Author (s) Year, Country of origin Aims Study population and sample size Methods Details of intervention Duration of the intervention Outcomes and details of these Key findings that relate to the scoping review question
The benefits of school-based condom availability: cross-sectional analysis of A comprehensive high school-based program. Wolk, L. & Rosenbaum R. 1995, USA To analyze the benefits of a school-based condom availability program relative to the risks that such a program may incur. 1,200 ninth through twelfth grade students Cross-sectional survey N/A 1 year The benefit of the program by aiding a sexually-active student was found to be more than three times as great as the risk of encouraging a non-sexually active student to have sexual intercourse. Enablers
• Active promotion and engagement of faculty advisors
Program being directed to sexually active students to achieve maximum benefit
• Assumption that condom availability provides sexual activities to adolescent
• Assumption that students still use substitute protection or having unprotected sex.
Gender difference – program needs to be directed towards females to enhance utilization
Condom Availability in New York City Public High Schools: Relationships to condom use and sexual behavior. Guttmancher, S., et al. 1997, USA To examine the impact of the condom availability program in New York city public high schools. 7119 students from 12 selected NYC schools Cross-sectional survey and comparative study Condom availability program 1 year There are equal rates of sexual activity but higher condom use in New York schools due to its availability.. Enablers
• Assembly of HIV/ AIDS Team to oversee the program.
• Teaching of minimum of 6 HIV/AIDS lessons in each grade.
• Designation of a resource room at school where condoms and HIV/AIDS materials are available.
• Provision of staff to the designated resource room (a male and a female).
Making condoms available at school does not lead to increases in sexual activity • Arrangement of HIV/AIDS information session with parents.
• Fear that condom’s availability will increase sexual activity.
• The role of parents vs. schools in matters of teen sexuality
• Schools may not be the place to reach adolescents at highest risk for HIV infection.
Student Opinions of Condom Distribution at a Denver, Colorado, High School. Fanburg, J., Kaplan, D. & Naylor, K. 1995, USA To assess students’ attitudes toward condom distribution in schools. 931 high school students Survey N/A 1 year 85% of the students supported that condoms should be distributed in their school, and 76% believed making condoms more accessible would not change the frequency of sexual activity. Enablers
• Acceptability and approval of students on condom available at schools.
• Condom availability would encourage having sex.
• Handing out condoms is religiously wrong.
• Waste of resources.
• Embarrassing to get condoms at school.
Impact of a High School Condom Availability Program on Sexual Attitudes and Behaviors. Schuster, M., et al. 1998, USA To present evidence on the actual effects of condom availability programs on students’ attitudes and behavior 1,945 students in grades 9–12 Survey on their sexual behavior and on related knowledge and attitudes Condom Availability Program 1 year The students’ attitudes toward sex and condom use either remained the same between surveys or changed in a direction favoring less sexual behavior and greater risk prevention. Enablers
• Provision of baskets of condoms in classrooms and nurse’s office.
• Program publicized in school
• Integration of sexual behavior and risk prevention in health curriculum
• Implementation of AIDS awareness week
• No needed parental consent
• Gender difference- females being more hesitant in condom use.
• Assumption of increase sexual/ vaginal intercourse
The impact of condom distribution in Seattle Schools on sexual behavior and condom use. Kirby, D., et al. 1999, USA To measure the number of condoms that student obtained and subsequent changes in sexual behaviors and condom use.   7179 students in pre intervention and 7893 in post intervention. School wide survey using pretest and posttest design. Condom availability program 2 years Seattle students obtained an average of 4.6 condoms per year from baskets and vending machines available at schools. Enablers
• Provision of baskets of free condoms and vending machines with minimal pay located in reachable areas.
• Free information on abstinence, condom use and HIV prevention were also included in the baskets.
• No restrictions were placed on students obtaining condoms.
• Implementation of sex education program taught in semester-long health classes.
• Implementation of peer HIV education program.
• Notion that condom’s availability will increase sexual activity.
Condom Availability Programs in Massachusetts High Schools: Relationships with Condom Use and Sexual Behavior. Blake, S., et al. 2003, USA To determine whether relationships exist between the presence or absence of condom availability programs in Massachusetts high schools and adolescent sexual practices. 4166 students Cross-sectional survey and comparative study Condom availability program 1 year Sexual intercourse rates were not higher in schools where condoms were made available. The presence of a condom availability program was protective. Enablers
• State-level policy to promote public discussion is in placed.
• Public dialogue between board members, school administrators, faculty, parents, students and local community.
• Program awareness and visibility
• Structural and support barriers
Improving the implementation of a condom availability program in Urban High Schools. De Rosa, C. et al. 2012, USA To evaluate the implementation of the condom availability program on students’ awareness and acquisition of condoms. 29,823 students Survey and comparative study Condom availability program 4 years Awareness and acquisition of condoms increased significantly among intervention versus control schools. Enablers
• State-level policy on condom distribution at schools with mandatory and flexible components.
• Compliance and enhancement activities available in the schools.
• Low parental consent
Feasibility and use of school-based condom availability programs in Tijuana, Mexico. Zellner JA, et al.  2014, Mexico Describes the characteristics, degree of satisfaction, and gender differences among users of a CAP implemented in two high schools in Tijuana (BajaCalifornia, Mexico) 570 students in two high schools in Tijuana, Mexico Survey CAP user cards and survey; repeat user survey 2 years Kiosk users (N=570) were more likely to be male, young, and/or enrolled in a lower SES school. Enablers
Most kiosk users were either sexually active or planning to have sex. • Provision of kiosk distributing condoms
Females were less likely to request condoms and to continue using the kiosk, but more likely to request information on other contraceptive methods. • Setting up Information kiosks on the prevention of HIV and other STIs, pregnancy and contraception in school grounds
• Support from non-government organizations
• Provision of opportunity for adolescents to gather information about safe sex practices and to rehearse condom acquisition skills.
• Condom availability may be a means of initiating condom use and social skills training for youth who otherwise would be unlikely to request or obtain such assistance.