Contraceptive Use at an STD Clinic in Kumasi, Ghana
), Markus Juerg Steiner(2), John Dekyem Attafuah(3),
(1) Komfo Anokye Teaching Hospital, Kumasi,
(2) Family Health International, Research Triangle Park, USA,
(3) Research International, Accra,
Corresponding Author
Abstract
We interviewed 298 consecutive clients attending a sexually transmitted diseases (STD) clinic in Kumasi, Ghana to assess their contraceptive practices and willingness to accept male condoms. Almost a quarter of females (22%) and 14 percent of males were diagnosed HIV positive. Condom use among females was low with almost three-fourths (72%) reporting never having used condoms in the past three months. Half the males (47%) said they used condoms all or most of the time. The most common reason for nonuse was desired pregnancy (females 31%; males 20%). Almost all the clients currently using condoms (females 100%; males 89%) said they never had problems obtaining condoms. More males (76%) than females (35%) accepted free condoms distributed at the clinic aspart of this study. (AfrlReprod Health 1998;2(2):57—65)
KEY WORDS: Sexually transmitted diseases, contraception, condoms, developing countries, HIV infections
References
Cates W Jr. A risk-assessment tool for integrated reproductive health services. Fam Plann Perspect 1997; 29:41—3.
Stein Z. Editorial: family planning, sexually transmitted diseases, and the prevention of AIDS-divided we fail? Am I Public Health 1996;86:783—4.
Cates W Jr. Contraception, unintended pregnancies, and sexually transmitted diseases: why isn’t a simple solution possible? Am J Epidemiol 1996; 143:311—8.
Fox U, Williamson NE, Cates W Jr., Dallabetta G. Improving reproductive health: integrating STD and contraceptive services. JAM WA 1995; 50:129—36.
Field ML, Dallabetta. Integrated reproductive health services: where do we go from here? AiDS Captions 1 997;4:40—3.
Roddy RE, Zekeng L, Ryan KA et al. A randomized controlled trial of the effect of N-9 film use on male-to-female transmission of STD. NEnglJMed (in press).
Crabbe F, Carsauw H, Buve A, Laga M et a!. Why do men with urethritis in Cameroon prefer to seek care in the informal health sector? Genitourin Med I 996;72:220—2.
Moses S, Ngugi EN, Bradley JE, Njeru EK et al. Health care-seeking behavior related to the transmission of sexually transmitted diseases in Kenya. Am J Public Health 1994;84:1947—51.
Article Metrics
Abstract View
: 469 times
Download : 200 times
Refbacks
- There are currently no refbacks.
