Condom Acceptability Research Articles

Acceptance and use of condoms among school-aged young people in Australia.

Despite availability of vaccines or medical prophylaxis for some sexually transmissible infections (STIs), promoting condom use remains an important public health strategy for the prevention of STIs. Recent research shows that regular condom use among young people in Australia has declined over the past decade, while the rate of common STIs has increased. In this paper, we report findings from a large survey of school-aged young people in Australia (14-18years old) in which we looked at the association between condom use and positive feelings about sex, beliefs about social acceptability of condoms and confidence talking with partners about sex and condoms. Communication and relational factors supported more consistent condom use. Participants were more likely to regularly use condoms if they discussed condom use with a sexual partner, perceived condom use to be easy (a measure that included perceived ease of discussing condoms with a partner) and perceived condom use to offer social or relational benefits, including perceiving condom use as a demonstration of care for a partner. Young men were more likely to report positive feelings about sex and regular condom use than young women. Young women were less likely than young men or trans and non-binary young people to report regular condom use. The study shows the importance of supporting young people to build confidence expressing sexual needs and wants with partners. Public health approaches to STI prevention need to consider condom promotion in the context of young people's contemporary sexual, gendered and relationships cultures.

Socio-cultural factors perceived to influence sexual behaviours of adolescents in Ethiopia.

Adolescence is a period of transition from childhood to adulthood. It is the age of experimentation. They are vulnerable to the undesirable effect of sexual and reproductive health (SRH) problems such as human immunodeficiency virus, sexually transmitted infections and unsafe abortion and childbirth-related risks. To explore and describe perceived organisational, community and societal level factors that influence sexual behaviours among adolescents in Ethiopia. The study was conducted by public health care organisations, youth centres and non-governmental organisations in Addis Ababa, Ethiopia. A qualitative descriptive study design was conducted with purposively selected health professionals and adolescents in Addis Ababa from June 2019 to February 2020. The data were collected using in-depth interviews, key informant interviews and focus group discussions. Transcribed interviews were imported to ATLAS. ti 7 for coding, categorising and creating themes using thematic analysis. Lincoln and Guba's model was used to ensure trustworthiness and ethical standards were applied. Poor school involvement, social norms on sexual behaviour and lack of condom acceptability by the general population, financial problems and the gap in law enforcement were found perceived factors influencing sexual behaviour of adolescents. Adolescents are engaging in various risky sexual behaviours because of various organisational, community level and societal level factors, which emphasises the need to introduce social and culturally acceptable age-appropriate comprehensive sexuality education for adolescents and other multilevel interventions.Contribution: Provide an in-depth understanding of the influence of sociocultural issues related to adolescent sexual behaviour for health system stakeholders.

Knowledge, Attitudes, and Practices of Sex Workers of Three South African Towns towards Female Condom Use and Contraceptives.

Female sex workers are a marginalized and highly vulnerable population who are at risk of HIV and other sexually transmitted diseases, harassment, and unplanned pregnancies. Various female condoms are available to mitigate the severity of the consequences of their work. However, little is known about the acceptability and usage of female condoms and contraceptives among sex workers in small South African towns. This descriptive cross-sectional study of conveniently selected sex workers explored the acceptability and usage of female condoms and contraceptives among sex workers in South Africa using validated questionnaires. The data were analyzed using STATA 14.1. The 95% confidence interval is used for precision, and a p-value ≤ 0.05 is considered significant. Out of 69 female-only participants, 49.3% were unemployed, 53.6% were cohabiting, and 30.4% were HIV positive. The median age of entry into sex work was 16 years old. Participants reported use of condoms in their last 3 sexual encounters (62.3%), preference of Implanon for contraception (52.2%), barriers to condom use (81.2%), condoms not being accepted by clients (63.8%), being difficult to insert (37.7%), and being unattractive (18.8%). Participants who reported barriers to condom use were 90% more likely to have adequate knowledge than those who did not (PR = 1.9; p-value < 0.0001). Knowledge of condom use was an important factor in determining knowledge of barriers to their use. Reasons for sex work, sex workers' perceptions, and clients' preferences negatively affect the rate of condom use. Sex worker empowerment, community education, and effective marketing of female condoms require strengthening.

