Systematic Review of Peer-Reviewed Literature on Global Condom Promotion Programs

William D. Evans, Alec Ulasevich, Megan Hatheway and Bidia Deperthes
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William D. Evans: Milken Institute School of Public Health and The George Washington University, Washington, DC 20052, USA
Alec Ulasevich: Independent Consultant, Silver Spring, MD 20902, USA
Megan Hatheway: Milken Institute School of Public Health and The George Washington University, Washington, DC 20052, USA
Bidia Deperthes: United Nations Family Planning Agency, New York, NY 10017, USA

IJERPH, 2020, vol. 17, issue 7, 1-21

Abstract: Background : Globally, 1.7 million people were newly infected with HIV in 2018. Condoms are inexpensive, cost-effective, reduce HIV/STI incidence, morbidity, mortality, and unintended pregnancies, and result in health care cost savings. Given the rapid increase in at-risk adolescent and young adult (AYA) populations in countries with high HIV/STI prevalence as well as the reductions in donor support, promoting consistent condom use remains crucial. We synthesized all peer-reviewed literature on condom promotion programs with a focus on promotion in low and lower middle income (LMIC) countries and with AYA users. Methods : We systematically reviewed the published literature. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methods, we identified 99 articles published between 2000–2019. Results : Condom promotion programs were generally effective in changing attitudes, social norms, and beliefs in favor of condom use, and 85% demonstrated positive effects on multiple condom use measures. Programs targeting AYA were at least equally as effective as those targeting others and often showed greater use of best practices, such as mass media (66%) and audience segmentation (31%). We also saw differences between programs in the intervention strategies they used and found greater effects of marketing strategies on AYA compared to the overall sample. Conclusion : Condoms remain essential to prevention, and donor support must be maintained to combat the HIV/STI epidemic.

Keywords: HIV/STI; condoms; promotion; communication; social marketing (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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