condom use

Sex work and condom use in Soweto, South Africa: a call for community-based interventions with clients

Despite public health interventions targeting sex workers in an attempt to increase condom use, HIV still remains a significant health issue for those involved in the sex industry in many countries. In this paper, we analyse data collected as part of an ethnographic study of sex work in Soweto, South Africa.
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Willingness to Pay for Condoms in Five Countries

Author
Ganesan, Ramakrishnan, Jordan Tuchman, and Lauren Hartel

Though condom use is now higher than ever before, key gaps remain in countries and in certain populations, where use has stagnated or even decreased. To address these gaps, UNFPA in 2016 spearheaded the creation of the “20 by 20 Initiative,” a multisectoral effort to increase the number of condoms in low-and middle-income countries to 20 billion by 2020. To support this initiative, AIDSFree conducted surveys to assess consumers’ willingness to pay for male condoms in five sub-Saharan countries—Kenya, Nigeria, South Africa, Zambia, and Zimbabwe.

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Are we meeting the HIV service needs of people living in informal settlements in KwaZulu-Natal, South Africa?

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Author
Project SOAR

Communities in South Africa’s informal settlements consist of ad-hoc and improvised housing whose residents seek opportunities for employment in the surrounding area. Since the settlements are unplanned, they are often underserved by municipal services, are under-represented politically, and lack accessible healthcare and economic opportunities. This can create an environment that increases residents’ risks for HIV and sexual and gender-based violence.

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When are declines in condom use while using PrEP a concern? Modelling insights from a Hillbrow, South Africa case study

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Author
Hannah Grant, Zindoga Mukandavire, Robyn Eakle, Holly Prudden, Gabriela B Gomez, Helen Rees, Charlotte Watts

Oral pre-exposure prophylaxis (PrEP) is a promising new prevention approach for those most at risk of HIV infection. However, there are concerns that behavioural disinhibition, specifically reductions in condom use, might limit PrEP's protective effect. This study uses the case of female sex workers (FSWs) in Johannesburg, South Africa, to assess whether decreased levels of condom use following the introduction of PrEP may limit HIV risk reduction.

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Why don’t urban youth in Zambia use condoms? The influence of gender and marriage on non-use of male condoms among young adults

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Yes
Author
Pinchoff, Jessie; Boyer, Christopher; Mutombo, Namuunda; Chowdhuri, Rachna Nag; Ngo, Thoai

Zambia experiences high unmet need for family planning and high rates of HIV, particularly among youth. While male condoms are widely available and 95% of adults have heard of them, self-reported use in the past 12 months is low among young adults (45%). This study describes factors associated with non-use of male condoms among urban young adults in Zambia. 

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Behavioral Interventions to Promote Condom Use among Women Living with HIV: A Systematic Review Update

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Yes
Author
Gonçalves, T.R., Faria, E.R., Carvalho, F.T., et al.

This study updated a previous systematic review and meta-analysis (1980–2010) on behavioral interventions promoting condom use among women living with HIV. The authors broadened the previous review, including newly published studies (2010–2014). They identified recent randomized controlled trials (RCTs) or controlled studies investigating behavioral interventions that: included women living with HIV; focused on condom use promotion; presented/analyzed outcomes by gender; used a three-month follow-up or more; and considered at least one HIV-related behavioral or biological outcome.

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Anti-retroviral Therapy Based HIV Prevention Among a Sample of Men Who Have Sex with Men in Cape Town, South Africa: Use of Post-exposure Prophylaxis and Knowledge on Pre-exposure Prophylaxis

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Yes
Author
J. M. Hugo, R. D. Stall, K. Rebe, J. E. Egan, G. De Swardt, H. Struthers and J. A. McIntyre

Men who have sex with men (MSM) have been affected disproportionately by the global HIV pandemic. Rates of consistent condom-use are low and there is a need for further biomedical prevention interventions to prevent new HIV infections. Post exposure prophylaxis (PEP) can reduce the risk of HIV, but uptake among MSM is low. Pre-exposure prophylaxis (PrEP), an innovative antiretroviral-based HIV prevention tool might be an appropriate intervention for MSM who have recently accessed PEP that involves HIV negative individuals taking daily tenofovir+emtricitabine for HIV prevention.

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