Progress and challenges to male and female condom use in South Africa.
Progress and challenges to male and female condom use in South Africa.
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DOI：
10.1071/sh11011
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发表时间：
2012-03
期刊：
影响因子：
1.6
通讯作者：
Mantell JE
中科院分区：
文献类型：
--
作者：
Beksinska ME;Smit JA;Mantell JE
南非对性传播感染和艾滋病毒的流行作出了反应，迅速扩大了国家一级的公共部门避孕套方案。公共部门免费提供男用避孕套，并通过社会营销和私营部门扩大供应。女用避孕套方案是全球最大和最完善的方案之一。全国调查显示，最近一次性交时使用避孕套的比率逐渐增加。然而，不一致和不正确的使用以及在长期伙伴关系中可能停止使用避孕套是阻碍避孕套方案在防治性传播感染和艾滋病毒方面取得成功的一些挑战。本文综述了目前的安全套计划，相关的指导方针和政策，现有的数据，男用和女用安全套的使用，包括分发和吸收。我们讨论了安全套使用的主要挑战，包括用户和服务相关的问题，最后如何解决这些挑战。
South Africa has responded to the STI and HIV epidemic with a rapid expansion of its national-level public sector condom programme. Male condoms are available widely, at no cost in the public sector, with expanded access via social marketing and the private sector. The female condom programme is one of the largest and well-established globally. National surveys show progressive increases in rates of condom use at last sex. Yet inconsistent and incorrect use and likelihood that condoms are discontinued in longer-term partnerships are some of the challenges impeding the condom programme’s successes in the fight against STIs and HIV. This article reviews the current condom program, related guidelines and policies, the existing data on male and female condom use, including distribution and uptake. We discuss the main challenges to condom use, including both user and service-related issues and finally how these challenges could be addressed.