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CARISMA Regional Studies Series Study Three: Condom Access and Affordability

During the first phase of the CARISMA programme, social marketing organisations (SMOs) in Jamaica, Haiti, the Eastern Caribbean, Belize and the Dominican Republic conducted an unprecedented range of studies into access to condoms, including condom affordability, geographical coverage of condom availability, quality of condom outlets, and equity of access to condoms. Although data employed in these analyses are largely quantitative, qualitative studies have also improved understanding of barriers to condom access in the region. Access to condoms is a multi-faceted concept, and this report focuses on the following components of access:

- Geographical or physical access (convenience): Types of outlets stocking condoms, opening times, time to get from home/workplace to outlet etc.

- Quality: Visibility of condoms, presence of promotional materials, proportion of stock out of date etc.

- Coverage: Proportion of areas (residential or hotzones) with at least one condom point of sale (kiosk, pharmacy etc) operating to minimum quality standards.

- Penetration: Proportion of outlets where condoms are available.

- Equity: Whether all consumers, and potential consumers, have equal access to condoms – and in particular, whether poor, stigmatised and marginalised groups have access.

- Affordability: the extent to which income is a barrier to condom purchase; how price affects demand in commercial and social marketing sectors.