Effects of a Novel Erectogenic Condom on Men and Women’s Sexual Pleasure: Randomized Controlled Trial

ABSTRACT We tested whether CSD500 (Futura Medical; Guildford, UK), a novel condom containing erectogenic gel designed to increase penile firmness, penile size, and erection duration, results in greater sexual pleasure. In 2017–2020, we randomized heterosexual couples in Thanh Hoa, Vietnam to use CSD500 (N = 248) or standard condoms (N = 252) and followed them up for six months. Women completed the Quality of Sexual Experience (QSE) scale; men completed the QSE, Sexual Experience Questionnaire (SEX-Q), and 11 condom acceptability items. Female participants’ mean age was 32.1 years (SD = 0.24; range 21–46). QSE scores were higher among women (B, 0.12; 95% CI, 0.03–0.21) and men (B, 0.21; 95% CI, 0.08–0.35) in the CSD500 relative to the control arm. SEX-Q scores were higher among men in the CSD500 compared to the control arm (B, 3.22; 95% CI, 1.53–4.91). Higher proportions of men in the CSD500 relative to the control arm reported the condom felt “natural” during sex (68.6% vs. 32.3%; p < .01) and that sex with the condom felt “a lot better” than condomless sex (15.5% vs. 5.3%; p < .01). Compared with standard condoms, CSD500 use was associated with higher reports of sexual pleasure and condom acceptability.

Understanding female condom use, acceptance, accessibility, awareness and knowledge among female public health students in a Nigerian university: A cross-sectional study

Background: The female condom is both a means of mechanical contraception and protection against sexually transmitted infections (STIs) and unwed pregnancies. The use and uptake of female condoms have been advocated as one of the safest ways to halt the risk of unplanned/unwanted pregnancies and STIs including HIV. Our study aimed to explore the knowledge, awareness, utilization, acceptance and accessibility of FC among female public health students in a Nigerian University. Methods: One hundred and ninety (190) female public health students took part in the study. A self-administered questionnaire was used to collect the data between August and December 2019. Data analysis was carried out using SPSS version 23. Results: Overall percentage awareness of female condoms usage in this study was 52.0%. Less than a quarter (22.4%) reported having seen a pack of female condoms, while the remaining 77.6% of the participants reported having never seen a pack of female condoms. In addition, the majority (87.4%) of the respondents did not know whether a female condom interferes with sexual pleasure/sensation. The majority of the respondents (77.4%) concurred that utilizing a female condom implies that "I don't trust my partner". Concerning accessibility of the female condom, only 1.8% agreed that FC is easily accessible while more than half (54.2%) are uncertain of the accessibility. Conclusion: Our study revealed a low level of knowledge and utilization of female condoms, and also limited access to the female condom as well as unsatisfactory acceptance and suboptimal awareness level which were suggested by the overall percentages in the study.

A Review of Indian Perceptions on Condom Use

In the late 1960s, India's National Family Planning Programme introduced condoms as one of the family planning methods. Since its inception, the condom has been promoted as a method of family planning through social marketing. With the rising prevalence and incidence of sexually transmitted infections (STIs), such as HIV/AIDS, the condom has been promoted as a dual method of protection against both unintended pregnancies and sexually transmitted infections. Despite different initiatives at various levels, overall condom use among Indian couples remains low. In this paper, we examine the research on condom perception among Indian couples. The report specifically evaluates research and strategies designed to enhance condom usage among couples; predictors of condom use; reasons for not using a condom; and perception versus the experience of condom failure. Non-acceptance by partners, perceived ineffectiveness, reduced comfort, lack of sexual satisfaction, husband's alcohol usage, depression, and anxiety, and not being accessible at the time were among the reported condom-related issues. The importance of the media in promoting condom use was mentioned as a significant strategy to raise awareness and use. Acceptance of male condoms would be aided in a variety of ways.

