Barbosa Regina Maria, Kalckmann Suzana, Berquó Elza, Stein Zena
Center for Population Studies (NEPO), University of Campinas, Campinas, SP, Brazil.
Int J STD AIDS. 2007 Apr;18(4):261-6. doi: 10.1258/095646207780658980.
A nationwide effort to introduce the female condom (FC) into public health services was undertaken in Brazil in 1998-99. To this end, the Ministry of Health sponsored a national research group of public health professionals, aided by local field workers and supervisors, to conduct a preparatory study at 20 sites in six cities. Clinic health workers were trained to conduct the study. Following an educational session, 2382 women volunteered to use the FC and to report their experiences at follow-up. Among those seen at 15 days, 1782 had used the FC at least once; among those seen at the 90-day follow-up, 1453 women had used it at least once, while 1296 of them liked it and wished to continue its use. Among these 1296 women, barrier use at last intercourse (either with a male or a female condom) was more than double at 90 days what it had been at baseline: 70% compared with 33%. Clinics providing active health-education activities achieved higher rates of follow-up and of FC acceptability. These findings suggest that in Brazil, the introduction of the FC at public health centres could lead to high initial adoption rates and that continued use would be effective in encouraging safer sex. The level of health education and type of clinic are likely to influence the effectiveness of a future programme.
1998年至1999年，巴西开展了一项将女用避孕套（FC）引入公共卫生服务的全国性工作。为此，卫生部资助了一个由公共卫生专业人员组成的全国研究小组，在当地现场工作人员和监督员的协助下，在六个城市的20个地点进行了一项预备性研究。诊所卫生工作者接受了开展该研究的培训。经过一次教育活动后，2382名妇女自愿使用女用避孕套并在随访时报告她们的经历。在15天接受检查的人中，1782人至少使用过一次女用避孕套；在90天随访时接受检查的人中，1453名妇女至少使用过一次，其中1296人喜欢它并希望继续使用。在这1296名妇女中，在90天时最后一次性交时使用屏障避孕法（男用或女用避孕套）的比例比基线时增加了一倍多：从33%增至70%。开展积极健康教育活动的诊所随访率和女用避孕套可接受率更高。这些研究结果表明，在巴西，在公共卫生中心引入女用避孕套可能会使最初采用率很高，而且持续使用将有效地鼓励更安全性行为。健康教育水平和诊所类型可能会影响未来项目的效果。
