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Moral questions about condom use are not within the remit of this resource, but questions of fact are, and condoms’ ability to stop HIV is periodically questioned by people opposed to their use on religious or moral grounds.

Therefore questions of condom efficacy have to be addressed and misapprehensions corrected.

One widely quoted remark of this nature came from Ugandan President Yoweri Museveni who, at the Fifteenth International AIDS Conference in Bangkok in 2004, advocated for HIV prevention based on “optimal relationships based on love and trust instead of institutionalised mistrust, which is what the condom is all about…I think of condoms as an improvisation, not a solution”.

One disadvantage is that condom use in long-term relationships, even in serodiscordant couples, is relatively rare.

Despite this, the use and promotion of condoms continue to be targets for controversy and criticism, and sexual abstinence and monogamy are often promoted as superior alternatives.

While condoms offer useful and vital protection, they have also become associated with promiscuity and infidelity.

However, because they are not always used correctly even if they are used consistently, studies have found efficacy rates of 85 to 87% when young women use condoms as their sole form of contraception.

Condoms are, however, the only method on that list that has been shown to protect against STIs as well as pregnancy.

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