Topical rectal microbicides (RMs) are a new prevention technology in development that aims to reduce the risk of HIV acquisition from anal sex. We examined RM acceptability among men who have sex with men (MSM) in India. We conducted a qualitative exploratory study guided by a modified Technology Acceptance Model, with 10 focus groups ( n = 61) of MSM and 10 key informant interviews. Data were explored using framework analysis. RM acceptability was influenced by technological contexts: perceived usefulness of RMs, perceived ease of use of RM and applicator, and habits around condom and lubricant use; individual and interpersonal contexts: perceived relevance and preferences for product formulation and dosing frequency; and MSM community/social contexts: perceived social approval, RM-related stigma, social support. Implementation of RMs for MSM in India may be supported by multi-level interventions that engage community-based organizations in destigmatizing and distributing RMs, ideally gel-based products that enable on-demand use before sex.

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Procreative ideologies, alternatively called conception beliefs, are ideas concerning the male and female contributions to biological reproduction. Expressed through the metaphor of 'seed' and 'earth' in many South Asian cultures, these ideologies have been found to be demonstrably gendered, acting sometimes as a central variable in mediating men's and women's access to material and symbolic resources. Many gender-sensitive ethnographies have demonstrated the power of this metaphorical understanding in regulating and controlling the body and sexuality of women, and affecting the everyday lives of men and women as gendered subjects. The present article examines and evaluates the operation of procreative ideology in the case of the Kolams, a 'primitive' tribal community in southeastern Maharashtra.Reproduction is simply too important to be left to the whims and fancies of individuals. The social rules which tell us how we should set about the business of reproduction come to us with the full weight of long-established social custom: they are the result of numerous generations trying to make sense of the task of creating new life in a particular environment, and they have force today because they affect a large number of people (Robertson 1991: 16-17).