e-mentor - Condom Services

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Condom programming

Ensuring availability, accessibility and correct and consistent usage of condoms by HRGs is a core

Free condoms for FSWs/MSM/TGs.IDU (and also for MSM) will be designed to meet their specific needs. Prior experience shows that both FSWs/MSM have expressed need for condoms with extra lubrication and length, and MSMs in particular express interest in free condoms of extra thickness.

Address barriers to condom usage

It is important to understand various aspects related to condom usage among the FSW/MSM/TG population at the site level before initiating condom programming. Considerations may include:

The barriers to condom usage, e.g. alcohol intake, “difficult clients”
Misconceptions and myths regarding condom usage, e.g. not required for anal sex
Condom availability in the area
Condom accessibility – are condoms available at the point of sex (or does FSW/MSM/TG have to travel to procure the condom) and at the time of sex (often in the evening/at night)?
Creating demand for condoms (see guidelines for Condom Social Marketing)

The basics of social marketing (SM) of condoms

a. NGO/CBO enables availability of socially marketed condoms at hotspots

Identifying locations/areas where availability of condoms should be ensured and passing the information to the concerned SMO
Providing feedback to SMO on a regular basis regarding availability of condoms and incidents of stock-outs in the intervention area
Sharing information with SMO on newly identified sex work locations and new hotspots as and when identified
Creating awareness of the availability of condoms among FSWs/MSM/TGs and clients
Meeting periodically with SMO to share the field realities and for further improvement

b. CBO/collective sells socially marketed condoms to HRGs

In select cases, where established demand from the community requires it, NGOs/CBOs may decide to provide socially marketed condoms to FSWs/MSM/TGs to supplement an SMO’s marketing efforts. It is anticipated that 70%-90% of condoms for FSWs/MSM/TGs will be available for free, and only in select locations (10%-30% of FSWs/MSM/TGs) will condoms be socially marketed.

-Do's -

SM to FSWs/MSM/TGs should be implemented only if strong demand from the FSWs/MSM/TGs arises, and only if the willingness to pay for condoms is expressed by a large subset of the population
Even if socially marketed condoms are being made available to the FSW/MSM/TG population, the free supply should not be pulled from the market – those FSWs who cannot afford them should always have access to free condoms
CBOs should be given preference for SM, rather than NGOs. Profits or subsidies from from SM should be retained by CBOs as development/seed money
SM will only be introduced after careful examination of number of potential sites
Condom gap analysis (as per the section above) should be conducted. The free supply should be mapped against this, and only the gap should be filled by SM.
SMO must deputise its own team to stock and verify the condom availability to the CBOs
A separate cadre of FSWs/MSM/TGs should be employed to “sell” these condoms
SMOs must build the capacity of CBOs or collectives and FSWs/MSM/TGs before launching SM

-Don'ts

SM must never be mandatory for NGOs/CBOs – providing condoms for free to FSWs/MSM/TGs is NACO’s policy
Staff (e.g. PEs and ORWs) who distribute free condoms during outreach should not be employed to distribute socially marketed condoms, to avoid creating confusion among the FSW/MSM/ TG population
SM and brand promotional activities (e.g. street theatre to promote condoms) should be handled by the SMO, and not by NGOs or PEs
The accounting of SM money should not be mixed up with the TI budget but be handled independently by an external agency
Fixing of SM targets for NGOs by SACS, or targets for FSWs/ MSM/ TGs by NGOs, should be avoided, as it creates a disincentive to ensuring free condom supply to those who most need it
Performance rating of NGO field staff or FSWs/MSM/TGs should not be based on SM performance

Condom demonstration

Step: 1 - Insert the condom when the penis is erect.

Step: 2 - Carefully tear open the rapper, be sure not to use finger nails etc when removing the condom as this may tear the condom.

Step: 3 - Squeeze the sealed end of the condom using forefinger and thumb and place the condom over the erect penis. Be sure that the roll is on the outside.

Step: 4 - While still squeezing the tip, use the other hand to unroll the condom gently down the full length of the penis. Make sure the condom stays in place during sex; if it rolls up, roll it back into place immediately.

Step: 5 - Soon after ejaculation, withdraw the penis while it is still erect by holding the condom firmly in place. Remove the condom only when the penis is fully withdrawn. Keep both the penis and condom clear from contact with your partner's body.

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Step-2

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Step-4

Step-5

Condom Manufacturing Process

Condom Demo

Condom Gap Analysis format.xls

Condom Gap Analysis format

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