Implementing condom distribution programs in the United States: Qualitative insights from program planners |
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| Institution: | 1. HIV/STI Department, Centre for Infectious Disease Control and Surveillance, Public Health England, London, UK;2. Public Health England Primary Care Unit, Microbiology Department, Gloucestershire Royal Hospital, UK;3. Statistics, Modelling and Economics Department, Public Health England, London, UK;1. Gerontology Research Centre, Simon Fraser University, 2800 - 515 W. Hastings, Vancouver, BC, V6B 5K3, Canada;2. School of Energy, Geosciences, Infrastructure, Heriot Watt University, William Arrol Building, Heriot-Watt University, Edinburgh, EH14 4AS, United Kingdom;3. BC SUPPORT Unit Fraser Centre, 400-13450 102 Avenue, Surrey, BC, V3T 0H1, Canada;4. STAR Institute, Simon Fraser University, 2800 – 515 West Hastings, Vancouver, BC, V6B 5K3, Canada;1. School of Economics and Management, Xidian University, No. 2 South Taibai Street, Xi’an, Shaanxi Province, PR China;2. Shaanxi Xi ''an Yanta District, Shida Road, Shaanxi Normal University, Xi’an, Shaanxi Province, PR China;1. Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland;2. Department of Global Public Health, New York University, New York, New York;1. London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1E 7HT, UK;2. CARE International UK, Camelford House, 87-90 Albert Embankment, Lambeth, London, SE1 7TP, UK;3. CARE USA, 2506 Beacon Avenue, Atlanta, V8L 1Y2, USA;4. CARE Rwanda, N 8 Avenue, Kigali, Rwanda;5. Independent Consultant, New York, USA;1. U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD;2. Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD;3. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD;4. Institute of Human Virology, University of Maryland School of Medicine, Baltimore;5. HJF Medical Research International, Abuja, Nigeria;6. U.S. Army Medical Research Directorate – Africa/Nigeria, Abuja, Nigeria;7. Population Council Nigeria, Abuja, Nigeria;8. The Initiative for Equal Rights, Abuja, Nigeria |
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| Abstract: | With the growing number of sexually transmitted infections (STIs) among young people (15–24) in the US, condom distribution programs (CDP) remain an integral part of prevention strategies. The objective of the study was to gather qualitative insights from CDP planners to inform effective CDP implementation. Ten semi-structured interviews with program planners were conducted via telephone (response rate of 58.8%). Condom distribution channels included site-based distribution (n = 6), web-based distribution (n = 4), and distribution via Uber (n = 1). Site-based distribution programs had distribution networks ranging from 100 to 3500 sites in a given jurisdiction. Planners of site-based CDPs experienced challenges with ensuring quality control at sites and supplying condoms to sites. Web-based CDPs allow individuals to order free condoms online. These CDP planners reported growing demand for this discreet service, particularly among young people. Web-based CDPs leveraged e-mail surveys to collect data on sexual behavior and behavior change, yielding response rates as high as 63%. All CDPs emphasized the importance of supplying a variety of products. Total supplies distributed (male condoms, internal condoms, lubricant sachets) ranged from 16,000 to 45 million per year. Novel channels of distribution should be explored to ensure reach to adolescents and young adults. |
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| Keywords: | Condoms Condom Contraceptive Unplanned pregnancy STD STI HIV Prevention STD prevention STI prevention HIV prevention Condom distribution program Program planning Health promotion Social marketing Monitoring Evaluation Adolescents Young Adults Teens |
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