Acceptability and accessibility of condom among men who have sex with men (MSM) in Imo state, Nigeria

HIV prevalence among high risk populations globally is substantially higher than in the general population though men who have sex with men continue to bear a high burden of the infection. The aim of this study was to determine the acceptability and accessibility of condoms among men who have sex with men in Imo State, Nigeria. Hundred and ninety five respondents functional in key population (KP) hot spots in presumptively selected Local Government Areas in the state were randomly selected. Semi-structured questionnaires were used for data collection and data obtained was analyzed using SPSS statistical package version 21. The result showed that 101(51.8%) of MSM had used condom during a sexual intercourse. Majority 97(50.3%) indicated that they would not use a condom they love or are in partnership with whereas 69(35%) used condom occasionally during intercourse. Majority of the respondents 103(52.8%) have practiced unprotected anal sex within the past six months prior to survey. The major constraint to condom accessibility was reported to be cost (26.3%). Other constraints to accessibility include condom prejudice (25.0%) and setting of residence (24.5%). Statistically, the study revealed no association between condom uptake and acceptability (P=0.001) however, there was an association between condom uptake and accessibility (P=0.594). Interventions targeted at the key population to evaluate trends in sexually transmitted diseases especially HIV as well as improvement of condom accessibility cannot be over emphasized.

The most reliable guardian of your health: Controversies on the condom's acceptance in the 20th century

The history of the condom, although repressed or bypassed throughout the centuries, represents an important part of our cultural history. An historical overview on how the condom was perceived by Croatian physicians and how the pharmaceutical industry advertised condoms in the first half of the 20th century is provided. The contributions on contraception in Croatian medical bulletins, as well as the advertisements published in our professional pharmaceutical journals established during the Interwar Period is discussed. Indeed, the condom was for the most part neglected either as a prophylactic or as a contraceptive among physicians and public health workers, despite epidemics of syphilis and the rise of socialized medicine. In conclusion, this paper is the first attempt to provide the history of condom in Croatia, discussing dominant attitudes toward contraception, prophylaxis of venereal diseases, the control of reproduction, and the ideologies about human sexuality.

Risk perceptions, misperceptions and sexual behaviours among young heterosexual people with gonorrhoea in Perth, Western Australia.

Notification rates of gonorrhoea in Australia for heterosexual young adults rose by 63% between 2012 and 2016. In Western Australian major cities, there was a 612% increase among non-Aboriginal females and a 358% increase in non-Aboriginal males in the ten-year period 2007-2016. A qualitative public health investigation was initiated to inform appropriate action. Eighteen semi-structured telephone interviews were conducted with non-Aboriginal heterosexual young adults aged 18-34 years living in Perth, Western Australia, who had recently been notified to the Department of Health with gonorrhoea, to explore the context of their sexual interactions and lifestyles which could have predisposed them to contracting gonorrhoea. Data were thematically analysed. Common themes were having several casual sexual partners, limited communication between sexual partners about condom use or sexual history prior to engaging in sexual activity, inconsistent condom use, normalisation of some sexually transmissible infections amongst young people, and poor understandings and assessment of sexually transmissible infection risk. The findings support public health interventions that focus on communication between sexual partners and shifting of risk perceptions in sexual health education programs, ensuring accessibility of quality sexual health information, increasing condom accessibility and acceptability, and on strategies for addressing misperceptions of young people in relation to sexually transmitted infections.

"I'd Rather Use a Refuse Bag:" A Qualitative Exploration of a South African Community's Perceptions of Government-Provided Condoms and Participant-Preferred Solutions.

Despite South Africa experiencing one of the largest HIV epidemics in the world, condom use has decreased since 2008. However, condoms are the only low-cost HIV prevention technology widely available in South Africa. This study aims to explore a South African community's perceptions of condoms, recent condom use decrease, and suggestions for increasing condom use. In 2014, we conducted seven focus groups (n = 40 men) and 20 in-depth interviews (n = 9 men, n = 11 women) with participants aged ≥ 18years recruited from four urban settlement health clinics in Cape Town, South Africa. Data were collected, coded, and analysed using a general inductive approach. Participants perceived government-provided condoms negatively, with themes including "disgust" for condom physical properties, concerns with social status associated with free condoms, and performance concerns. There was an intersection of themes surrounding masculinity, condom use, and sexual pleasure. Solutions to increase condom use included improving the quality and variety of free condoms and rebranding free condoms. Participants suggested that condoms are distributed with novel attributes (e.g., more colors, smells/flavors, sizes, and in-demand brands) and that government programs should consider offering all brands of condoms at no or low cost. This study suggests a substantial rethinking of condom branding for government-provided condoms. Our findings suggest that condom dissemination and promotion programs should proactively address public concerns regarding condoms. Existing societal and structural norms such as hegemonic masculinity must also be addressed using gender-transformative interventions. We also strongly suggest the creation of a Male Condom Acceptability Scale to understand condom users' needs.

