Abstract

ABSTRACTThis paper reports on fieldwork carried out in 2011 with aim to investigate young men’s perspectives about condoms use, concurrent sexual partnerships and sex in the context of HIV/AIDS. This study employed a qualitative approach to collect data from 28 boys aged 16–20 from two urban and two rural high schools in South Kivu province. Four focus group discussions and 20 individual interviews were conducted among them. The findings showed that most students identified condoms as unsafe and untrustworthy. Reasons given for the mistrust of condoms were related to the belief that condoms do not give enough protection from Sexually Transmitted Infections, HIV and pregnancies. Most participants believe that condoms have a ‘small hole’ or are unreliable and are therefore not effective in prevention. They also mentioned that condoms encourage inappropriate sexual activity. They prefer flesh-to-flesh sex rather than protected sex using a condom. However, a few participants acknowledged the importance of condom use. Despite the risk of HIV transmission, boys believe that it is appropriate for them to have concurrent sexual partnerships. They justified the concurrent sexual partnerships as a way of ensuring that they cannot miss a girl to satisfy their sexual desire. Given the boys’ failure to use condoms and their strong inclination to concurrent sexual partnerships, there is a need for heath groups and stakeholders within the area to increase awareness about condoms’ effectiveness and improve knowledge dissemination on Sexually Transmitted Diseases and how they are prevented.

Highlights

  • Condoms are strongly mistrusted and are based on the perceived lack of protective efficacy (MatickaTyndale, 2012). These include beliefs that condoms do not fully protect against STIs or HIV or even that condoms increase the risk of HIV transmission (Maticka-Tyndale, 2012, p. 63)

  • This study investigated young men’s perspectives about condoms, concurrent sexual partners and sex in the context of HIV/AIDS

  • The following themes and sub-themes emerged from the study: ‘you cannot eat a candy in a wrapper’, condoms convey ‘have sex and satisfy your sexual urge’, condoms are ineffective, a girl who suggests a condom is untrustworthy, and concurrent sexual partnerships help make a choice of spouse

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Summary

Introduction

Condoms are strongly mistrusted and are based on the perceived lack of protective efficacy (MatickaTyndale, 2012). Several studies in Nigeria (Okonkwo, 2010), South Africa (MacPhail & Campbell, 2001), Malawi (Chimbiri, 2007), Kenya (Maticka-Tyndale & Kyeremeh, 2010; Maticka-Tyndale et al, 2005), Democratic Republic of the Congo (DRC) (Bosmans, Cikuru, Claeys, & Temmerman, 2006; Kandala, Lukumu, Mantempa, Kandala, & Chirwa, 2014; Kayembe et al, 2008a; Kidman, Palermo, & Bertrand, 2015) found that participants believe condoms cannot prevent infection Such a belief can present a major impediment to condom use. In a study conducted among university students in Goma, participants believed that condom use can reduce pleasure. 55% of participants stated that condoms can tear (Masoda & Govender, 2013)

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