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Microbicides could be an important new tool in this strategy.
But Dr Rosenberg believes that at least some of the substances being considered as microbicides could be packaged into slow-release rings that a woman could wear in her vagina for a month or more.
As a new HIV prevention approach, microbicides could be used with other prevention strategies such as condoms to reduce the number of people who become infected with HIV.
If ART coverage were expanded from 52%to80%0%, in line with the 2016 national target [ 37], then the threshold price of microbicides could be $0.24.
If segment 3 testing proves to be negative, microbicides could be tested on women who become pregnant on clinical trials and according to FDA regulations, these women will need to be reconsented [ 28].
However, despite the overarching sentiment that women had the right to use a microbicide to protect themselves from HIV with or without a partner's knowledge, the qualitative data also demonstrated that the implications of male partner's finding out about women's use of microbicides could be considerable.
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"A microbicide could be marketed as a sexual aid, or as something to make a woman feel more attractive inside and out," Dr. Zeda Rosenberg, I.P.M.'s C.E.O., told me when I first met her in 2004.
Anti-bacterial and anti-fungal compounds, with potential to be used in female-controlled vaginal products, are of particular interest for two reasons: 1) Consumer preference studies suggest that most women worldwide prefer vaginal microbicides to condoms; 2) There is an urgent need for cheap and safe new microbicides that could be used in poor regions around the world.
Among the most promising prevention technologies on the horizon were microbicides that could be applied inside the vagina or rectum to prevent sexual transmission of HIV.
There is an urgent need for cheap, safe, easy-to-use and easy-to-store woman-controlled topical vaginal microbicides that could be used by people in poor regions all over the world.
ANDY CAPPER .
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