Intravaginal and Menstrual Practices among Women Working in Food and Recreational Facilities in Mwanza, Tanzania: Implications for Microbicide Trials

Allen, Caroline F., Desmond, Nicola ORCID: https://orcid.org/0000-0002-2874-8569, Chiduo, Betty, Medard, Lemmy, Lees, Shelley S., Vallely, Andrew, Francis, Suzanna C., Ross, David A. and Hayes, Richard J. (2010) 'Intravaginal and Menstrual Practices among Women Working in Food and Recreational Facilities in Mwanza, Tanzania: Implications for Microbicide Trials'. AIDS and Behavior, Vol 14, Issue 5, pp. 1169-1181.

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Abstract

Intravaginal and menstrual practices may potentially influence results of trials of microbicides for HIV prevention through effects on the vaginal environment and on adherence to microbicide and placebo products. As part of the feasibility study for the Microbicides Development Programme Phase 3 trial of a vaginal microbicide in Mwanza, a variety of quantitative and qualitative methods were used to describe these practices, associations with behaviour and underlying social norms among women working in food and recreational facilities. Intravaginal cleansing by inserting fingers and either water alone or soap and water was thought necessary to remove “uchafu” (dirt), referring to vaginal secretions, including menstrual blood and post-coital discharge. Vaginal cleansing was carried out within 2 hours after 45% of sex acts. Sexual enhancement practices were less common. Intravaginal and menstrual practices and associated behaviours and demographic factors should be measured and monitored throughout microbicide trials to enable analyses of their impacts on microbicide effectiveness.

Item Type:	Article
Uncontrolled Keywords:	NOT_LSTM
Subjects:	WA Public Health > Health Problems of Special Population Groups > WA 309 Women's health
Faculty: Department:	Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):	https://doi.org/10.1007/s10461-010-9750-8
Depositing User:	Rachel Dominguez
Date Deposited:	22 Jun 2023 12:29
Last Modified:	04 Aug 2023 06:36
URI:	https://archive.lstmed.ac.uk/id/eprint/22672

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