Acceptability of Microbicides in Malawi

Thomas Bisika

Overview

This study examines how a female controlled method of HIV prevention can reduce the prevalence of HIV in Malawi considering that women are almost three times more susceptible to HIV infection than men. Introducing a female controlled method can reduce their vulnerability significantly

Summary

This intervention is important because hitherto HIV prevention among couples has focused on male condom. This leaves women with no effective method to protect themselves from HI

Author Comments

Dr Thomas Bisika, B.Sc., (cum laude), M.A., DHSM, Sc.D.
Dr Thomas Bisika, B.Sc., (cum laude), M.A., DHSM, Sc.D.
University of Pretoria
Professor
Health Policy and Management
Pretoria, Gauteng | South Africa
This study was funded by John Hopkins University Dr. Thomas Bisika, University of PretoriaDr Thomas Bisika, B.Sc., (cum laude), M.A., DHSM, Sc.D.

Potential acceptability of microbicides in HIV prevention in stable marital relationships in Malawi.

Authors:
Dr Thomas Bisika, B.Sc., (cum laude), M.A., DHSM, Sc.D.
Dr Thomas Bisika, B.Sc., (cum laude), M.A., DHSM, Sc.D.
University of Pretoria
Professor
Health Policy and Management
Pretoria, Gauteng | South Africa

J Fam Plann Reprod Health Care 2009 Apr;35(2):115-7

School of Health System and Public Health, University of Pretoria, Pretoria, South Africa.

Background: The XVII International Conference on AIDS held in Mexico City in August 2008 emphasised the importance of dual prevention using both vaccines and microbicides in the fight against HIV and AIDS. Microbicides are important because they constitute one of the potentially important female-controlled methods of HIV and sexually transmitted infection prevention, especially in Malawi where the use of the female condom has not yet been fully embraced.

Methods: A qualitative study utilising focus group discussions was used to assess the acceptability of the microbicide nonoxynol-9 (N-9) as part of the ongoing Preparatory AIDS Vaccine Evaluation (PAVE) studies.

Results: The study observed that men oppose the use of N-9, and that although women consider themselves at risk for HIV they caution against the unintended consequence of altering the vaginal environment with the use of microbicides, which can interfere with the men's preference for dry sex.

Discussion And Conclusions: Although N-9 did not produce the desired results, these can inform the development of other promising microbicide candidates. The study concludes that it is important to pay attention to how new microbicides are formulated rather than just concentrating solely on an individual product's effectiveness.

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Source
http://dx.doi.org/10.1783/147118909787931834DOI Listing
April 2009
216 Reads
2 Citations
2.330 Impact Factor

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