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Implementing condom distribution programs in the United States: Qualitative insights from program planners.

Megan McCool-Myers1

  • 1Emory University, School of Medicine, Jane Fonda Center for Adolescent Reproductive Health, 46 Armstrong Street SE, Atlanta, GA, 30303, United States.

Evaluation and Program Planning
|February 26, 2019
PubMed
Summary

Condom distribution programs (CDPs) are vital for preventing sexually transmitted infections (STIs) in young people. Qualitative insights reveal challenges and demand for discreet, varied condom access, especially via web-based platforms.

Keywords:
AdolescentsCondomCondom distribution programCondomsContraceptiveEvaluationHIVHIV preventionHealth promotionMonitoringPreventionProgram planningSTDSTD preventionSTISTI preventionSocial marketingTeensUnplanned pregnancyYoung Adults

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Area of Science:

  • Public Health
  • Epidemiology
  • Sexual Health

Background:

  • Sexually transmitted infections (STIs) pose a significant public health challenge among young individuals (15-24) in the US.
  • Condom distribution programs (CDPs) are a key component of STI prevention strategies for this demographic.

Purpose of the Study:

  • To explore qualitative insights from condom distribution program planners.
  • To identify effective implementation strategies for CDPs targeting young people.

Main Methods:

  • Ten semi-structured telephone interviews were conducted with CDP planners.
  • A response rate of 58.8% was achieved.
  • Distribution channels analyzed included site-based, web-based, and novel methods like Uber.

Main Results:

  • Site-based CDPs faced challenges in quality control and supply chain management.
  • Web-based CDPs reported increasing demand for discreet services and high response rates (up to 63%) for behavioral data collection.
  • Programs emphasized offering a variety of products, distributing millions of condoms and lubricant sachets annually.

Conclusions:

  • Novel distribution channels are crucial for reaching adolescents and young adults.
  • Addressing challenges in site-based distribution and leveraging the demand for discreet web-based services are key to effective CDP implementation.
  • Ensuring product variety is a common priority across different CDP models.