While we have made tremendous strides against HIV over the past several decades, one challenge has remained persistently unaddressed—the ability of women to protect themselves, and others, against HIV.
For too long, the decision to use prevention has been controlled by men, either directly or indirectly through their ability to withhold agreement to condom use even if a female partner requests it. To expect that we can control HIV without options for women, who account for 52 percent of HIV prevalence in sub-Saharan Africa, is to expect the impossible.