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Background/Aims:The development of vaginal microbicides for sexually transmitted infections (STIs) is a welcome clinical and research intervention for countries heavily burdened with HIV and AIDS. These microbicides are formulated as gels, creams, films and suppositories, and work by either providing a physical barrier that keeps HIV and other pathogens from reaching the target cells or by enhancing the natural vaginal defence mechanisms. This study examines women's and men's perceptions on STIs and acceptability of vaginal microbicides.Methods:An exploratory qualitative research study using five focus group discussions was conducted in the Kafue and Mumbwa districts in Zambia between 2009 and 2010. Five themes were identified: i) knowledge about HIV/AIDS; ii) condom use; iii) women's options and the challenges of using existing interventions; iv) use and acceptability of a placebo microbicide gel; v) partner involvement.Results:In general, participants were knowledgeable about the modes of HIV transmission and prevention. The majority of participants believed that condom use was the man's decision and current available HIV prevention techniques are often not controlled by women. Although the availability and use of microbicides would greatly empower women to protect themselves and their partner, many women have little control over their choice of contraception.Conclusions:Most social science research to date has confirmed the urgent need women feel for an HIV prevention method that they can control, particularly in countries with a severe generalised HIV epidemic. In this study, women and men expressed positive attitudes toward the use of microbicides.
African Journal of Midwifery and Women's Health – Mark Allen Group
Published: Jul 2, 2015
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