Black College Women’s Interpersonal Communication in Response to a Sexual Health Intervention: A Mixed Methods Study

ABSTRACT We investigated interpersonal communication generated from a successful sexual health intervention for Black college women attending a Historically Black College/University (HBCU). Guided by the integrative model of behavioral prediction and the theory of gender and power, the intervention combined point-of-access health messages with condom distribution via condom dispensers. Using a mixed-methods approach, we examined communication partners, content, mode, valence, and perceived impact. Data were gathered from surveys (N = 105) and interviews (n = 10) with young adult women at an HBCU campus, conducted three months after the intervention. The findings revealed that 43% of women engaged in interpersonal communication and 21% engaged in online interactions about the dispensers. Friends were the most common conversation partners, and the conversations were mainly about condoms and the dispensers themselves. In general, the discussions were positive, showing support for the dispensers. Regression analyses revealed positive, significant associations between interpersonal communication and two key outcomes: condom acceptability and condom intentions. Overall, this study adds to research linking health communication interventions to interpersonal communication and subsequent attitudes and beliefs. Health communication interventions should actively encourage young Black women to share health-promoting information within their social networks to extend both the reach and impact of those interventions.

Improving knowledge, acceptance, and utilization of female condoms among sex workers through a peer education: a mixed methods study in Surakarta Municipality, Central Java Province, Indonesia

Female sex workers (FSW) are high-risk for HIV infection. The authors conducted a quasi-experimental study by providing peer education on 110 FSWs, and routine HIV education on 120 controls, in Surakarta Indonesia. An additional qualitative study was performed to explain the contextual factors contributing to the effectiveness of peer education. The difference in difference approach showed that peer education improved knowledge, acceptance, and utilization of female condom. The improvements were related to the clients’ perceptions, access, and available interactive communication with the peer educator. The peer education program should be enhanced to support the prevention of HIV/AIDS.

Pilot study on functional performance and acceptability of two new synthetic adhesive male condoms (Wondaleaf): a randomized cross-over trial

ObjectivesThis study compared the condom failure rate, safety and acceptability of two new synthetic adhesive male condoms, Wondaleaf-Cap® (WLC) and Wondaleaf-On-Man® (WLM), with a marketed latex external condom Durex®-Together (DT). Study designWe enrolled healthy married, monogamous, heterosexual condom users in a randomized controlled, cross-over, pilot trial in Malaysia. We randomized participants to six groups with different condom use-orders of the experimental WLC and WLM and control latex condom for four episodes for vaginal sex over 1 month for each condom type. We summarized the clinical and non-clinical failure rate, safety and acceptability of each condom type using descriptive statistics. We tested differences in condom failure and acceptability using generalized estimating equations and repeated measure ANOVA respectively. ResultsWe screened 75 couples and randomized 50 eligible couples. Two couples withdrew before receiving any condom. The remaining used 576 condoms with 192 uses for each condom variant. Clinical failure rates of WLC, WLM and DT were 1.04%, 0% and 0.52%, respectively. Non-clinical failure rates of WLC, WLM and DT were 2.08%, 3.12% and 1.04%, respectively. Removal was found more painful with Wondaleaf products than the DT. Preferences of participants for WLC, WLM and DT were 33.3%, 29.2% and 25%, respectively. Overall, WLC and DT had greater acceptances among male participants than WLM. ConclusionResults of this pilot study support that use of synthetic adhesive male condoms is associated with failure rates similar to those seen with existing latex, and with greater acceptability. A larger study to ascertain non-inferiority is underway. ImplicationsThe availability of synthetic adhesive male condoms may increase the acceptability of condom use. However, removal pain and clinical performance requires further study.

Female condom acceptability and use amongst young women in Botswana.

