HIV preventive programs

2021 ◽  
Vol 3 ◽  
pp. 41
Author(s):  
Ruby Doryn Mcharo ◽  
Willyhelmina Olomi ◽  
Philippe Mayaud ◽  
Sia E. Msuya
Keyword(s):  
Young Adults ◽  
High Risk ◽  
Condom Use ◽  
Sexual Behaviors ◽  
Sexual Debut ◽  
Higher Learning ◽  
Consistent Condom ◽  
Sexual Behaviours ◽  
Risky Sexual Behaviours ◽  
Learning Institutions

Background High-risk sexual behaviors(HRSBs) among young adults are key risk for Sexually Transmitted Infections(STIs), HIV and unplanned pregnancies. WHO has identified the 15-24years age-group as high-risk for STIs. Students at Higher Learning Institutions(HLIs) may be at higher risk because they are free of immediate parental-supervision, are a transient migratory population, probably at peak-years of sexual activity.  In Tanzania, information is limited on sexual and preventive behaviours among young adults in HLIs. We describe risky sexual behaviours and preventive practices among young adults attending HLIs in Mbeya-Tanzania. Methods We conducted a cross-sectional study from March2019 to January2020 among randomly selected students aged 18-24years enrolled in HLIs within Mbeya.  Probability proportional to size was used to determine total student number from each HLI. We used a self-administered questionnaire to collect information on sexual health education, activity, behaviour and STI knowledge. Results Total of 504students were enrolled with mean age of 21.5(SD 1.74)years. Total of 446(88.5%) students reported ever having had sex. Mean-age at first sex was 18.4years and 9.9% reported sexual debut <15years. A higher proportion of male students(57%) reported sexual debut with non-steady partners than females(37.9%). Lack of condom use at sexual debut was reported by 52% of the participants. Consistent condom use during past 4-weeks was reported at 33% and 16.5% among males and females, respectively. About 1 in 10 students reported forced sex by someone they were dating. Sex under the influence of alcohol was reported by 24% of the students.  Nearly 8 in 10 (78.7%) students have heard of STIs, but only 16% were aware STIs can be asymptomatic.  Conclusion STI prevention programs need to recognize young adults in HLIs as at-risk population; and advocate targeted messages to minimize risk to acquiring STIs, counseling and support for those experiencing sexual violence, promote condom use and safer-sex negotiation skills.

Consistent condom use in the heterosexual relationships of young adults who live in a high-HIV-risk neighbourhood and do not use "hard drugs"

AIDS Care ◽  
2001 ◽  
Vol 13 (3) ◽  
pp. 285-296 ◽  
Author(s):  
S. R. Friedman ◽  
P. L. Flom ◽  
B. J. Kottiri ◽  
A. Neaigus ◽  
M. Sandoval ◽  
...  
Keyword(s):  
Young Adults ◽  
Condom Use ◽  
Hiv Risk ◽  
Consistent Condom ◽  
Heterosexual Relationships ◽  
Consistent Condom Use ◽  
Hard Drugs

scholarly journals Indigenous neonatal feeding and bathing practices of caregivers in Vhembe District, Limpopo province

2021 ◽  
Vol 26 ◽  
Author(s):  
Patience M. Tulelo ◽  
Fhumulani M. Mulaudzi
Keyword(s):  
Data Analysis ◽  
Age Groups ◽  
Neonatal Care ◽  
Limpopo Province ◽  
World Health ◽  
Snowball Sampling ◽  
Healthcare Facilities ◽  
Community Midwives ◽  
Health Organization ◽  
Vhembe District

Background: Caregivers are offered health information on neonatal care before they are discharged from the healthcare facilities after giving birth. However, they continue to feed and bath neonates in ways that are informed by indigenous traditions. Notably, these ways include the provision of supplementary feeds before 6 months and bathing the neonate as early as possible, which are practices that contradict the World Health Organization (WHO) recommendations of neonatal care.Objectives: This study aimed to explore and describe the indigenous neonatal feeding and bathing practices of caregivers in Vhembe District, Limpopo province.Setting: This study was conducted in Limpopo province at Vhembe District, Makhado Municipality.Methodology: A qualitative, explorative and descriptive enquiry was used to conduct 18 semi-structured individual interviews to explore and describe their indigenous neonatal feeding and bathing practices. Purposive and snowball sampling methods were used to select participants. Creswell’s method of data analysis was used to analyse data. Ethical principles were maintained.Results: Two themes with sub-themes resulted from data analysis presenting indigenous neonatal feeding practices and indigenous neonatal bathing practices.Conclusion: This study revealed that caregivers use indigenous neonatal feeding and bathing practices across age groups and social standing. Younger mothers receive guidance from older women in their families or community. Midwives should know the indigenous neonatal feeding and bathing practices of the communities they serve to offer relevant culture-sensitive health education.Contributions: This study contributes to the creation of knowledge about indigenous neonatal care practices amongst mothers and caregivers.

scholarly journals Socio-Demographic Determinants of Condom Use Among Sexually Active Young Adults in Rural KwaZulu-Natal, South Africa

2010 ◽  
Vol 4 (1) ◽  
pp. 88-95 ◽  
Author(s):  
Natsayi Z Chimbindi ◽  
Nuala McGrath ◽  
Kobus Herbst ◽  
Khin San Tint ◽  
Marie-Louise Newell
Keyword(s):  
Young Adults ◽  
Condom Use ◽  
Economic Status ◽  
Consistent Condom ◽  
Age Difference ◽  
Kwazulu Natal ◽  
Prevention Programmes ◽  
Multivariable Analyses ◽  
Using Data ◽  
Hiv Acquisition

