Demographic

While condom use is common with higher-risk partners, it is far from universal. Half of womenage 15-49 (55 percent) and two-thirds of men age 15-49 (68 percent) who had sex with a non-marital,non-cohabiting partner in the 12 months preceding the survey used a condom the last time they had sexwith such a partner.Looking at marital status, by definition, all sexual activity among women and men who havenever married is higher-risk sex. Among married women and men age 15-49 who had sex in the previous12 months, 4 percent of women and 18 percent of men engaged in higher-risk sex. Never-married womenare somewhat more likely than married women to use condoms during higher-risk sex (55 and 45 percent,respectively). However, never-married men and married men are equally likely to use a condom duringhigher-risk sex (70 percent). Divorced, separated, and widowed men are the least likely to use a condomduring higher-risk sex (52 percent).There is a general increase in both higher-risk sex andcondom use during higher-risk sex with increasing level ofeducation and increasing household wealth quintile. It is worthnoting, however, that engagement in higher-risk sex dropsamong women and men with tertiary education, to 32 percentamong women and 39 percent among men.The mean number of lifetime sexual partners amongpeople age 15-49 is 2.4 for women and 6.6 for men. Amongmen age 50 and over, the number increases to 10.Very few men in Swaziland reported paying for sex inthe 12 months preceding the survey (data not shown).13.7.2 Condom Use and Knowledge of SourceCondom use among the sexually active populationplays an important role in preventing the transmission of HIVand other sexually transmitted infections, as well as unwantedpregnancies. In the 2006-07 SDHS, men age 15-49 who usedcondoms during their most recent sexual intercourse (withinthe 12 months prior to interview) were asked to identify thespecific brand of condom used, the number of condoms theyobtained the last time they obtained condoms, the sourcewhere the condoms were obtained, and the usual manner inwhich the condoms were disposed of.Table 13.9 Condom use characteristics amongmenAmong men 15-49 who used a condom at lastsexual intercourse in the 12 months before thesurvey, percentage using specific condom brandsand percent distribution by the number ofcondoms obtained the last time, the source wherethe condoms were obtained, and the usual modeof disposal for used condoms, Swaziland 2006-07Condom usecharacteristicResults indicate that 80 percent of men who use condomsuse either Trust brand condoms (43 percent) or government-issuedcondoms (37 percent) (Table 13.9). In terms ofthe number of condoms obtained, 53 percent obtained three tosix condoms the last time they obtained condoms, and 36percent obtained seven or more. Shops are the most commonsource for condoms (44 percent of men); health facilities arethe second most common source (16 percent of men). Twothirdsof men reported disposing of used condoms in pitlatrines. Flush toilets were the next most commonly used mode of disposal (13 percent of men).Percentageof menBrandGovernment condoms 36.8Trust 42.9Other brands 9.0Don’t know/missing 11.4Number of condoms obtainedthe last time1 1.12 2.83 35.14 4.15 4.66 9.07+ 36.3Don’t know/missing 7.0Last source where condom obtainedHospital/ health centre/PHU clinic 15.5RHM/CBD/mobile clinic 7.9Hospital/clinic/private doctor 2.8CBD/mobile clinic 0.6Pharmacy 3.1Other 1.7Mission 2.0NGO 2.4Shop 43.7Other 17.7Don’t know/missing 2.6Usual mode of disposalPit latrine 66.5Flush in toilet 12.6Bury 5.9Burned 5.9Thrown away 4.6Other 1.1Missing 3.4Total 100.0Number of men 1,197196 | HIV/AIDS-Related Knowledge, Attitudes and Behaviour