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This paper compares three interpretations of women and the transmission of HIV in rural Malawi. One is disseminated world-wide by institutions with a global reach such as the World Health Organization in Geneva and United States Agency for International Development USAID ; the second is provided by urban Malawians situated in the capital of Lilongwe, the seat of government and the site of the many international and national non-governmental agencies; the third is articulated by rural women and men in Balaka District, Malawi.

We focus on women's motivations for extramarital sex, using qualitative interview data. We find that whereas in Geneva and Lilongwe women from rural Malawi are said to engage in sexual relationships outside of marriage because they need money for survival, in Balaka they are said to be motivated not only by money for survival but also for attractive consumer goods as well as by passion and by revenge for a husband's infidelity.

We also find that data collection procedures influence explanations for women's affairs, as does the respondent's gender. An implication of this study is that AIDS-prevention policies based on the view from Geneva and Lilongwe need modification for Balaka, and by implication for rural Africa more generally.

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Kalipeni E, et al. Soc Sci Med. Epub Nov PMID: The condom is an 'intruder' in marriage: evidence from rural Malawi. Chimbiri AM. Epub Jan Isiugo-Abanihe UC. Health Transit Rev. Schatz E. Cult Health Sex. Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability. Leclerc-Madlala S. PMID: Review. See all similar articles. Cited by 24 articles To educate a woman and to educate a man: Gender-specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana. Lindskog A, Durevall D. Lindskog A, et al. Health Econ. Epub Dec Chapman J, et al.

Glob Health Sci Pract. Print Sep. Navigating intimate sexual partnerships in an era of HIV: dimensions of couple relationship quality and satisfaction among adults in Eswatini and linkages to HIV risk. Ruark A, et al. Constrained relationship agency as the risk factor for intimate partner violence in different models of transactional sex. Fielding-Miller R, Dunkle K. Fielding-Miller R, et al. Agency as a mediator in the pathway from transactional sex to HIV among pregnant women in Swaziland: a multigroup path analysis.

See all "Cited by" articles. Publication types Comparative Study Actions. MeSH terms Adolescent Actions. Adult Actions. Cross-Cultural Comparison Actions. Female Actions. Humans Actions. Interviews as Topic Actions.

Malawi Actions. Male Actions. Motivation Actions. Reproducibility of Actions. Rural Population Actions. World Health Organization Actions.

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