Nearly 50,000 Feminine Condoms Expire in Ghana Due to Low Demand: NACP Official Explains Causes and HIV Risks

Introduction

In a striking revelation for public health in Ghana, nearly 50,000 feminine condoms—also known as female or internal condoms—have expired unused due to persistently low demand. Dr. Anthony Ashinyo, Deputy Programme Manager at the National AIDS/STI Control Programme (NACP), disclosed this issue in an interview with the Ghana News Agency. This wastage highlights critical challenges in promoting female-controlled contraception and HIV prevention tools among women.

Feminine condoms serve as a vital barrier method for safer sex, empowering women to protect themselves against sexually transmitted infections (STIs) like HIV. Yet, cultural stigmas and misconceptions have led to their underutilization, resulting in expired stock and strained supply chains. This article breaks down the causes, implications for Ghana’s HIV fight, and actionable steps to reverse the trend, optimizing HIV prevention strategies nationwide.

Analysis

Root Causes of Low Demand for Feminine Condoms

Dr. Ashinyo explained that large consignments of feminine condoms were procured by the NACP to promote safer sex practices among women. However, insufficient public uptake left most unused, leading to expiration and disposal. “We purchased large quantities in the past, but they weren’t being used. Over time, they expired, and we had to throw them away,” he stated. Current procurement has shifted to smaller batches to match the evident lack of demand.

Social and cultural barriers play a central role. Many women associate feminine condoms with distrust in partnerships or promiscuity, preferring male condoms controlled by partners. This perception stifles interest, as Dr. Ashinyo noted: “Many women believe that wearing feminine condoms means they can’t be trusted by their partners.”

Misuse and Practical Challenges

Beyond attitudes, misuse exacerbates the problem. Some women repurpose the condoms by removing rings to make bangles or clothing accessories. Others report discomfort or excessive stimulation during use, deterring repeat adoption. These issues underscore the need for better education on correct insertion, sizing, and lubrication to enhance user experience.

Impact on HIV and STI Prevention in Ghana

Low female condom usage threatens Ghana’s progress against STIs, including HIV. Condoms act as biomedical barriers, trapping virus-laden secretions and preventing direct contact during intercourse. Without them, infection risks rise significantly. The 2024 National and Sub-National HIV and AIDS Estimates and Projections Report reveals 334,721 people living with HIV in Ghana, with 15,290 new infections and 12,614 AIDS-related deaths last year.

Dr. Kharmacelle Prosper Akanbong, Director-General of the Ghana AIDS Commission (GAC), highlighted rising new infections among youth due to low condom use and HIV complacency. Globally, the World Health Organization (WHO) reports HIV has claimed 44.1 million lives as of July 2025, emphasizing the urgency of effective prevention tools like female condoms.

Summary

NACP’s disclosure of nearly 50,000 expired feminine condoms in Ghana stems from low demand driven by cultural stigmas, misuse, and discomfort. This has disrupted supply chains and heightened HIV/STI risks amid 15,290 annual new infections. Experts advocate renewed education and accessibility measures to promote female condom adoption for empowered HIV prevention.

Key Points

Practical Advice

How to Use Feminine Condoms Correctly

To maximize effectiveness, follow these steps for feminine condom insertion:

1. Check the expiration date and package integrity before use.
2. Unfold the condom and squeeze the inner ring; insert it deep into the vagina like a tampon.
3. Ensure the outer ring rests comfortably on the vulva for full coverage.
4. Use water-based lubricant to reduce friction and discomfort.
5. Remove by gently twisting the outer ring after sex; dispose safely.

Practice with a model first. Feminine condoms protect against HIV, other STIs, and unintended pregnancies, offering women control independent of partners.

Boosting Adoption Through Education

Healthcare providers should demonstrate usage in clinics. Community campaigns can reframe feminine condoms as empowerment tools, countering myths. GAC’s dispenser initiative at public spots like bus terminals and universities will enhance discreet access, targeting youth where new HIV cases surge.

Points of Caution

Never reuse feminine condoms—they are single-use only. Avoid oil-based lubricants, which weaken latex. If slippage or breakage occurs, seek post-exposure prophylaxis (PEP) within 72 hours for HIV risk. Misuse for non-sexual purposes wastes resources and spreads misinformation. Low uptake increases direct fluid exposure, elevating HIV transmission by up to 80-90% without barriers, per CDC data. Monitor for allergies and consult providers for alternatives like male condoms or PrEP.

Comparison

Feminine vs. Male Condoms: Pros and Cons

Feminine condoms excel in female autonomy but lag in acceptance compared to male versions. Globally, female condom use is higher in empowered regions like Europe (5-10% uptake) versus sub-Saharan Africa’s 1-2%.

Legal Implications

No direct legal violations arise from expired condom wastage, as procurement falls under NACP public health policy. However, Ghana’s Public Health Act (2012) mandates efficient resource use in STI/HIV programs, implying accountability for avoidable waste. Transparent reporting, as by Dr. Ashinyo, aligns with national guidelines. Internationally, UNAIDS frameworks encourage equitable distribution without legal penalties here.

Conclusion

The expiration of nearly 50,000 feminine condoms in Ghana underscores a pivotal public health gap: low demand fueled by stigma hampers HIV prevention. With 334,721 lives affected by HIV and rising youth infections, revitalizing female condom programs through education, myth-busting, and accessible dispensers is essential. Empowering women with these tools strengthens Ghana’s fight against STIs, fostering safer sex and dignity for all. Stakeholders must act swiftly to prevent future wastage and infections.

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