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Original research article| Volume 83, ISSUE 3, P248-254, March 2011

Three new female condoms: which do South-African women prefer?

      Abstract

      Background

      The widespread distribution of female condoms (FCs) in developing countries has been hindered by high unit cost, making new less expensive devices a priority for donor agencies.

      Study Design

      Randomized, crossover study assessing product preference, safety, acceptability and function of three new FCs (PATH Woman's Condom, FC2 and V-Amour) among 170 women in Durban, South Africa. A subsequent ���simulated market��� study provided participants with free choice of FCs and assessed condom uptake over 3 months.

      Results

      Of the 160 women who used at least one FC of each type, 47.5% preferred the PATH Woman's Condom (WC), 35.6% preferred FC2 and 16.3% preferred V-Amour (p<.001). Women rated the WC better than FC2 and V-Amour for appearance, ease of use and overall fit and better than V-Amour for feel. WC was rated worse than FC2 and V-Amour for lubrication volume. The simulated market demonstrated similar preferences. Total clinical failure rates (i.e., the types of failures that could result in pregnancy or STI) were low (<4%), regardless of condom type.

      Conclusions

      Three new FC types functioned similarly and were generally acceptable. Most participants preferred WC and FC2 over V-Amour, and WC was preferred over FC2 in several acceptability measures.

      Keywords

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      References

        • Beksinska M.
        • Smit J.
        • Mabude Z.
        • Vijayakumar G.
        • Joanis C.
        Performance of the Reality�� polyurethane female condom and a synthetic latex prototype: a randomized crossover trial among South African women.
        Contraception. 2006; 73: 386-393
        • Latka M.
        • Joanis C.
        • Glover L.
        Acceptability of the Reality�� female condom and a latex prototype.
        J Urban Health. 2001; 78: 614-626
        • Smita J.
        • Neelam J.
        • Rochelle D.Y.
        • et al.
        Comparative acceptability study of the Reality�� female condom and the version 4 of modified Reddy female condom in India.
        Contraception. 2005; 72: 366-371
        • Schwartz J.
        • Barnhart K.
        • Creinin M.
        Comparative crossover study of the PATH Woman's Condom and the FC Female Condom��.
        Contraception. 2008; 78: 465-473
        • Code of Federal Regulations Title 21
        Selected Regulations & Guidance for Medical Device Studies.
        Clinical Research Resources, LLC, Philadelphia, PA2008
      1. International Conference on Harmonization. ICH E6 - Guideline on Good Clinical Practice. USFDA Federal Register May 1997; 62:25691-25709E7.

        • Moher D.
        • Schultz K.F.
        • Altman D.
        • for the CONSORT Group
        Revised recommendations for improving the quality of reports of parallel group randomized trials.
        JAMA. 2001; 285: 1987-1991
        • SAS Institute Inc
        SAS/STAT�� 9.2 User's Guide.
        SAS Institute Inc., Cary (NC)2008
        • Beksinska M.
        • Joanis C.
        • Manning J.
        • et al.
        Standardized definitions of failure modes for female condoms.
        Contraception. 2007; 75 ([Epub 2007 Feb 7]): 251-255
        • Trussell J.
        Comparative contraceptive efficacy of the female condom and other barrier methods.
        Intl Fam Plann Perspect. 1994; 26: 66-72
        • French P.P.
        • Latka M.
        • Gollub E.L.
        • Rogers C.
        • Hoover D.R.
        • Stein Z.A.
        Use-effectiveness of the female versus male condom in preventing sexually transmitted disease in women.
        Sex Transm Dis. 2003; 30: 433-439
        • Hoke T.H.
        • Feldblum P.J.
        • Van Damme K.
        • et al.
        Temporal trends in sexually transmitted infection prevalence and condom use following introduction of the female condom to Madagascar sex workers.
        Intl J STD AIDS. 2007; 18: 461-466
        • Hollander D.
        Failure rates of male and female condoms fall with use.
        Intl Fam Plann Perspect. 2005; 31: 94-95
        • Valappil T.
        • Kelaghan J.
        • Macaluso M.
        • et al.
        Female condom and male condom failure among women at high risk of sexually transmitted diseases.
        Sex Trans Dis. 2005; 32: 35-43