BALTIMORE (Map, News) - Each year, on the third Sunday of June, many of us take time to honor and celebrate our fathers or those who have served as fathers in our lives. Days like this are important, especially in today’s fast-paced society, because it’s often difficult to find uninterrupted time to connect with our spouses, children, extended family and friends.

Citing lack of time, we men often ignore our health-particularly our reproductive health. As a father and public health physician, I understand how important it is for us to take an active role in this aspect of our health. This includes knowing our status by undergoing screening for HIV and other sexually transmitted infections, finding out what we can do to protect ourselves and our partners through education and counseling about risk reduction and prevention, and seeking appropriate treatment.

In the U.S., we have access to medical services at a range of income levels. In many areas of Africa, parts of Asia, Latin America and the Caribbean, most men are not as fortunate.

In my role as vice president for Global Program Operations at JHPIEGO, an international health affiliate of the Johns Hopkins University, I travel the world educating government officials, doctors, nurses, midwives and other health professionals about the importance of ensuring safe, reliable and accessible health care for the communities they serve.

Although JHPIEGO primarily focuses on the health of mothers and newborns, men are an inextricable part of this picture. In most of the countries where we work, the main mode of HIV infection is through heterosexual contact: Many husbands or steady partners infect women at home.

This spring, I visited our staff in East and Southern Africa. According to the World Health Organization, the average life expectancy in that region is disturbingly less than 50 years of age. In 2006, the HIV prevalence rate among adults ranged from 10 to 30 percent-more than 10 to 30 times higher than in the U.S.

In many of the countries where we work, gender roles are very traditional, with men holding all of the decision-making power around their families’ health care. Based on deeply entrenched cultural norms, some families cannot seek health services without the consent of the man of the house. This means that even in countries with a high HIV prevalence, entire households may not be aware of their HIV status, do not know the steps they can take to protect themselves or their loved ones, and are not able to seek appropriate care and treatment when they become ill.

If a woman is infected with HIV by her husband or partner and then becomes pregnant, her baby is at considerable risk of also becoming infected and both mother and baby may become ill and die unless they receive timely access to care and treatment services.

JHPIEGO has been working in HIV/AIDS for more than 10 years. A major focus of our efforts in this area has been prevention, through counseling and testing for HIV and prevention of mother-to-child-transmission of HIV. Male involvement has always been an important component of our work in this area.

In March, a very important preventive step specific to men seized the attention of the global public health community. In response to the results of three clinical trials indicating that male circumcision reduces female-to-male HIV transmission by 60 percent, the World Health Organization and the Joint United Nations Programme on HIV/AIDS recommended that countries with high HIV prevalence begin offering free or subsidized male circumcision services.

JHPIEGO has been working to promote male circumcision services since 2003, when we started to work with the Zambian Ministry of Health on that issue. Male circumcision is a newfound entry point to other male reproductive health services including education and counseling around safer sex practices, and screening and treatment for HIV and other sexually transmitted infections. If we begin now, nearly 6 million new HIV infections could be averted in Africa over the next 20 years.

Let the struggles of our brothers around the world be lessons for us to take control of our reproductive health. Let the steps they are willing to take help us take a first step. Here, as is the case everywhere, that first step is knowledge. Get tested. Know your status. And remember, healthy men make healthy fathers and healthy families.

Alain Damiba, MD, MPH is Vice President for Global Program Operations JHPIEGO, an Affiliate of Johns Hopkins University.

Comments from Examiner Readers

6:54 PM MST on Wed., May. 14, 2008 re: "Antero Pietila: Fells Point�s forgetful NIMBYs"

Freddy in Fells said:
Amen Antiero. Thanks for saying so plainly what many of us are thinking!!!!

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10:57 AM MST on Fri., May. 9, 2008 re: "Michael Beatty: Michael Olesker to join The Baltimore Examiner"

Examiner Reader Nora Rueter said:
Thank you for the article on Hampton in the real estate Fri May9. A picture of our house was featured, and my husband worked so hard on our lawn and yard. It looked GREAT! Hampton is a wonderful community.

