Barriers to repeated use of female condom among women and men of reproductive age in Nigeria

Abstract

Repeated use of female condom is very low in Nigeria. Just three out of ten persons who have ever used female condoms intend to continue using it. This study conducted in three Nigerian States was aimed at identifying the barriers to repeated and non repeated use of female condom. Among men and women of reproductive age, 16 focus group discussions (FGDs) and 16 in-depth interviews (IDIs) were conducted using structured tools. Key findings showed that first experience with the use of female condom was a major reason for continuing or discontinuing use of female condom. First use experience was influenced by what users were told and the skills they have in wearing female condom. Informed and supported female condom users were willing to repeat its use while those who were not, had “bad” first experiences. Female condom is a unique commodity. Just handing it out without proper education will pose a serious challenge for its continuous and sustained use. Frontline staff should be well informed and educated on the product. First time users should be supported to use the product. Key words: Female condom, repeated use, sustained use, men and women of reproductive age, first experience.