BackgroundThe female condoms are a barrier method of contraception. The FC1 female condom is made from soft thin plastic called polyurethane and has been replaced by FC2 female condom, which is made of synthetic latex. The female condom is worn inside the vagina and acts as a barrier to prevent semen getting to the womb. It is about 75% – 82% effective with normal use. When used correctly all of the time, female condoms are 95% effective. Despite evidence of its effectiveness, the use of the female condom has continued to face resistance from both women and men.ObjectivesThe objectives of this study were to determine clients’ level of knowledge of female condom, identify predominant methods of contraception, examine young women’s views regarding the female condom and identify barriers to the use of female condoms by young women.MethodA simple random sampling approach was used to recruit young women between 15 and 34 years in Jwaneng, Botswana. Data were collected using self-administered structured questionnaire from women accessing healthcare services in the three health facilities in 2015. Descriptive statistics, exploratory factor analysis and the chi-square test techniques were applied using the Statistical Package for the Social Sciences (SPSS) statistical programme version 23 for Windows to analyse data.ResultsThe findings based on factor loadings show low utilisation of the female condom and highlights the significant challenges about the material, size, shape and timing of insertion. Respondents had stronger views on the structure of the condom. There was no significant relationship between attitude and method of contraception.ConclusionAcceptability of the female condom involves complex factors such as women position and decision-making power in a relationship, attitude and knowledge. Attitude, knowledge and power relations play a role in the extent to which women would want to try or use it. Various strategies need to be developed to effectively promote the female condom amongst young women.

Female condom acceptability in urban India: Examining the role of sexual pleasure.

This qualitative study examined the acceptability of female condoms in urban India, with a focus on sexual pleasure. We conducted focus group discussions with 50 women and 19 men, as well as a small number of individual interviews with women (n = 3), in Chennai and New Delhi. Perceived benefits of female condoms included protection against unintended pregnancy and sexually transmitted infections, increased sense of empowerment for women, and simple clean up. The most common drawback was reduced sensation. Participants suggested structural changes to the female condom to ease insertion and use. Consent and privacy were discussed as increasing sexual pleasure. Pleasure should be acknowledged in design and education efforts to increase female condom use.

Acceptability and use of female condoms among young people in South Africa

The female condom was introduced more than two decades ago and remains the only female-initiated tool available that provides dual protection for women. The aim of this study to explore acceptability and potential demand for the female condom in Durban, South Africa. The study draws on 15 in-depth interviews with young women aged 18 to 30 years who reported that they had ever used the female condom in the past. The findings highlight a number of factors that facilitate and inhibit female condom use. Protection from sexually transmitted infections (including HIV) and pregnancy prevention facilitates the use of the device. In addition, students expressed positive attitudes towards the female condom and prefer it over other contraceptive methods because it offers them dual protection. Absence of side effects, and greater power and autonomy to initiate safer sex are other factors that facilitate use. Inadequate availability, insertion difficulties, and stigma serve as significant barriers to consistent female condom use

Perceptions of a campus-wide condom distribution programme: An exploratory study.

Condom distribution programmes are an important means of preventing sexually transmitted infections (STIs); yet little research has examined their perceived and actual impact on college campuses. Quantitative, cross-sectional study. Large public university in the Southeastern USA. Approximately 2 months after a campus-wide condom distribution programme began, we utilised intercept surveys with 355 students (68% women; 43% racial/ethnic minorities) to examine their perceptions of the availability, accessibility and acceptability of condoms, and their perceptions and use of the newly installed condom dispensers. Students perceived condoms to be available and accessible on campus after implementation of the condom dispensers. Students had heard about the dispensers from other people (36%), through social media (18%) and the campus newspaper (15%). Most students (71%) had seen the dispensers. Almost one in four students (23%) had taken a condom from the dispensers; among those who were sexually active during the 2months that the dispensers were available, 33% had used them. More than one-third of students (37%) - and 53% of sexually active students - indicated intentions to use the dispensers in the next 6months. Multiple regression analysis controlling for age, gender and race revealed that prior condom use, attitudes about the dispensers and comfort with the dispensers were significant predictors of sexually active students' intentions to use the dispensers (p<.001). Overall, results indicate that over a short time period, this condom distribution programme was successful in reaching students and providing free condoms. Implications for implementing condom distribution programmes on college campuses as well as future directions for research are discussed.

Path Analysison the Factors Associated with Consistent Use of Female Condom among Female Sex Workers in Surakarta

