[Dynamics of female condom acceptability among prostitutes and young women in Abidjan, Ivory Coast]

Contracept Fertil Sex. 1997 Dec;25(12):921-32.
[Article in French]


Objective: To assess the acceptability of the female condom among 2 groups of women in Côte d'Ivoire.

Design: Trial of use.

Setting: Abidjan, non-medical structures.

Participants: 114 women accepted initial interview: 52 commercial sex workers (CSWs), 62 young women. 103 women volunteered for the trial of use.

Interventions: 20 female condoms given to the CSWs, 10 given to the young women; adapted instructions for use, counselling on AIDS, STDs and genital anatomy provided before and all along the trial.

Main outcome measures: Qualitative assessment with some quantitative measures.

Results: The female condom aroused a general interest from all participants. 90% accepted to use it; 75% of 103 volunteers completed the trial. Approximately 1,200 utilizations were recorded. Prevalence of misuses was low (approx. 2% of the total); prevalence of discomforts was much higher. All the users except two wanted to use it in the future.

Conclusion: Safe protection and dual protection (against HIV/STDs, pregnancies) were the two main sources of interest; CSWs quickly appropriated this new tool. Considering these data, the HIV infection rate among young women in Côte d'Ivoire, and evidence of changing attitudes towards birth spacing, a low-price distribution programme of female condoms for all women is recommended, with an educational component and the community participation.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Condoms, Female*
  • Cote d'Ivoire
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Patient Satisfaction*
  • Sex Work / psychology*
  • Surveys and Questionnaires
  • Urban Health
  • Women / psychology*