TY - JOUR
T1 - Acceptability of the diaphragm in Mombasa Kenya
T2 - A 6-month prospective study
AU - Luchters, Stanley
AU - Chersich, Matthew F.
AU - Jao, Irene
AU - Schroth, Anouk
AU - Chidagaya, Swaleh
AU - Mandaliya, Kishor
AU - Temmerman, Marleen
N1 - Funding Information:
The study was funded by the Wellcome Trust, United Kingdom. The study sponsor was not involved in the collection, analysis or interpretation of data, nor in the writing of the paper. There was no conflict of interests.
PY - 2007
Y1 - 2007
N2 - Objectives: If proven acceptable, safe and effective, the diaphragm could be used as a female-controlled method of preventing both sexually-transmitted infections (STIs) and pregnancy. This study's aim was to assess the acceptability and safety of the diaphragm among sexually-active women in Mombasa, Kenya. Methods: We conducted a 6-month prospective study among female sex workers (FSWs), and women attending sexual and reproductive health services. Diaphragm acceptability was assessed using continuation rates and factors associated with acceptability. Safety evaluations included colposcopy findings and incidence of urinary tract infections (UTIs) and STIs. Results: Half the 185 participants were FSWs who had less schooling and were less likely to be married than other women. After 6 months, 55% (56/102) of sexually-active women reported having used the diaphragm each sex act during the preceding month. Women liked using the diaphragm (95%, 104/109), and 96% (125/130) reported willingness to continue using it. Colposcopy did not reveal significantly more vaginal or cervical lesions. Use of the diaphragm was not associated with an increase in bacterial vaginosis or UTIs. A pregnancy rate of 12 per 100 women/years was observed. Conclusion: After 6 months of diaphragm use in this setting, continuation rates were sustained, user satisfaction was high and adverse effects were few.
AB - Objectives: If proven acceptable, safe and effective, the diaphragm could be used as a female-controlled method of preventing both sexually-transmitted infections (STIs) and pregnancy. This study's aim was to assess the acceptability and safety of the diaphragm among sexually-active women in Mombasa, Kenya. Methods: We conducted a 6-month prospective study among female sex workers (FSWs), and women attending sexual and reproductive health services. Diaphragm acceptability was assessed using continuation rates and factors associated with acceptability. Safety evaluations included colposcopy findings and incidence of urinary tract infections (UTIs) and STIs. Results: Half the 185 participants were FSWs who had less schooling and were less likely to be married than other women. After 6 months, 55% (56/102) of sexually-active women reported having used the diaphragm each sex act during the preceding month. Women liked using the diaphragm (95%, 104/109), and 96% (125/130) reported willingness to continue using it. Colposcopy did not reveal significantly more vaginal or cervical lesions. Use of the diaphragm was not associated with an increase in bacterial vaginosis or UTIs. A pregnancy rate of 12 per 100 women/years was observed. Conclusion: After 6 months of diaphragm use in this setting, continuation rates were sustained, user satisfaction was high and adverse effects were few.
KW - Acceptance of Health Care
KW - Contraception
KW - Diaphragm
KW - HIV prevention
KW - Kenya
UR - http://www.scopus.com/inward/record.url?scp=36348994978&partnerID=8YFLogxK
U2 - 10.1080/13625180701516989
DO - 10.1080/13625180701516989
M3 - Article
C2 - 17853168
AN - SCOPUS:36348994978
SN - 1362-5187
VL - 12
SP - 345
EP - 353
JO - European Journal of Contraception and Reproductive Health Care
JF - European Journal of Contraception and Reproductive Health Care
IS - 4
ER -
