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The same claim to 100% condom use was not echoed by women, however. A few havehusbands who still refuse to use condoms every time they have sex:“Tapi tidak selalu. Kadang kadang…..dalam satu bulan ada dua kali,macam tu lah.”(“But not often. Sometimes….in a month, may be two times, like that.”)(Female, 35yrs, Primary education, Infected Partner)“Dia tak mau pakai….itu celaka tak mau pakai!” [laughs] “Ya, saya takmau bagi….dia gaduh sama saya. Saya malu! Dia punya mak ada, diabapak ada….dia tanya apa lu dua orang bilik dalam gaduh. Macam masasaya boleh kasi tau dia orang? Saya malu. Aaah…. Saya cakap kalaulu…..lu….gatal, lu cari lain lah! Pergilah! Pergi Chow Kit lah….jangankacau sama saya!” [All laugh](“He doesn’t want to use….that damned [one] doesn’t want to use![laughs] “Yes, I don’t want to give [have sex]…..he fights with me. I’membarrassed! His mother is there, his father is there…..they ask, why areyou two fighting in the room. How can I tell them? I’m embarrassed. Itold him if he is aroused, go look for someone else! Go! Go to Chow Kit[a red light district in KL]… don’t disturb me!)(Female, 44yrs, No formal education, Infected Partner)“Sebab lelaki ni memberi…..kita yang menerima. Apa? Lelaki juga yangpuncanya.”(“Because the man gives….we receive. What? Man is still the source.”)(Transgender, 32yrs, Lower secondary education, Infected Partner)Sex workers, on the other hand, reported poor use of condoms despite their HIV statusand awareness of the need for protected sex. The SWs recruited in this study were alldirect sex workers 5 who primarily are/were street walkers. However, their usual place ofbusiness is in a rented room where condoms commonly are placed in a bedside drawer. Itshould also be pointed out that the sex workers who were vocal about condom use in thisstudy are above 30 years of age with low education. Other characteristics of the sexworker, e.g., younger age, higher education or higher-priced sex, or characteristics of thecustomer base, may influence condom use. In addition, some of the sex workers in thisstudy are also drug users. While drug addiction adds to the problem of havingunprotected sex, it is clear that the primary reason for not using condoms is reluctance orrefusal on the part of their clients:“Saya bukan nak cakap apalah, doktor….dulu saya kerja itu kan?Kebanyakkan lelaki tak nak pakai. Ada customer kadang kadang, teruscabutlah….apa lah…”5 Direct sex workers defined as brother-based or formal sex workers (UNAIDS Editor’s Notes forAuthors.42