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Cambodia's Condom Campaign at Risk, Faces Fresh HIV Epidemic

Threats to a successful Cambodian condom campaign has raised fears the country could experience a second epidemic of the disease, health officials said Wednesday.Download Link Here


Tia Phalla, of Cambodia's National AIDS Authority, said the country's so-called 100 percent condom use programme, which provides sex education and distributes condoms to sex workers, "is facing difficulties" because of a new anti-sex trafficking law and lack of financial support.

Police began a crackdown on brothels after the new law was passed in February, which has reportedly forced prostitutes to leave condoms behind as they move from place to place.

"Enforcement of the anti-trafficking law harms the 100 percent condom use in brothels," Tia Phalla told a three-day national AIDS conference in Phnom Penh.

The percentage of sex workers who consistently used condoms with clients had already begun to drop to 94 percent in 2007 from 96 percent in 2003, according to AIDS authority data.

Additionally, only six of the country's 24 provinces and cities currently have funds to carry out the programme, Tia Phalla said.

"The main risk of a second wave of HIV infections occuring in Cambodia is from female sex workers, their clients and sweethearts," said a statement by the AIDS authority.

Before the 100 percent condom use programme began, Cambodia's overall HIV rate was the worst in the region, peaking at 3.7 percent of the population in 1997. Rates among prostitutes were estimated at 40 percent.

The aggressive condom and sex education campaign is believed to have helped drop Cambodia's overall HIV prevalence to 0.9 percent.

India's HIV Victims Find Solace In Marriage

Taking medicines on time is a big part of a successful marriage for Ravi and Nima, an HIV-positive couple who met as a direct result of the enduring stigma attached to AIDS in India.Download Link Here


They met through a non-profit marriage bureau in India's western state of Gujarat that caters exclusively to HIV-infected people, setting up introductions and helping with legal issues for couples who choose to marry.

The UNAIDS agency says some 2.5 million Indians are living with HIV, many of them ostracised by their communities.

"My father disowned me when I told him about my disease. I was lonely and needed a companion to live and enjoy the last few years of my life," said 38-year-old Ravi, a shopkeeper who contracted the infection from a sex worker.

His wife Nima tested HIV positive in 2004 when she went for a medical check-up to confirm a pregnancy. She contracted the virus from her first husband who died in 2006.

"I felt cheated and wanted to commit suicide after my husband died but I decided to marry again and work for the widows of HIV patients," Nima said.

The Gujarat Marriage Bureau for People Living with AIDS was the first of its kind when it set up in 2005, but there are now eight similar agencies across India, most of them established by people living with HIV.

In the past four years, the Gujarat agency has arranged marriages for around 300 people.

The brutal truth of Aids in Cambodia

Drugs have saved Sray Neing from death

The International Aids Conference in Bangkok is pushing for greater availability of HIV drugs under the slogan "Access for All". Patrick Nicholson, a press officer with the aid agency Cafod, has travelled to Cambodia to investigate what that means for a poor country struggling to keep the HIV epidemic in check.
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The Venerable Hoeun Somnieg rises before dawn to meditate at his pagoda, situated near Cambodia's mythic Angkor Wat Temples.
Twenty of his fellow monks join him, chanting in rhythm, as they bow their heads to the Lord Buddha.
The saffron robes, the swirls of incense, and the golden Buddha statue - an ascetic life of contemplation and study.

The future was desperate. I had to act to stop the suffering. The Venerable Hoeun Somnieg

But Venerable Somnieg's day will be acutely different from his predecessors - he is on Cambodia's frontline in the fight against HIV and Aids.
Over the last decade, the monks in Siem Reap were being asked to give blessings at more and more funerals of poor villagers who had died of Aids.
Ostracised families
Cambodia's HIV infections have rocketed to 3%, the highest in South East Asia.
Whole families were ostracised from village life, as their neighbours grew scared of catching a disease they did not understand.
"The future was desperate. I had to act to stop the suffering," said Venerable Somnieg.
Seven months ago, he started to work on providing prevention and care with the support of British aid agency Cafod providing counselling, education and care.
Cambodia is one of the world's poorest countries, with a third of the population living on less than a dollar a day.
The country's infrastructure is still recovering from two decades of civil war and the aftermath of the tyranny of the Khymer Rouge.
The country does not have hospitals to cope with the HIV epidemic. From birth to death, less than 1% of the population are ever treated by a government doctor.
Spreading the message

