Implementing condom distribution programs in the United States: Qualitative insights from program planners. (June 2019)

• Record Type: Journal Article
• Authors: McCool-Myers, Megan
• Is Part Of: Evaluation and program planning. Volume 74(2019)
• Page Start: 20
• Page End: 26
• Publication Date: 2019-06
• Subjects: Condoms -- Condom -- Contraceptive -- Unplanned pregnancy -- STD -- STI -- HIV -- Prevention -- STD prevention -- STI prevention -- HIV prevention -- Condom distribution program -- Program planning -- Health promotion -- Social marketing -- Monitoring -- Evaluation -- Adolescents -- Young Adults -- Teens; Health planning -- Periodicals; Medical care -- Evaluation -- Periodicals; 362.1068
• DOI: 10.1016/j.evalprogplan.2019.02.006
• Languages: English
• ISSNs: 0149-7189

Abstract

Highlights: Increasing STI rates underline the importance of condom distribution programs (CDP). Young people are at high risk of adverse sexual/reproductive outcomes. Interviews with 10 CDP planners show high demand for web-based condom distribution. Web-based CDPs use e-mail surveys to collect data for program evaluation. Recommendations for CDP implementation can be found under "Lessons Learned". Abstract: With the growing number of sexually transmitted infections (STIs) among young people (15–24) in the US, condom distribution programs (CDP) remain an integral part of prevention strategies. The objective of the study was to gather qualitative insights from CDP planners to inform effective CDP implementation. Ten semi-structured interviews with program planners were conducted via telephone (response rate of 58.8%). Condom distribution channels included site-based distribution (n = 6), web-based distribution (n = 4), and distribution via Uber (n = 1). Site-based distribution programs had distribution networks ranging from 100 to 3500 sites in a given jurisdiction. Planners of site-based CDPs experienced challenges with ensuring quality control at sites and supplying condoms to sites. Web-based CDPs allow individuals to order free condoms online. These CDP planners reported growing demand for this discreet service, particularly among young people. Web-based CDPs leveraged e-mail surveys to collect data on sexual behavior and behavior change, yielding response rates as high as 63%. All CDPs emphasized the importance of supplying a variety of products. Total supplies distributed (male condoms, internal condoms, lubricant sachets) ranged from 16, 000 to 45 million per year. Novel channels of distribution should be explored to ensure reach to adolescents and young adults.