Campaigners on Tuesday lamented the fact that the female condom, just as effective as its male equivalent, has failed to gain the profile it deserves in the fight against AIDS.
"Women are tired of asking permission to save their own lives," Serra Sippel, president of the Washington-based Center for Health and Gender Equity (CHANGE) told journalists at the World AIDS Conference.
In 2008, while 2.4 billion male condoms were distributed, the figure for female condoms was only 18.2 million, she said.
And in Sub-Saharan Africa, where 60 percent of adult males are HIV-positive, the female condom was available for only one in every 300 women.
"The female condom has been available for 15 years and for 15 years it has been joked about," said Lucie van Mens, coordinator of another pressure group, Universal Access to Female Condoms (UAFC).
And yet, while shops sold any number of different variants for male condoms, she pointed out: "There is only one model available."
It was time business started putting the same kind of imaginative marketing and design into the female condom to ensure women could find one that suited them, she argued.
Another fundamental problem was the cost, said Carol Nawina Nyirenda of CITAM+ -- the Community Initiative for Tuberculosis, HIV/AIDS and Malaria.
Nyirenda, from Zambia, told reporters: "A female condom is 50 cents, compared to a male condom which is for one cent."