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02697 The Female Condom: seeing the ready beaten trail to start paving the path Philpott, Anne The Female Condom and the vaginal microbicide will share many product features and social challenges. An approved microbicide will require the prepared institutions, service delivery mechanism and trained networks of service providers for its delivery. Both products are female initiated, prevent or could prevent HIV transmission and are inserted into the vagina. Many lessons have been learnt internationally and at a country level about how organisational structure, policy response or political backdrop can affect uptake of female condoms. As yet there has been no other HIV prevention technology invented besides the male condom and none that is female initiated. Female Condom programmes have proved most successful with clear targeting, product champions, adequate and consistent supply, cross-sectoral stakeholder support, face to face communication and support for anatomical and sexual skills enhancement and training to avoid potential negative service provider biases. The challenge of resource allocation, the importance of female-controlled prevention methods and the right of women and men to have access to and choice among a range of methods are not at all unique to the female condom they are central issues to a range of products and behavioural interventions. Delivering female condoms now paves the path for future delivery of a vaginal microbicide. Ms Anne Philpott |
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