Infection rates are very high

Perched on the back of a moped, as Buddhist teaching prevents monks from driving, Venerable Somnieg travels to a small hamlet to speak with a group of people with Aids.
Once muscular wiry farmers, their bodies are now emaciated with illness, their faces have become drawn, and their skin scaly and lifeless.
"Buddha taught that good health is an important part of spiritual health," said Venerable Somnieg.
He teaches the people to eat properly, stay clean, and exercise.
He listens to their problems, answers their questions about Aids, and gives psychological counselling on how to come to terms with their ill health.
The monks work with Aids patients has broken down the stigma - now the whole villages supports those who are ill.
The meeting ends with meditation and a blessing of holy water - a symbol of life for Buddhists.
Sex bars
Fast forward to the plethora of sex bars in the capital Phnom Penh. Loud karaoke blares, while beer girls offer customers a choice of drinks and more.
Brothels are common place - ranging from the high priced joints catering to foreigners to small huts on the banks of the Mekong where you can pay the equivalent of a couple of pence.
Despite South-East Asia's reputation for sex tourism, the overwhelming majority of prostitutes in Cambodia cater to other Cambodians.
The girls come from poor families in the countryside.
They can earn much more here than at home. It is a difficult choice. For some there is no choice.

If I refuse to sleep with them without a condom then they just rape me anyway. Kea, a 20-year-old prostitute

Kea is a 20-year-old prostitute working in Phnom Penh. Her previous boyfriend sold her to the brothel.
He tricked her into signing a contract with the brothel owners that meant she has to work there to pay off his $100 debt to them.
Gangs of men regularly rape her.
One man gives her extra to come to the fields to use her - an irresistible $5.
When she arrives, there are five or six men waiting, who rape her in turn.
Condoms rare
The government has a well-publicised 100% condom use in brothels campaign. But Tea said that only about one in ten men want to use condoms.

Monks spread the prevention message

She said: "If I refuse to sleep with them without a condom then they just rape me anyway so what can I do."
Her eyes are expressionless. They are dead - the eyes of someone who has born the unbearable.
The biggest increase in new infections is now from husband to wife, and from new mother to her baby.
One of the key responses by the government and aid workers is education.
Local community leaders in Sang Ang province go into the villages with simple flip charts showing how HIV is transmitted and how to avoid becoming infected.
Too late
For Lon Hieng and her family it has come too late.
She lives with her parents in their typical farmhouse on stilts. Her husband was a taxi driver in Phnom Penh, where he would visit brothels, and return to her at the weekend.
He died five years ago of Aids related infections.
"I was very angry with my husband when I found out he tested positive for HIV," she said.
"Men in Cambodia need to stay faithful to their wives."
She is now infected with the virus.
She found out her second child was HIV positive a year ago. She took the daughter to the hospital in the capital to get the anti-retro viral drugs that will block the HIV virus, but they did not have any left. The girl has just died.
Despite the drugs necessary to stop mother-to-child infections costing less than 50 pence, there are not enough available.
Many orphans
Health workers in Cambodia are predicting a tidal wave of 200,000 children orphaned by Aids within five years. At least 15,000 will be HIV positive.
A few will be taken in by one of the four orphanages run by John Tucker in Phnom Penh.
He is a brash big-hearted American from Ohio, a former businessman who has given it all up and come with his wife to help the children of Cambodia.
But he can only help a fraction. He has room for 200 children with HIV, and he said it is the only project in the country providing anti-retroviral drugs to such children.
Many of the children who come to the orphanage are found abandoned on the streets, close to death.
Sray Neing, aged three, weighed only six pounds when they took her in. The photo they have of her then shows little more than a tiny skeleton.
Six months after receiving anti-retroviral drug therapy, she is a plump healthy looking 22 pounds.
"The drugs work. They can extend somebody's life by 15 to 20 years. By then we might have a cure, " said Tucker.
No access to drugs
Despite Cambodia being a World Health Organisation target country for access to Aids drugs, only 3000 people receive them out of 170,000 infected with HIV.
A course of drugs for one of the children costs about $500 per year, including secondary care. Tucker said.
"It is a question of money, it is a question of political will by the international community."
The government of Cambodia has been singled out for its good work on HIV/AIDS, but ministers say it still does not have the money to properly tackle the epidemic.
The stark alternative to providing the necessary funds is highlighted by one of the hospices in Phnom Penh.
It takes people off the streets, and provides beds and around the clock healthcare for them in the last days of their illness.
The need is greater than the number of beds.
It is a bleak indictment of the international response to the HIV epidemic that only the lucky few in Phnom Penh will have a bed to die in with dignity.