Background: Female condom is an alternative method to prevent HIV/ AIDS transmission. However, its utilization is low and scanty among female sex workers. It is important to have knowledge on the factors that determine female condom use. This study aimed to determine the factors associated with the acceptance and use of female condom among female sex workers in Surakarta. Subjects and Method : It was an analytic and observational study using case control design. The study was conducted at a prostitution area in Surakarta, Central Java, from August to September 2016. A total of 230 female sex workers consisting of 110 female sex workers who used female condoms and 120 female sex workers who did not use female condoms, was selected purposively in this study. The dependent variables were acceptance and use of female condom. The independent variables were sex partner support, peer educator support, and pimp support. The data were collected by a set of questionnaire and analyzed by path analysis model. Results : Acceptance of female condom was associated with its use among female sex workers (b = 0.30; p < 0.001). Peer educator support was associated with acceptance of female condom (b = 0.06; p < 0.001). Peer educator support (b = 0.03; nilai p = 0.012) and sex partner support (b = 0.05; p = 0.042). The association between acceptance of female condom and pimp support was not statistically significant (p = 0.133). Conclusion : Peer educator support and sex partner support have direct association with both acceptance and use of female condom among female sex workers. Keywords : path analysis, support, sex partner, peer educator, consistant use, female condom, female sex workers Correspondence: Rizka Ayu Setyani. School of Midwivery, Respati University, Yogyakarta. Email: bidanrizkaayusetyani@gmail.com Journal of Health Promotion and Behavior(2016), 1(2): 120-126 https://doi.org/10.26911/thejhpb.2016.01.02.07

Knowledge and Attitude, Accessibility and Acceptance of Female Condoms by Students in WSU Nelson Mandela Drive Campus

World Health Organization (2012) encourages that all forms of fight against the spread of HIV/AIDS should be used which includes women/female condoms. Women condoms are suppose to be regarded as an alternative to men condoms. The objectives included investigating the extent of the student’s knowledge and participants’ attitude towards female condoms, accessibility of female condoms by the participants and establish whether male partners accept the use of female condoms. Simple random sampling was used to select the sample size of 50 participants, 25 females and 25 males. 50 questionnaires were distributed. Data was analyzed using Statistical Package for Service Solution (SPSS), version 21.0. The findings of the study are that 90% of participants have never used female condoms let alone thinking about using it, these participants did not even know how a female condom looks like and how it is inserted. 56% of participants indicated that female condoms are not available in the campus. They also have the same feeling regarding the availability and accessibility of female condoms where they live, be it at their villages or in townships. Furthermore, an average number of participants indicated that they have generally positive attitude towards female condoms as very few of them (4%) indicated that they dislike female condoms. Nevertheless, they do not regard female condoms as an alternative to male condom which can increase women’s control on sexual activates. The results are displayed using the frequency tables. In all these areas it became clear that despite the role the government has played in educating people about female condoms, a lot still needs to be done especially here in Walter Sisulu University (NMD) so that participants’ knowledge and understanding can improve. This will help in the reduction of student-teenage pregnancies, STIs infection and HIV/AIDS infection rate in Walter Sisulu University (NMD) and the University at large.

Determinants of demand for condoms to prevent HIV infections among barmaids and guesthouse workers in two districts, Tanzania.

BackgroundCondoms are scientifically recommended as potential products for preventing infections attributable to human immuno-deficiency viruses (HIV). However, evidence on factors leading to their inadequate use in developing countries is still scanty. This paper reports an exploratory study of factors constraining condoms use in Tanzania from the perspectives of barmaids, guest-house workers and retailers.MethodsData were collected in two districts—Mpwapwa in Dodoma Region and Mbeya Rural in Mbeya Region—between October and December 2011, using structured interviews with 238 individuals including barmaids, guesthouse workers and 145 retailers. Data analysis was performed using STATA 11 software.ResultsAwareness about condoms was high among all study groups. Male condoms were more popular and available than female ones. A considerable proportion of the barmaids and guesthouses were disappointed with condoms being promoted and distributed to young children and disliked condom use during sexual intercourse. Accessibility of condoms was reported as being lowered by condom prices, shortage of information concerning their availability; short supply of condoms; some people shying away to be watched by children or adult people while purchasing condoms; retailers’ using bad languages to condom customers; occasionally condom shops/kiosks found closed when they are urgently needed; and prevailing social perception of condoms to have low/no protective efficacy. Regression analysis of data from barmaids and guesthouse-workers indicated variations in the degree of condom acceptability and methods used to promote condoms among respondents with different demographic characteristics.ConclusionA combination of psychosocial and economic factors was found contributing to lower the demand for and actual use of condoms in study communities. Concerted measures for promoting condom use need to address the demand challenges and making operational research an integral element of monitoring and evaluation of the launched interventions, hence widening the evidence for informed policy decisions.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-015-1621-y) contains supplementary material, which is available to authorized users.