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8:36 PM MST on Wed., May. 7, 2008 re: "Jim Smith: LNG: Heavy on risk, light on benefits"

Examiner Reader said:
Jim Smith are you crazy? Do you want the terrorists to win? When you fail to move forward because of the possibility of terrorism --the terrorist win, Jim. Calling them time bombs was a bit much, the vessels are safe and you cannot name one mishap ever, they are in every day use Jim, you know that but you simply cant be truthful-- that is why you continually lose the battle over this LNG plant in court. You and Martin OweMalley tell the residents 1/2 truths and outright lies to make youselves seem caring--- then in court you 1/2 truths and lies dont add up to anything AND you lose. Try the truth to guide you in the future and maybe the big bad LNG wolf wont be as scary to you!

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7:41 AM MST on Wed., May. 7, 2008 re: "Jim Smith: LNG: Heavy on risk, light on benefits"

Examiner Reader said:
I am a resident of Sparrows Point and I voted for Martin Omalley because he said he would stop this LNG plant. Where are you now Martin? Another lie by Martin Omalley and Jim Smith to the citizens of Baltimore County

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9:10 AM MST on Mon., May. 5, 2008 re: "Jay Ambrose: The dangers of a �living Constitution�"

Hobart Goblyn said:
Funny how folks on the right try to use the Constitution to restrict rights, i.e. "strict constitionalism", while on the left try to expand rights with it, a "living document". Let us remember the IX Amendment: "The enumeration in the Constitution, of certain rights, shall not be construed to deny or disparage others retained by the people". In other words, just because we didn't spell it out, doesn't mean the people are denied those rights. BTW, Jay, "executive privelege" isn't spelled out in the Constitution, but your boy W uses it all the time. Shouldn't we not allow that, either, then? Even comedian Rush Limbaugh hid behind his right to privacy while being investigated for illegal drug use- a right he previouslu said didn't exist in the Constitution. Can't have it both ways when it suits your agenda.

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5:33 AM MST on Fri., May. 2, 2008 re: "Dan Gainor: Delaware opens arms to spurned Marylanders"

Examiner Reader said:
5:36, everyone in Maryland won't move to Delaware, just the very productive and wealthy now having their income confiscated again to buy votes for Liberal tax and spend Democrats who promote class warfare. Productive people don�t need government services, they need less government.

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11:27 AM MST on Thu., May. 1, 2008 re: "Usha Nellore : Just how liberating is black liberation theology for blacks?"

Rev. Mother Meredith Moise said:
With all due respect to the author of this op-ed, you have no idea what you are talking about. Black liberation theology is based on telling truth to power regarding the oppression of Black people. It is about dealing with the past, examining it and deciding to move through the oppression into the light of freedom. Although many may regard Wright's comments as anti American and the like, they represent alot of what Black folks feel right now. Many Black people are angry and for good reason. From slavery to segregation, to unemployment and poverty, the Black community is suffering. You can't heal suffering by ignoring it and wishing it would go away. You must confront, deal with it and heal from it. According to James Cone,founder of Black liberation theology, "What we were trying to do is to show that one can be black and Christian at the same time.That one can love oneself as a black person. And also, in fact, that that's the only way you can learn how to love other people."

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1:42 PM MST on Wed., Apr. 30, 2008 re: "Jay Ambrose: The dangers of a �living Constitution�"

Examiner Reader said:
Ahh, Scalia the Constitutional scholar. He who defended one of the most ill conceived and illogical rulings in Bush v Gore to install the most disastrous president in US history and then tells the 10's millions of people that ruling disenfranchised to get over it. He, who gets judicial insight from the TV Show '24'. He, who claims that torture isn't unconstitutional because it somehow isn't related to imprisonment. That Scalia? True defender of the Constitution.

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1:10 AM MST on Sun., Apr. 27, 2008 re: "Tom Moore: The issue isn�t what she says, but regulating how she says it"

Examiner Reader said:
Tom Moore hosts this lame low-budget AM show in Baltimore. Does anyone even listen to it?? Apparently not. Rush Limbaugh does a better job.

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10:37 PM MST on Tue., Apr. 22, 2008 re: "Paul Shapiro: Give factory farm sows one less reason to suffer"

Examiner Reader said:
Please do a updated 2008 article for everyone regarding Factory Farm Campaigns to help stop the abuse and cruelty of all animals large or small. Thank you.

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8:43 PM MST on Tue., Apr. 22, 2008 re: "Cal Thomas: Freedom is not a natural state"

Examiner Reader said:
Its amazing to me that so many people think that the only people who are patriotic are republicans. That giving freedom to the world is accomplished by taking over another country and enforcing democracy. I was a soldier and I love America. We soldiers were the ones that were willing to lay down our lives for our freedom and the freedom of our children. I am still willing to do so. It is that willingness to sacrifice that allows America to be free, not the press, not the republicans, not democrats; The Americans willing to sacrifice their lives for freedom. This cannot be forced upon another country. Women have the right to vote because they fought for it. African-Americans have the right to vote because they fought for it. If Iraqis are not willing to fight for their own freedom, they don't deserve it and they won't be able to keep it after we leave.

