Beksinska Mags E, Smit Jennifer A, Mantell Joanne E
MatCH Maternal, Adolescent and Child Health, Department of Obstetrics and Gynaecology, University of the Witwatersrand, 151 Juniper Road, Overport, Durban 4091, South Africa.
Sex Health. 2012 Mar;9(1):51-8. doi: 10.1071/SH11011.
South Africa has responded to the sexually transmissible infection and HIV epidemic with a rapid expansion of its national-level public sector condom program. Male condoms are available widely at no cost in the public sector, with expanded access via social marketing and the private sector. The female condom program is one of the largest and best established globally. National surveys show progressive increases in rates of condom use at last sex. However, inconsistent and incorrect condom use and the likelihood that condoms are discontinued in longer-term partnerships are some of the challenges impeding the condom program's successes in the fight against sexually transmissible infections and HIV. This article reviews the current condom program, related guidelines and policies, and the existing data on male and female condom use, including distribution and uptake. We discuss the main challenges to condom use, including both user and service-related issues and finally how these challenges could be addressed.
南非通过迅速扩大其国家级公共部门避孕套项目，来应对性传播感染和艾滋病毒疫情。在公共部门，男用避孕套广泛免费提供，并通过社会营销和私营部门扩大了获取途径。女用避孕套项目是全球规模最大且最完善的项目之一。全国性调查显示，最近一次性行为时避孕套使用率在逐步上升。然而，避孕套使用不一致、不正确，以及在长期伴侣关系中停用避孕套的可能性，是阻碍避孕套项目在抗击性传播感染和艾滋病毒方面取得成功的一些挑战。本文回顾了当前的避孕套项目、相关指南和政策，以及关于男用和女用避孕套使用的现有数据，包括分发和使用情况。我们讨论了避孕套使用面临的主要挑战，包括与使用者和服务相关的问题，最后探讨了如何应对这些挑战。
