Women are not just victims of men's sexual aggression.  Motivations for extramarital partnerships in rural Malawi
include money for survival, but elsewhere money for
attractive consumer goods, passion, and revenge for a husband's
infidelity.

In Malawi there is also considerable talk about condoms especially among men – but that virtually all the discussion of condoms, by both men and women, is
in the context of preventing infection in extramarital partnerships
rather than within marriage.

Even educated mothers in urban Kenya are reluctant to give sex-education to their daughters, due to socio-cultural and religious
inhibitions.

Economic deprivation is associated
with early initiation of sex particularly among the poorest of urban
women, who also have more partners than their rural counterparts.

Why do serodiscordant couples refuse to use
condoms?  Pressing economic deprivation, and other
considerations such as the desire to have children, to assure social
standing and fulfillment.  Thus, without empowering serodiscordant couples to have children
who are HIV-free or ensuring stable income for the poor who are living
with HIV, guaranteed condom access alone is inadequate for HIV
prevention.

Knowledge about HIV/AIDS and prevention
strategies are very high, but men in low socio-economic groups in Malawi continue to engage in risky sexual
behaviors – which deals a blow to the Abstinence, Being faithful, and Condom use (ABC) strategy
unless complemented by community-based economic ventures

From Social Science in Medicine