255573 Reducing Health-Related Objections to Contraceptive Use in Egyptian Women

Monday, October 29, 2012 : 2:30 PM - 2:45 PM

Dana Alsaadi , School of Nursing and Health Studies, Georgetown University, Washington, DC
Ali Soroush , School of Nursing and Health Studies, Georgetown University, Washington, DC
Irene Anne Jillson, PhD , School of Nursing and Health Studies, Georgetown University, Washington, DC
Background: Despite a contraception prevalence rate of 60.3% (2008), 25% of Egyptian women who intended to use contraception and 18% of those who did not cited fear of perceived negative health effects as barriers to use. Methods: We critically reviewed research-based literature and public policy documents and analyzed secondary data related to contraception prevalence in Egypt. Findings: Married women who used more invasive methods of contraception (pill, intrauterine device, injectables) displayed high rates of discontinuation due to side effects (26%, 32%, and 52% respectively), whereas condom users (1% of married women) did not report discontinuations due to health effects. However, condom use is a poorly marketed method of family planning in Egypt. Only 49% of married women reported knowing about condoms, compared to 100% for IUDs, the pill, and injectables. Recommendations: Because condom use relieves women of the side effects of invasive contraceptives and simultaneously empowers men to participate actively in family planning, we recommend the promotion of condom use through community engagement, secondary health education, and mass media collaborations with health educators. To overcome Egyptians' cultural stigma towards condom purchase and use, the advantages of condom use should be widely publicized in popular commercials and televised announcements by medical doctors. Health professionals should emphasize the effectiveness of condoms at preventing STIs, a rising problem given increasingly unsafe sexual behaviors. An increase in condom utilization would serve as an effective alternative to female contraception.

Learning Areas:
Planning of health education strategies, interventions, and programs
Program planning
Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
Identify safe contraceptive choices for women who discontinue contraceptive use because of health reasons. List the key elements of a condom promotion campaign in Egypt.

Keywords: Family Planning, Condom Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an undergraduate majoring in health sciences and minoring in international health. I have researched global health issues and have traveled extensively in Egypt.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.