• Philemon Dauda Shallie and Firoza Haffejee.
• Department of Basic Medical Sciences, Durban University of Technology, KwaZulu-Natal, South Africa.
• Afr Health Sci. 2021 Sep 1; 21 (3): 1362-1374.

BackgroundThe female condom (FC) is a critical component in a comprehensive and sustainable approach to prevent HIV, other sexually transmitted infections and unintended pregnancies.ObjectivesThis review provides comprehensive information about Nigerian's knowledge and use of FC.MethodsWe screened search output, evaluated study eligibility, and extracted data in duplicate. Data from similar studies were combined in a meta-analysis.ResultsThere was a significantly (p < 0.0001) high-level of awareness amongst the respondents. However, the use of the FC was very low at 5.5% among female respondents. There was a significant (p < 0.0001) difference between FC awareness and use. The main reasons for FC use were prevention of unintended pregnancy (55%) and STIs/HIV (31%). We observed a significant difference between reasons of non-use of the FC [F (5, 13) = 5.195, P = 0.0077]. Furthermore, there were significant differences between the sources of information on FC [F (3, 8) = 32.89, P < 0.0001].ConclusionDespite the high levels of awareness, especially among the female respondents, the use of the FC has remained extremely low even among the young, educated undergraduate students. There is aneed for robust and consistent advocacy to make the FC available and affordable.© 2021 Shallie PD et al.

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