Special Report by Paul Adepoju
Condoms, public health experts
believe are to a large extent the most popular and widely accepted method of
safe sex since it has become almost impossible to preach abstinence without
being taunted.
Furthermore, they are the cheapest tools in the global fight against HIV/AIDS and in many parts of the world including Africa condoms are freely distributed to everyone who care to have one.
Furthermore, they are the cheapest tools in the global fight against HIV/AIDS and in many parts of the world including Africa condoms are freely distributed to everyone who care to have one.
Several results of public health
studies in different parts of the world also showed that increasing acceptance
of the use of condoms is strongly associated with reduced rates of unwanted
pregnancies and new HIV infections. But like several aspects of sex and health, the
use of condoms is also at the center of controversies ranging from its scientific
effectiveness to spiritual appropriateness.
In Africa, safe sex advocacy is
at the core of most HIV/AIDS prevention measures with more donor agencies,
non-governmental organizations, public and private sectors and concerned
individuals aggressively distributing condoms to Africans at all levels, most
especially those at the grassroots.
In Nigeria, HIV incidence is
highest in areas where the people still practice cultures of indiscriminate and
unprotected sex although several recent studies had also showed similar results
in areas where there is high acceptance of safe sex.
Isola is a twenty five-year old
young man who recently tested positive to HIV-1 in South West Nigeria. He said
he observed all the rules (apart from abstinence) but still got infected.
“I observed necessary precautions
because it was my first time. I bought two condoms and wore one appropriately.
Yet I got infected. It’s either the use of condoms is not effective or condoms
being sold in Nigeria are substandard. While I can’t say what went wrong, I’ll
live with that burden for the rest of my life,” Isola told HealthNewsNG.
Toyin is another Nigerian who is
blaming unreliable condoms for her woes. She said she got pregnant though her
boyfriend wore a condom.
“I’m sure he wore rubber (condom)
because I always insist every time we do it. I’m a student nurse so I know what
could happen if I engage in unprotected sex. The condom didn’t break and was
intact when we finished so I don’t know how it happened. Thank God I only got
pregnant and not the dreaded virus,” Toyin said.
On what could have gone wrong in
Isola’s case, Dr. Ayo Ayinde, a virologist said he might have bought an expired
condom.
“I think he bought a low quality
condom or an expired one because this is something that is used daily by
millions across the world. He probably didn’t look at the expiry date on the
pack,” Ayinde said.
On the scientific basis of his
assertion, he said the strength of an expired condom is not as strong as an
unexpired one.
“If you look at the virus, you
would see that it is very small and the materials used in making the condom
need to be tightly interlinked to prevent the virus from slipping out,” he
said.
For Toyin, he said an unnoticed
damage might have occurred.
“When you are having sex, I’m not
sure you would remember to look at the condom very closely with magnifying
lens. Whether microscopic or macroscopic, a sperm cell which is very small
could have escaped from the condom to fertilize her egg. This could also be the
case if substandard condom was used,” he said.
He accused local pharmacies in Nigeria
of stocking and selling expired and substandard condoms.
“The Standard Organization of
Nigeria (SON) doesn’t go to the local pharmacies that Nigerians go to when they
want to buy condoms. Major forms of check end with the manufacturer. Many
things could go wrong during packaging, transportation and on the shelf,” he
said.
A visit to some local pharmacies
in south west Nigeria showed that many owners and operators of the pharmacies
don’t have sufficient information on the proper handling of condoms.
When asked how long condoms could
spend on shelves before they become unsafe to use, many of the operators could not
answer satisfactorily.
Pharm. Amao Akintade, who
operates a major pharmacy outlet in Ibadan, Nigeria said he wasn’t surprised
the local operators couldn’t convincingly say when the condoms are unsafe to
sell to Nigerians.
“They are operating the
pharmacies as businesses. Do you think they will gather the expired condoms and
just throw them away? I don’t think so. It is not good for business because
there is not much profit on the sale of condoms. So they will sell even the
expired ones to unsuspecting buyers who are under the strong effect of sex
hormones,” he said.
He therefore enjoined
stakeholders in the control of HIV/AIDS in Nigeria including the SON and
ministries of health at all levels to support the control of HIV/AIDS by intensifying
efforts that would make sure that only top quality condoms are sold in Nigeria.
He said: “It is obvious that
there is disparity in quality. Durex condoms are more expensive than Gold
Circle condoms. Government and other relevant agencies must make sure that
irrespective of the cost, every condom being sold in Nigeria must confer
adequate protection.”
While this may be an inundating
task, many experts said condom manufacturers could guarantee safety by investing
more in condom research.
HIV/AIDS researcher, Oluseun Adeogun
believe the world could tackle the challenge of leaking condoms by developing
condoms that becomes unusable immediately they expire or are exposed to harsh
conditions that could make them unsuitable for use.
“Such condoms don’t need much
control checks or quality measures. Once they are unsafe, they will become
degraded automatically. This should be the new focus for condom developers and
HIV researchers. It is not a vague concept but something that is already being
used in other fields,” he said.
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