Knowledge and Attitude to Female Condom Use among Undergraduates of Kigali Health Institute (original) (raw)
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International journal of multidisciplinary Research and Growth Evaluation, 2022
Women are vulnerable to HIV infections because of their biological make up and they use female condoms as a means of HIV and STIs as well as pregnancy prevention. At first it was the male condom of which women had no control as a strategy of HIV and AIDS prevention as well as prevention of unwanted pregnancy. This led to development and use of female condom of which women have full control. The purpose of the study was to determine the knowledge, attitude and practices towards female condom use among female undergraduate students at Africa University. A quantitative descriptive cross sectional study design was used. Non probability Convenience sampling method was used to select 200 female undergraduate students aged 19 to 40 years. Data was collected using self administered questionnaire with four sections namely demographic, knowledge, attitude and practices regarding female condom use. Data was analyzed using Epi info. The results showed that less than half 80 (40%) participants had heard about the female condom from the mass media while a few 20 (10%) had heard from health workers. The other half 100 (50%) had heard about female condom from university female students and male friends. Although the majority (75%) correctly defined a female condom and all knew that it is made out of polyurethane material, a small number 60 (30%) acknowledged its effectiveness when used as a single condom, correctly and consistently. The findings indicate that undergraduate students have partial information regarding female condom. A significant number 55 (27.5%) thought that female condoms were used by educated women only while a notable number 30 (15%) cited that it is for commercial sex workers only. Non usage of female condom was attributed to men preferring dry sex (25%) and that it was expensive. Most 138 (69%) believed that culture and religion negatively influenced condom use. The findings reflect that cultural norms and misconceptions have a bearing on non use of female condoms by undergraduate students. Almost all 178 (89%) participants had no sexual satisfaction when using female condom hence majority 175 (87.5%) did not use the female condom when having sex; most 180 (90%) had never used a female condom before. Only 12 (6%) participants had collected female condoms from the University clinic. Reasons for non uptake of female condom were attributed to lack knowledge and interest (50.5%), discomfort while putting it on (19%), male condom preference (16.5%) and it was noisy (14%). The findings reveal low uptake of female condom by undergraduate female students mainly due to lack of empowerment. There is need therefore for the University Health Services Unit to continuously health educate undergraduate female students on female condom use to enhance the partial knowledge they already have in order to dispel the misconceptions and break the cultural barriers surrounding female condom use.
Female Condom : Knowledge , Perceptions and Practices among Female College Students
2016
While the female condom empowers females to protect themselves from sexually transmitted infections (STIs), HIV & AIDS and unwanted pregnancy, its use has been, hitherto, low particularly in developing countries. The study sought to determine knowledge, attitudes and practices of female students concerning the female condom. A descriptive research design was used with a sample of 50 female students from Africa University who were recruited through systematic sampling.Data was collected using selfadministered questionnaires and analysed using descriptive statistics in form of frequent tables, figures and content analysis. The study revealed that all the respondents had heard of the female condom and70%of the respondents felt that the female condom is useful. However, female condom usage was very low only 2(4%) of the respondents who had used condoms. Factors like male decision (72%) fear of retention of condom (38%), perception, religion, culture and gender impacted negatively on the...
Journal of medical research, 2019
Introduction: The female condom is a polyurethane sheath that fits into the vagina before the sexual act, protecting the woman against both sexually transmitted infections, including HIV, and unwanted pregnancies. Objectives. We assessed the attitudes and practices of the female condom among female students in three faculties at the University of Douala. Methods: We conducted a prospective, cross-sectional and analytical study of female students aged at least 21 years old and willing to participate in the study. We excluded those who were not sexually active, as well as those whose cards were poorly completed. A pre-tested and questionnaire was used to collect socio-demographic characteristics, attitudes and practical knowledge of female condom students. The rating tables have been established. Data was analyzed using SPSS version 2.0 software. Results: A total of 320 students were enrolled in the study. The average age was 23.6 ± 4 years old. The majority of participants were single. 74.4% were poorly knowledgeable, 17.5% had average knowledge, and 0.3% had good knowledge of female students. The attitude regarding the female condom was unfavorable at 83.3% and indeterminate at 16.2%. The female condom use rate was 8.4% with a user satisfaction rate of 7.4%. Conclusion: Students in these 3 faculties have poor knowledge of the female condom. Their attitude is unfavorable, and its use infrequent and unsatisfactory.
