Last but not least, to make any programme of harm minimisation truly effective, we need to incorporate the spiritual dimension which deals with human relations and spiritual values, and which often develops in an inconspicuous way, beginning with the daily relationship between people. Each one reaches her final goal by fidelity to her own vocation - this goal provides meaning and direction for the earthly labour of man and women alike. Women have little or no access to affordable health services. Women can seldom negotiate condom usage or other risk reducing strategies. Lack of access to information is linked directly to women's lack of participation in decision affecting their lives.
Cultural constraints add to women's vulnerability.
Topic of sexuality, taboo, sex education are non-existent in many cultures. Women's inferior general health and poor genital health in particular. Patterns of economic dependency. The epidemic places increased burden on women as primary care givers. All the above highlights the inequalities between men and women.