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Despite decades of sexual and reproductive health SRH programming targeting adolescents, recent trends suggest there is a continued need for interventions targeting condom use for this age group. Methods This review synthesises evidence from qualitative studies that describe the determinants of condom use among adolescents in Southern Africa. We conducted systematic searches in four databases. Results We coded deductively findings from 23 original studies using an a priori framework and subsequently conducted thematic analysis. A conceptual model was generated to describe determinants of condom use, illustrating individual- interpersonal- and structural-level barriers and facilitating factors. Conclusion SRH programming targeting barriers and facilitators of condom use at multiple levels is recommended in Southern Africa. We present a multilevel integrated model of barriers and facilitators to guide adolescent SRH decision-making, programme planning and evaluation. Given the existence of multilevel barriers and facilitators, interventions should, likewise, take a multilevel approach that incorporates locally relevant understanding of the individual- interpersonal- and structural-level barriers and facilitators to condom use among adolescents in the region. Peer Review reports Background In sub-Saharan Africa, consistent use of condoms among adolescents is low [ 1 ].

Alexa Albert is a researcher arrange human sexuality issues. The age was the early s, a period of acute public alertness about and fear of AIDS. After three years of lobbying, I had finally persuaded the Nevada Brothel Assn. The barely state in America to allow legalized brothel prostitution, Nevada requires its licensed prostitutes to endure regular exams for sexually transmitted diseases, including monthly HIV tests. Since HIV testing began all the rage , no brothel prostitute has tested positive, and the commonness of other STDs has been negligible, according to the affirm. Nevada also requires customers en route for use condoms for all sexual activity. I wanted to ascertain exactly how prostitutes were using condoms. The fact the brothel workers were having sex along with many different men each calendar day, while maintaining impeccable health records, suggested that women were using condoms effectively. Before starting my study, I had to ask for the cooperation of the prostitutes.

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