Relationship between knowledge of proper condom use among students of Kirinyaga University
International Journal of Advanced Multidisciplinary Research, 2018
Proper and consistent condom use has been proved to decreases the risk of sexually transmitted diseases (STDs) transmission and unintended pregnancy to almost 100%, however Condom use remain low among youths and Statistics shows that the number of abortions is high .It is estimated that Uganda, Tanzania and Kenya have recorded 2.4 million abortion cases in 2016. In Kenya, Kirinyaga University has embarked on health education and supply of condoms to its students as an intervention to reduce STDs and unwanted pregnancies. Despite this intervention the students continually contracted STIs and unwanted pregnancies leading to abortions and high use of emergency contraceptives according to the institution's clinic medical report, 2015/2016.The study targeted 132 respondents. From the study, 109 respondents filled-in and returned the questionnaires making a response rate of 82.7%. The study noted the following 95.4% of the respondents indicated condoms have an expiry date, 93.6% knew condom offer protection against HIV/ AIDs and pregnancy, condoms are free and available in University and public health facility, 56% had attended a seminar on condom use, 75.2% indicated that condom size is fit for use for all people and condom should be stored in a cool place. Majority 85.3% of the respondents indicated that condom should not be reused. Over three quarters 80.7% of the respondents indicated that they had information on how to use condom where 33% got information on condom use from social media, 19(17.4%) from TV, radio and newspapers. Further, the findings showed that 15.6% of the respondents obtained information on condom use from seminars, 13.8% from churches and mosque 12.8% from social studies, 7.3% from parents and guardian. The findings shows respondents had adequate knowledge on condom use but failed to use condoms consistently due to several reasons more important one being unplanned sex. The study focused relationship between knowledge of proper condom use and use behavior among students of Kirinyaga University only, thus the same study should be done in other universities and in the rest of 47 Counties to enable generalization of results.
The female condom is a proven effective female controlled HIV prevention device. Sociocultural and biological factors predispose women to a heavier burden of HIV/AIDS than men. In Cameroon, with a high prevalence of HIV/AIDS, no study has investigated the factors influencing use of the female condom. This study was aimed to identify the factors influencing utilization of the female condom among senior secondary school female students in Kumba, Cameroon, using the Health Belief Model (HBM) as the framework. A cross-sectional correlational design was adopted using a stratified simple random sample of 398 senior secondary school female students to respond to a pretested self- administered questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software version 20.0. Binomial logistic regression analyses were conducted at the 0.05 significance level. The proportion of the sexually active female students who reported ever used the female condom was very low, 8.0%. None of the components of the HBM was statistically associated with female condom use in binomial logistic regression analysis. However, female students who disagreed that youths are prone to HIV; that a healthy looking person can be HIV positive (perceived susceptibility); that the consequences of having HIV/AIDS are so serious that they may want to avoid them (perceived severity); that correct and consistent use of the female condom can prevent HIV transmission (perceived benefit); that they feel confident that they can convince their partners to use the female condom during sexual intercourse (perceived self- efficacy) were associated with lower odds of using the female condom during sexual intercourse: OR=0.44; 0.94; 0.43; 0.59; and 0.60 respectively. Conversely, female students who disagreed that the female condom makes sexual intercourse less enjoyable; that due to religious beliefs they would feel guilty using the female condom; that they lack knowledge on the correct use of the female condom; and that distance to the nearest female condom supply point is far (perceived barriers) were associated with higher odds of using the female condom during sexual intercourse: OR=1.20; 1.57; 1.16 and 1.49 respectively. Also, female students who perceived that they were at high risk of contracting HIV were at higher odds of using the female condom during sexual intercourse 1.87. Interventions to increase the perception of risk of contracting HIV among female students and strategies to empower them with female condom negotiation skills and to overcome tangible and psycho-social barriers to female condom use are highly needed.
Journal of Social Sciences
This was cross sectional, descriptive laboratory based study, whose objective was to determine knowledge, attitude and beliefs of the patients about condom use and its associated benefits. The study was done at Assessment Center, Mulago Referral Hospital, Uganda. The sample size of 113 was calculated for the study and 100 participants enrolled for the study (74 males; 26 females). Their ages ranged between (16-63) years with mean age of 39.5. A structured questionnaire was used to capture the data from the participants after consenting. Findings showed that although all the respondents were aware of a condom, only 6% of the respondents with informal education were aware of it compared to 10% with primary education (p>0.05). Notably, 60.6% and 63.6% of the participants with secondary and tertiary education respectively, were aware of condom compared to those with informal and primary education (p<0.001). Thirty three percent of the respondents claimed to know how to use a condom and 67% claimed they did not know how to use it (p<0.001). Surprisingly, 60.6% of the respondents who claimed to know how to use condom had positive attitude towards condom use compared to 39.4% with negative attitude. Notably, 76.9% of the respondents with negative attitude felt that a condom "limits sexual satisfaction, while 61.5% were of the view that "condom has bad smell". However, 73% of the respondents believed that condom use could prevent STI/HIV transmission. In conclusion the majority of the patients with low education background did not know how to use a condom, although they were aware of it. The attitude and beliefs about condom use varied among the respondents. There is therefore a need to sensitize the communities about condom use and its associated benefits.
