ERIC Number: EJ1096408
Record Type: Journal
Publication Date: 2016-Apr
Abstractor: As Provided
Building Young Women's Knowledge and Skills in Female Condom Use: Lessons Learned from a South African Intervention
Schuyler, A. C.; Masvawure, T. B.; Smit, J. A.; Beksinska, M.; Mabude, Z.; Ngoloyi, C.; Mantell, J. E.
Health Education Research, v31 n2 p260-272 Apr 2016
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.
Descriptors: Foreign Countries, College Students, Females, Contraception, Disease Control, Intervention, Use Studies, Self Esteem, Attitude Change, Interviews, Qualitative Research
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Publication Type: Journal Articles; Reports - Research
Education Level: Higher Education; Postsecondary Education
Authoring Institution: N/A
Identifiers - Location: South Africa
Grant or Contract Numbers: N/A