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Dual protection and condom use in sub-Saharan Africa

Bamikale Feyistan, U.S. Agency for International Development (USAID)

With HIV/AIDS as a major health issue in high fertility countries of Sub-Saharan Africa (SSA), a high and growing number of individuals in these countries face the risks of both unwanted pregnancy and of HIV/STI. Recent efforts to reduce both risks have promoted dual protection approaches. In this paper, we define dual protection as a simultaneous protection from both pregnancy and HIV/STI. Initially promoted as a pregnancy-prevention method, the emergence of HIV/AIDS has drawn greater attention to the HIV/STI prevention benefits of condom use. Beside abstinence and being faithful to a non-infected sex partner, condom use remains the only other effective means of preventing HIV infection. Using DHS data, we examine condom use among sexually active unmarried youth in selected SSA countries. Preliminary results show: (i)significant increases in the proportion of youth using modern contraceptive methods, particularly, condoms and, (ii) significant changes in contraception method mix in favor of condom.

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Presented in Session 60: Contraception method mix and dual protection