Contraception and reproductive medicine, 2023
Background Unplanned pregnancies and sexually transmitted infections (STIs) Human Immunodeficiency Virus (HIV) inclusive, have remained to be a significant public health challenges among young people, especially across middle and low-income countries. Self-efficacy on the right ways of using condoms appears to be effective against the aforementioned health-related problems. However, most women of reproductive age tend not to use them when they are using highly effective contraceptives such as implants, and/or injectable hormones. It is unknown whether the uptake of female condoms among young girls is significantly high or not. Examining female students' perceived motivators, knowledge, attitudes, and self-reported and intentional female condom practice in training institutions seems to be a key precursor in addressing the challenge. Methods The institutional-based analytical cross-sectional survey in a quantitative research approach was adopted to study 384 randomly selected female students from higher training institutions, in Tanzania. Interviewer-administered structured questionnaires from previous studies were the main data collection tools. Data analysis was done using a statistical package for social science (SPSS) with the strength of statistical limits set at a 95% confidence interval and a 5% significance level. Results The response rate of the study was 100% with 24 ± 2.122 years respondents' mean age while and 32.7% of them were in the third year of their studies. Only 6.2% of the respondents reported having used female condoms while 26.3% of them have not ever seen packages of female condoms. The minority of the respondents (21.7%, 23.3%, and 9.4%) demonstrated good knowledge, positive attitude, and intention to use female condoms respectively. Their age, accommodation, marital status, peer groups, previous training, knowledge, and attitude related significantly to their intentional practices of female condom use (p < 0.05). Conclusion Given the existing governmental and non-governmental efforts that advocate awareness creation and the uptake of various contraceptives, this study has found that knowledge, attitude, self-reported and intentional practices of female students admitted in higher training institutions within Dodoma region, Tanzania is low. Institutionalized educational programs on sexual and reproductive health matters may need to be prioritized to increase the availability, accessibility, and uptake of female condoms among female students in higher training institutions.
Zimbabwe introduced the female condom in 1997, but acceptance was slow. A study was conducted to determine its level of awareness and uptake in women aged 18 to 49 years at Bindura Provincial Hospital, and at Chipadze and Chiwaridzo council clinics. A descriptive cross-sectional study design was used. A total of 242 eligible consenting respondents were selected using simple random sampling. Data were processed using the Statistical Package for Social Sciences (SPSS) software version 16. Data revealed that 81.4% of the respondents had heard about the method. Most respondents 88 (36.4%) had heard about female condoms from nurses. However, 53.3% had not received health education on the method from healthcare providers. Knowledge of the female condom was low at 36.3% and most respondents (83.5%) had not used it. The major reasons cited for failure to use the method were unavailability (19.8%) and partner refusal (17.8%). Of the 16.5% who used the female condom only 4.1% used it consistently. Female condom uptake was very low at 16.1%. Knowledge of the method was associated with its uptake ( 2 = 86, p < 0.05). Pearson's correlation was used to examine the relationship between awareness and uptake of the method. It indicated a weak positive linear relationship (r = 0.309, p < 0.01). A regression coefficient (R² = 0.095, p < 0.05) showed that female condom awareness accounts for 9.5% of the variance in uptake. This study revealed that women with increased level of awareness on the method are likely to use it. Therefore, healthcare providers need to strengthen health education on female condoms and make them readily available.
Open Access Journal of Contraception, 2015
Women in developing countries are at high risk of HIV, sexually transmitted infections, and unplanned pregnancy. The female condom (FC) is an effective dual protective method regarded as a tool for woman's empowerment, yet supply and uptake are limited. Numerous individual, socioeconomic, and cultural factors influence uptake of new contraceptive methods. We reviewed studies of FC knowledge, attitudes, practices, and behaviors across developing countries, as well as available country-level survey data, in order to identify overarching trends and themes. High acceptability was documented in studies conducted in diverse settings among male and female FC users, with FCs frequently compared favorably to male condoms. Furthermore, FC introduction has been shown to increase the proportion of "protected" sex acts in study populations, by offering couples additional choice. However, available national survey data showed low uptake with no strong association with method awareness, as well as inconsistent patterns of use between countries. We identified a large number of method attributes and contextual factors influencing FC use/nonuse, most of which were perceived both positively and negatively by different groups and between settings. Male partner objection was the most pervasive factor preventing initial and continued use. Importantly, most problems could be overcome with practice and adequate support. These findings demonstrate the importance of accounting for contextual factors impacting demand in FC programming at a local level. Ongoing access to counseling for initial FC users and adopters is likely to play a critical role in successful introduction.
Sokoto Journal of Medical Laboratory Science, 2017
The study was to determine the knowledge of female condom among adult's female in Imo State University, Owerri, using cross-sectional form of descriptive survey research design. A total of 180 copies of questionnaire were returned out of 200 copies that were distributed. The returned questionnaires were analyzed using descriptive statistic of frequency count, normative percentage and grand mean; as well as inferential statistics of chi-square (χ2). The level of significance was fixed at ≤0.05. Appropriate degrees of freedom were worked out. Result from the research on the knowledge of FC showed that 48.9% said yes through all the variables, while 49.9% respondents said No to the same variables. When subjected to chi-square analysis, the calculated chi-square 11088.4 was greater than the tabulated 15.507 rejecting the null hypothesis that respondents had no knowledge of FC. Identified factors for low knowledge and use of FC included; poor knowledge of FC due to poor sex and health education on the female gender and the negative aspects of the device. These factors have resulted in low patronage and usage of FC among ladies, hence increasing the spread of STI, unwanted pregnancy especially among teens and increasing complications and death rate due to teen pregnancy and intent to have an abortion.