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The peer leaders are trained in STDs, HIV/AIDS, and general health care issues. Condom negotiation is a crucial skill that this program and others stress. "We teach them the techniques for negotiation. If the client is young and unmarried, we say she should video remind him that video he has to live long and get married. She will tell him, 'I will teach you what sex is, but you have to wear a condom,'" video said Mr. Mahendra. "For middle-aged men, she will say 'your wife is waiting, your children need you, and there are so many diseases, so you must remain healthy.' And then if an older man comes in, she will say, 'even though you are older, HIV can attack you.'" While Saheli distributes at least 500,000 condoms per month, CHES has switched to the social marketing model. "It's better if the sex workers get into the habit of buying a condom, instead of getting it free, or if they don't, making the client buy it," said CHES founder Dr. Pinagapany Manorama. "The present marketing strategy of Tamil Nadu is you buy one, you get one free.
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