Equity in access to condoms in urban Zambia
Agha, S.; Kusanthan, T.
Health Policy and Planning 18(3): 299-305
2003
ISSN/ISBN: 0268-1080 PMID: 12917271 DOI: 10.1093/heapol/czg036Document Number: 232715
Objective: This article examines the degree of equity in access to condoms in urban Zambia. Methodology: This study uses data from representative samples of (a) men and women in households in urban Zambia and (b) providers at retail outlets in urban Zambia. Results: A substantial proportion of outlets in urban Zambia (39%) stocked social marketing condoms in 1999. More than 30% of groceries and kiosks - outlets commonly found in low-income residential areas - stocked social marketing condoms. Consumer access to condoms (defined as estimated walking time to a condom source) was greater for poorer compared to wealthier respondents: compared to men with 7-13 assets (wealthier men), men with 2-6 assets were 1.5 times as likely and men with up to one asset were 1.8 times as likely to be within 10 minutes walk of a condom source. Multivariate analysis indicated that greater access to condoms among the poor was a function of greater condom availability in poorer neighbourhoods. Conclusions: Making condoms available in non-traditional outlet types that are commonly found in low-income areas (such as kiosks and groceries) can eliminate socioeconomic inequities in condom access.