BMJ 2001;323:139 ( 21 July )

Papers

Condom gap in Africa: evidence from donor agencies and key informants

See also Editorial by Verheul and Rowson and Education and debate p 152

James D Shelton, senior medical scientist aBeverly Johnston, senior researcher b

a Center for Population, Health and Nutrition, US Agency for International Development, Washington, DC 20523, USA, b Futures Group International, Population, Health and Nutrition Information Project, 600 13th Street, NW, Washington, DC 20005, USA

Correspondence to: J D Shelton Jshelton@USAID.gov

The first 150 words of the full text of this article appear below.

Public discussions on combating HIV in Africa seem to be focusing on antiretroviral drugs rather than condoms, which are the mainstay of prevention.1 In sub-Saharan Africa most condoms are bought with funds from donors, although a few countries (such as South Africa and Botswana) buy them from national funds. We assessed provision of condoms in these countries.


    Methods and results

We obtained data from UNFPA (the United Nations agency responsible for providing condoms) on condoms paid for by donors and further refined it with information from United States Agency for International Development's commodity tracking system. We also sought data from about 12 key informants knowledgeable on condom provision in Africa.

Provision of condoms by donors remained surprisingly constant (400-500 million per year) over the past five years. The numbers fell from just over 600 million in 1995 to about 340 million in 1998 before rising again to just over 500 million in 1999. In addition, by 1999 roughly 210 million condoms were purchased . . . [Full text of this article]


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