The risk of HIV for full-time commercial sex workers with no other options for income is exceedingly high. She is a strong advocate of condom use among her peers and her infection underscores the point that economic considerations supersede health concerns. Modifying male attitudes about HIV and sexual behaviour is one of the significant factors in controlling this epidemic, and this constitutes a great challenge. But in confronting this epidemic, men also have a responsibility to respond by developing and championing male-focused activities and programmes that reflect relevant issues and appeal to their sensitivities. Male responsibilities extend beyond their sexuality.
Men hold privileged positions in government, society, community, and family.
They possess the power and resources needed to ensure that initiatives also benefit women and young people. Prevention programmes that are spearheaded and supported at the highest level possible are urgently required in Nigeria. Our future is at stake. Biographical note Dr. Eka Esu-Williams is a senior lecturer in the Department of Immunology at the University of Calabar. She has extensive experience with HIV-prevention programmes addressing female commercial sex workers and their clients.