How To Masturbate for Women

 

Masturbation is considered by many to be the cornerstone of sexual health. Because you get to do it by yourself, on your own terms, it’s probably the best way to learn what turns you on. Women are raised with little information about their genitals, and sex, including masturbation doesn’t come naturally for everyone. Some women orgasm from clitoral stimulation, others enjoy vaginal penetration or G spot stimulation. Remember, there’s no wrong way to masturbate; everyone is different! Below you'll find some tips on how to masturbate for women.
Difficulty: N/A
Time Required: 30 minutes to several hours
Here's How:Download Link Here

1. Get yourself in the mood for masturbation.
Relax as much as you can.Take a warm bath or have a glass of wine. Ensure your privacy: turn off the phone, lock the door, send the kids to a neighbor's. Find a comfy position. Most women start out lying on their backs, legs bent and spread apart, with feet on the ground. Remove most or all of your clothing.

2. Fantasize for masturbation.
Recall an exciting past sexual encounter or elaborate on a favorite sexual fantasy. If you need a boost, look at a sexy magazine, read an erotic story, or watch an adult video. Allow your mind to explore any images--anything goes as long as it heightens your excitement.

3. Explore all parts of your body.
Run your hands along parts of your body, lingering along areas that are more responsive to touch than others. Look at your genitals in a mirror (especially if you're unfamiliar with them) and caress the different parts to see what feels especially good. Find and touch your inner and outer labia, your clitoris, your vagina and your perineum.

4. Touch yourself.
Using one or two fingers, rhythmically stroke the different parts of your vulva, paying particular attention to your clitoris and labia. Experiment with different types of pressure, speed and motion. Try placing a finger on either side of the clitoris and stroking up and down, or placing two fingers on the clitoral hood and rubbing in a circular motion.

5. Experiment.
Try different types of touch: stroke, tickle, knead, pinch, or lightly pull your genitals. Try using one or several fingers, the palm of your hand, even your knuckles.

6. Build up excitement.
Learn to hold onto sexual excitement by building up and then reducing or temporarily stopping the stimulation. Pay attention to how your body is responding. It will tell you the particular stroke that feels best and when to pick up or slow down the tempo.

7. Breathe and rock.
Breathe deeply rather than hold your breath. This helps release the sexual energy, rather than fight it. Rock your pelvis as you would during intercourse. Rhythmically clench and release your PC muscle (using a dildo for vaginal penetration can help).

8. Getting over the top.
If your hand gets tired, give yourself a rest, switch hands, or try a vibrator. If you're on the brink of orgasm, but can't quite get over the hump, try altering you’re breathing, or focusing on a really hot fantasy. Give yourself extra stimulation: caress your nipples, or try also thrusting your other fingers or a dildo in and out of your vagina.

9. Ride the Wave.
As you begin to orgasm, continue the stimulation through the orgasm. Lighten up on the stimulation during the first extremely sensitive moments but keep it going to enjoy those little pleasurable aftershocks. Your first orgasm may feel like a blip or a blast, but the more you practice, the more variety you will experience.

10. Practice makes for perfect masturbation.
Don't worry if you don't come on your first try, keep practicing, or try some of the variations below.

Tips:

1. Vibrators take some of the manual labor out of masturbation by providing direct, intense physical stimulation to the clitoris.

2. Water helps many women learn to masturbate. Lie back with legs spread in a bath with a shower hose and direct the stream of water at your clitoris. Vary the pressure, the pulsation, and the temperature. Alternate methods: slide your butt over the drain so your legs are up in the air and your genitals are up under the tub faucet (rather awkward but do-able), or use Jacuzzi jets.

3. Rub against something--a pillow, the corner of some furniture, a dildo.

4. Dildos can be a pleasurable accompaniment to clitoral masturbation, as they offer the fullness of penetration and can also stimulate the G-Spot.