Original Research

Female condom acceptability and use amongst young women in Botswana

Moitlamo Mokgetse, Mokholelana M. Ramukumba
Curationis | Vol 41, No 1 | a1887 | DOI: https://doi.org/10.4102/curationis.v41i1.1887 | © 2018 Moitlamo Mokgetse, Mokholelana M. Ramukumba | This work is licensed under CC Attribution 4.0
Submitted: 21 November 2017 | Published: 20 September 2018

About the author(s)

Moitlamo Mokgetse, Ministry of Health, Gaborone, Botswana
Mokholelana M. Ramukumba, Department of Health Studies, University of South Africa, South Africa


Background: The female condoms are a barrier method of contraception. The FC1 female condom is made from soft thin plastic called polyurethane and has been replaced by FC2 female condom, which is made of synthetic latex. The female condom is worn inside the vagina and acts as a barrier to prevent semen getting to the womb. It is about 75% – 82% effective with normal use. When used correctly all of the time, female condoms are 95% effective. Despite evidence of its effectiveness, the use of the female condom has continued to face resistance from both women and men.

Objectives: The objectives of this study were to determine clients’ level of knowledge of female condom, identify predominant methods of contraception, examine young women’s views regarding the female condom and identify barriers to the use of female condoms by young women.

Method: A simple random sampling approach was used to recruit young women between 15 and 34 years in Jwaneng, Botswana. Data were collected using self-administered structured questionnaire from women accessing healthcare services in the three health facilities in 2015. Descriptive statistics, exploratory factor analysis and the chi-square test techniques were applied using the Statistical Package for the Social Sciences (SPSS) statistical programme version 23 for Windows to analyse data.

Results: The findings based on factor loadings show low utilisation of the female condom and highlights the significant challenges about the material, size, shape and timing of insertion. Respondents had stronger views on the structure of the condom. There was no significant relationship between attitude and method of contraception.

Conclusion: Acceptability of the female condom involves complex factors such as women position and decision-making power in a relationship, attitude and knowledge. Attitude, knowledge and power relations play a role in the extent to which women would want to try or use it. Various strategies need to be developed to effectively promote the female condom amongst young women.


Acceptability; HIV/AIDS prevention; female condom; young women; Botswana


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Crossref Citations

1. Perceived motivators, knowledge, attitude, self-reported and intentional practice of female condom use among female students in higher training institutions in Dodoma, Tanzania
Getrude W. Shitindi, Walter C. Millanzi, Patricia Z. Herman
Contraception and Reproductive Medicine  vol: 8  issue: 1  year: 2023  
doi: 10.1186/s40834-022-00208-6