premise: Less than 20 percent of men are said to be circumcised in southern Africa where HIV prevalence is the highest.
  Malawi's Health Minister Marjorie Ngaunje set the tone for the meeting by saying: "To make advances in prevention, we must begin to tackle honestly the difficult questions that the epidemic raises ... addressing positively the needs of sex workers and of men who have sex with men."
  She said the fight against HIV/AIDS "will take a better turn if we stop doing business as usual ... we must address the real drivers of the epidemic and target groups that are most vulnerable."
  Omotayo Olaniyan, African Union regional delegate to the SADC, told the meeting that poor provision of services for sex workers and drug users had allowed HIV to take root in society's most vulnerable populations.
  Olaniyan said young people and women were also vulnerable to infection due to poverty and their lack of control over their sex lives in male-dominated societies.
   If not for poor provision of services to sex workers and drug users what might have happened?
hypothesis: the fight against HIV/AIDS "will take a better turn