Aim:To investigate patterns, levels and socio-demographic determinants of condom use and consistency of use among young adults aged 15-24 years.Background:Condoms are known to prevent HIV infection. However, HIV prevalence and incidence remain high.Methods:This study was conducted in the Africa Centre Demographic Surveillance Area (ACDSA) in rural KwaZulu-Natal. Analysis focused on resident young adults aged 15-24 years in 2005. In univariable and multivariable analyses, determinants of condom use and consistency of use among 15-24 year olds were estimated using data collected in 2005. ‘Ever’ condom use was defined as the proportion who reported having used a condom; consistent use among those ever using as “always” using condoms with most recent partner in the last year.Results:3,914 participants aged 15-24 years reported ever having sex, of whom 52% reported condom use. Adjusting for age, sex, number of partners, residence of partner, partner age difference, type of partner and socio-economic status (SES), having an older partner decreased likelihood (aOR=0.69, p<0.01), while belonging to a household in a higher SES increased likelihood of ever using condoms (aOR=1.82, p<0.01). Being female (aOR=0.61 p<0.01) and having a regular partner (aOR=0.65 p<0.01) were independently associated with low consistent condom use.Conclusions:In this rural South African setting, condom use remains low, especially among females and with an older partner, situations commonly associated with increased HIV acquisition. Targeted supportive interventions to increase condom use need to be developed if HIV prevention programmes are to be successful.

scholarly journals Zero new HIV infections: Mission impossible with current perceptions of young adults in Vhembe District regarding condom use

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Azwihangwisi H. Mavhandu-Mudzusi
Keyword(s):  
South Africa ◽  
Health Care ◽  
Young Adults ◽  
Condom Use ◽  
Health Care Providers ◽  
Hiv Infections ◽  
Hiv And Aids ◽  
Limpopo Province ◽  
Care Providers ◽  
Vhembe District

Background: Millennium Development Goal (MDG) number 6, target 6A focuses on halting and reversing the spread of HIV by 2015. South Africa is amongst the 189 countries that are involved in trying to meet the MDGs. In order to try and achieve this goal, South Africa, through its HIV and AIDS, STI and TB strategic plans has adopted the United Nations vision of ‘Zeros’, which include zero new HIV infections by the year 2015. One of the key interventions for achieving this is improvement in access to condoms.Aim: This article reports on perceptions of Vhembe District young adults regarding condom use.Setting: This study was conducted in one of the rural clinics in Vhembe District of the Limpopo Province: South Africa.Methods: A quantitative, cross-sectional design approach was followed. Data were collected using structured questionnaires administered to 372 young adults who came for healthcare services at one of the clinics in Vhembe District.Results: The findings indicated that there is a relationship between positive perceptions toward condom use and actual condom use. People who have positive attitudes toward condoms are also more likely to use them. In contrast, people with a negative attitude towards condoms are less likely to use them during sexual intercourse. Negative attitudes of health care providers were found to be a barrier that prevents sexually active individuals to access condoms in primary health care facilities.Conclusion: With current peceptions towards condom use, Zero new HIV infection will never be achieved. The researcher recommends development of strategies for promoting access and correct use of condoms.Keywords: Condom use, perception, young adults

scholarly journals Risky sexual behaviours among young adults attending Higher Learning Institutions in Mbeya, Tanzania: implications for STIs and HIV preventive programs

2020 ◽  
Vol 3 ◽  
pp. 41
Author(s):  
Ruby Doryn Mcharo ◽  
Willyhelmina Olomi ◽  
Philippe Mayaud ◽  
Sia E. Msuya
Keyword(s):  
Young Adults ◽  
High Risk ◽  
Condom Use ◽  
Sexual Debut ◽  
Higher Learning ◽  
Consistent Condom ◽  
Sexually Active ◽  
Sexual Behaviours ◽  
Risky Sexual Behaviours ◽  
Learning Institutions

Background: High-risk sexual behaviours (HRSBs) among young adults are a key risk for Sexually Transmitted Infections (STIs), HIV and unplanned pregnancies. The World Health Organization has identified the 15-24 year age-group as high-risk for STIs. Students at Higher Learning Institutions (HLIs) may be at higher risk because they are free of immediate parental supervision, a transient migratory population, and probably at peak years of sexual activity. Here, we describe risky sexual behaviours and preventive practices among young adults attending HLIs in Mbeya, Tanzania. Methods: Cross-sectional study was conducted from March 2019 to January 2020 among students aged 18-24 years enrolled in HLIs within Mbeya. A self-administered questionnaire was used to collect information on sexual health education, activity, behaviour and STI knowledge. Results: 504 students were enrolled; mean age of 21.5 (SD 1.74) years. 377 (74.8%) students were sexually active. Mean age of first sexual encounter was 18.4 years and 11.6% reported their sexual debut was <15 years. A higher proportion of male students (59.7%) reported their sexual debut with non-steady partners compared with female students (40.9%). Lack of condom use at sexual debut was reported by 43.3% of sexually active students. Consistent condom use during the past 4-weeks was reported at 23.3% and 16.9% among men and women, respectively. Almost 1 in 10 students reported being forced into having sex by someone they were dating. Sex under the influence of alcohol was reported by 25.5% of the students. Nearly 7 in 10 (77%) students had heard of STIs, but only 15% were aware STIs could be asymptomatic.  Conclusion: STI prevention programs need to recognize young adults in HLIs as an at-risk population. HLIs must advocate targeted messages to minimize risks to acquiring STIs, offer counselling and support for those experiencing sexual violence, and promote condom use and safer-sex negotiation skills.

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