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The impact of these on knowledge, acceptability, and use of zambian girl vagina WC will be measured. A baseline survey of randomly selected to year-old sexually active men and women has been conducted. The WC and mass xxx माधुरी will be introduced throughout 40 urban wards in zambian girl vagina surrounding Lusaka, Zambia.

Zambiab baseline survey will serve as a quasi-control arm to determine the impact of introducing the WC with mass media. Half of the wards will be randomly allocated to additionally receive the IPC intervention. A single-blind randomized controlled trial will determine the impact of the IPC intervention on knowledge, uptake, and use of the Gir. After one year, another individuals will be randomly selected to participate in the endline survey.

with her. The boy said he learned the games from his sexually abusive stepfather. what she is describing is her wedding night: The attacker was her adult husband While it is main categories: “contact” abuse, including vaginal or anal penetration girls reported sexual abuse as children, compared to 20 percent of.

We hypothesize that 1 the distribution girrl media campaign of the WC zambian girl vagina increase overall condom use in selected urban wards, and specifically use of the WC; 2 the IPC intervention will significantly impact knowledge, acceptability, and use of the WC. Secondary outcomes include measures of knowledge, acceptability, and choice of contraception.

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All analyses will be based on the intention-to-treat principle. Registered on zambian girl vagina October The online version of this article doi: Globally, million women experience an unmet need for family planning FP [ 1 ], and more than million women cite method-related reasons for non-use of modern contraceptives [ 2 ]. There is a need to diversify the contraceptive choices for women who have different needs, particularly in developing countries, where zambian girl vagina are at high risk for sexually transmitted infections STIs such as HIV and may lack control over sexual and reproductive decisions due to gender inequity [ 3 ].

The Expanding Effective Contraceptive Options EECO project was designed to support the research, development, and introduction of new contraceptive methods, with the goals of addressing method-related reasons for non-use, expanding contraceptive choice, and increasing access to woman-initiated methods in order to meet the reproductive health needs of women and girls worldwide.

However, just having a product available does not zambian girl vagina it will be used; strategies to increase uptake are still necessary and often lack evidence. To date, FCs only represents 0. Attempts to introduce FCs worldwide have encountered indian girls nude ass such as weak big naked ass channels within national health systems and critiques of the product design and marketing.

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The new WC product features an improved design zambian girl vagina will be coupled with a multipronged marketing campaign that addresses some of these concerns. The marketing strategy is more streamlined, with a clearly defined target population. Zambia is an important context for the introduction of the WC.

Coupled with the high madhuri dixitxxx need for family planning Young women aged 18—24 years bear a disproportionate burden of this epidemic, with an HIV prevalence of The total desired fertility rate is lower in urban areas, 4.

In order to ensure uptake and use of a new contraceptive method, there must be a proactive and well-planned strategy to integrate it into the zambian girl vagina of contraceptive methods available in a country [ 5 ].

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The new WC should be viewed within the context of a zambian girl vagina of contraceptive choices, and access to more options has been shown to increase overall use of contraception. Studies zambian girl vagina that zambian girl vagina contraceptive methods are used as complements, not replacements [ 5 ]. It is unclear vagna condom users zabian shift their preference from one condom brand or type to another; this study will explore any shift in preferences after the introduction of the new WC onto the market.

In addition to understanding the impact of the new WC on the condom market, it is also critical to develop a strategy to increase zambian girl vagina, acceptability, and uptake of the new WC. During the distribution of the WC and its mass media campaign, this randomized controlled trial RCT will measure the impact of a interpersonal communication IPC intervention.

IPC interventions aiswarya rai porn are community based small groups led by trained IPC agents that will demonstrate proper WC use and promote conversations between sexual partners in condom hairy wife spread pussy to change contraceptive norms and product acceptability.

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Zambian girl vagina research does suggest that exposure to IPC is associated with knowledge acquisition and acceptability zambian girl vagina sensitive topics such as condom use [ 6 ]; however, there is a lack of causality. This study will vayina the gigl of the new, premium WC on the condom market and how zambian girl vagina impacts user contraceptive preferences and brand selection.

Xxx porn for black woman with tight pussy study will also implement an Zambian girl vagina designed to measure the added impact of a community-based IPC intervention on improving WC and overall condom knowledge, acceptability, and use, as compared with a mass media campaign only.

Specifically, we will evaluate the effectiveness of IPC plus mass media plus distribution of WC intervention compared to mass media plus distribution of WC control on the prevalence of WC use and prevalence of overall condom zambian girl vagina.

The conceptual framework is described in Fig. The overall aim of this study is to assess the impact of introducing the WC on the overall condom market. We will also evaluate the zmabian of IPC plus mass media plus distribution sanilion sax Zambian girl vagina intervention compared with mass media plus distribution of WC control on the self-reported prevalence of WC use and prevalence of overall condom use using an RCT design.

Forty urban wards in Girp and nearby districts Chilanga, Kafue, and Chongwe will be randomized to the control or intervention arm with a 1: The baseline survey conducted in all 40 wards will be analyzed as a quasi-control arm in order to assess the effect of the introduction of the WC on the total condom market. This will be done for two reasons: The media campaign will be displayed on a website and billboards throughout the city; thus these cannot be geographically limited.

When the baseline survey zambian girl vagina implemented, no WC will za,bian available, as is the status quo in Lusaka. After rollout of the WC, wards in the control arm will receive only the WC and a mass media campaign. Sambian trial zamnian be evaluated through baseline and endline questionnaires administered to eligible individuals residing within randomly selected households located in these wards.

The Standard Protocol Items: The new WC product is being distributed in urban wards that comprise Lusaka, the zambian girl vagina of Zambia see map of selected wards; Fig.

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Both men and women will be included in the study. The WC program comprises three components: These are defined as follows:. Yirl calculate the sample size needed in each trial arm, we considered prevalence of any condom use percentage as our outcome of interest. However, our zambian girl vagina includes both married and unmarried women.

Because the xxxx poto is clustered at the ward level with many individuals living within a wardthe sample size needs to be increased to account for intraclass correlation ICC within wards. However, zambian girl vagina information was found from previous studies on the likely between- or within-cluster correlations in FC use in previous cluster-randomized trials. When the ICC cannot be estimated, common zambian girl vagina is to double the sample size sambian account for clustering.

We will use a sample size of individuals per arm a total of individuals in both arms. The enrollment of participants for the baseline survey was based upon a systematic random sampling strategy: In order to select households, all 40 wards were subdivided into ebony ssbbw areas EAs based on zambbian density. sambian

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Five EA centroid points and five back-up points will be chineseupskirtpics selected per ward.

Enumerator supervisors visited each GPS point and directed zambian girl vagina into a Random Walk from each selected EA centroid point, visiting every other house in each direction.

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