The heavy work burden of the women directly affects their health. In combination with a too small intake of food – that is innutritious in character – the women are often in poor condition. Yet discomforts and maladies are born without fuss or discussions. This is partly due to the fact that the traditional health care system is modeled after men, and therefore it has failed to see the different experiences and health needs of the women. They are not used to talking about their bodies and their symptoms. There is also a lack of understanding in the society for the particular health problems of women. During pregnancies women usually perform all their daily chores up till the time of labour, and they do not normally take any nutritious supplements to their diets. The fact that women are defined through their body and physique adds to the ignorance of women’s health. In society their appearance and beauty is being judged, and the main purpose of their bodies is to work and bear children. Inability to live up to these expectations of the surface, for instance by women having a weak physique, is not tolerated. This gives the women another motive for keeping quiet about their health problems. Particularly gynecological problems are being concealed. The female genital organs are considered as “dirty” and something to be ashamed of. In general women are not considered as sexual subjects. They are not asked about their desires or sexual wants and needs. Instead they are supposed to be passive recipients of the male sexuality. The lack of opportunities for young women to receive sex education and HIV information leads them to accumulate unverifiable myths. Social norms only encourage “innocent” women, women who are sexually naive until marriage, does not seek pleasure from sex, one who would willingly and actively participate in sex only for the pleasure of her husband. The women have a lack of control over their own bodies and health, and have little room to value and analyze their experiences. Furthermore, as the district is drought prone, many times people are forced to migrate in search for wages to nearby cities and industrial areas. Women migrating face very hard situations where their well being is at the hands of the landowners and contractors hiring them, and physical and sexual abuse is not uncommon. Men migrating often bring STD’s back. In general men do not consider reproductive health as their area of responsibility, and contraceptive methods such as condoms are frowned upon. In this way the women shoulder a double role of both being passive recipients of the men’s sexuality, and the bearers of responsibility of the same. When a man gets HIV the spouse get the blame, even if she has been monogamous. It is considered her fault that the man turned to other women, and she is responsible for his health.