Demand Generation - Life Saving Commodities
THE FEMALE CONDOM
- the Female condom is currently the only technology that gives women and adolescent girls greater control over protecting themselves from HIV, other STIs and unintended pregnancy
Programmatically, a vitally important dimension of female condom efficacy is the extent to which adding female condoms to the method mix increases the total number of protected sex acts; evaluations of female condom promotion to family planning clinic clients in California and sex workers in China both highlighted the importance of targeted, skills-based female condom promotion in increasing the overall percentage of sex acts protected by either female or male condoms as a result of female condom interventions.
A Chinese study that compared the contraceptive efficacy of the female condom with the male condom showed similar pregnancy rates (1.06 and 1.69 pregnancies per 100 women, respectively, over six months). Discontinuation rates were higher for the female condom than for the male condom, however. During perfect use of the female condom, pregnancy rates were 2.6 in the United States and 9.5 in Latin America. These results are in the same range as other barrier methods. Other evidence from the United States suggests that the contraceptive efficacy of the female condom during typical use is similar to that of the diaphragm, the sponge, and the cervical cap.
…a systematic review of 137 articles and abstracts related to various aspects of the female condom, as well as a closer analysis of five randomized controlled trials on effectiveness. These five studies indicated strongly the benefits of female-condom use in increasing protected sex acts, and two studies found promising decreases in sexually transmitted infection (STI) incidence with the introduction of the female condom. Ten studies provided detailed information on patterns of long-term use, many suggesting that the female condom reaches women less likely to use other dual protection methods. There exists limited but convincing evidence that the female condom is effective in increasing protected sex and decreasing STI incidence among women."