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3:58 PM MST on Thu., Apr. 17, 2008 re: "Usha Nellore : Small-town folks: Do they have small minds?"

Examiner Reader said:
I don't think Americans are bitter as much as they are seeking candidates that actually represent them. Senator Obama is my senator and I wrote him four years ago and asked him, who actually represents us, the citizens of this country. Do you realize that my representative at the time was the Speak of the House, Dennis Hastert. I live in the Illinois 14th congressional district. Do our leaders actually represent us? Or, do they represent special interests and major campaign contributors. It's as if Washington and the press are the directors of the show. Maybe the people in small towns don't want the Bill of Rights tampered with, I fully agree with that. You try and change the second amendment, whats to stop you from trying to change the first amendment. Thats not bitterness, thats common sense. Its unfortunate that Senator Obama felt this basic premise had to be explained in this way for that audience,and maybe the citizens in this country have the right to be a little bitter

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12:44 PM MST on Wed., Apr. 16, 2008 re: "Jay Ambrose: The candidate Obama pretends to be"

Examiner Reader said:
Thank you, European American, but no thanks. I, too, am a European American, as you say, but I am bitter. I am bitter that my country is spiraling out of control. I am bitter that my Second Amendment right to keep and bear arms has been taken from me because I live in a northeastern city. I am bitter that my church is not keeping up with the times. And lastly, I am bitter because my tax dollars are being wasted, not just on wars and silly foreign policies, but by pork-barrel spending and stupid regulations. Yes, I am bitter and I believe a majority of Americans also are bitter. I believe Obama was brave to say we are bitter. When we once clung to our country and our patriotism, our Second Amendment right and our faith are about the only things left for which Americans can believe. I am bitter.

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11:39 AM MST on Wed., Apr. 16, 2008 re: "Jay Ambrose: The candidate Obama pretends to be"

Examiner Reader said:
Regarding "Obama Pretends to Be"...as a European - American I would love to live in a country where an African American could be president. I believe that it would be an indication that this country "has arrived". However, this African American candidate is not the one. As European Americans we are encouraged to espouse empathy toward disenfranchised African Americans. How much empathy does Obama display toward disenfanchised Americans in the heartland? To him they are "bitter, and cling to guns and religion". Isn't that what European Americans say about inner city African American?

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4:44 PM MST on Mon., Apr. 14, 2008 re: "Kevin Zeese and Linda Schade: Two-party choke hold prohibits true democracy"

P. Ackerman, Columbia said:
Amen! Finally someone else who realizes tax money should not be spent on Democratic and Republican beauty contests. Let them pay for their own primaries. Amen! "There are four legal political parties in Maryland, but only two are allowed to have primaries. And those primaries are paid for by taxpayers. Similarly the Board of Elections only includes Democrats and Republicans even though 20 percent of voters are not registered with either party."

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12:26 PM MST on Mon., Apr. 14, 2008 re: "Kevin Zeese and Linda Schade: Two-party choke hold prohibits true democracy"

Mary in Takoma Park said:
Many thanks for the "Two-Party Choke Hold Threatens Democracy" commentary by Linda Schade and Kevin Zeese. How refreshing to hear someone tell the truth about the limits on political freedom in Maryland and the nation! When will voters, especially progressives, wake up and demand to be admitted into the political arena? The 1960s song said "We Won't Get Fooled Again," but so many progressives do get fooled -- again and again. Electoral systems are like personal relationships in that you get what you tolerate. Lip service and tokenism are the best progressive voters will get when they tolerate and vote for Obamas and Clintons who protect corporate America and the military-industrial-congressional complex. Obama talks about "change," but voters who want change are going to have to vote outside the duopoly to get it. The real block to progressivism isn't Republicans -- it's progressives who vote for these Democrats. Progressives, claim your power: vote Green Party!

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11:39 AM MST on Fri., Apr. 11, 2008 re: "D.R. Belz: Going metric, going crazy"

A Regular Reader said:
This article about the metric system made me laugh out loud.

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8:26 AM MST on Fri., Apr. 11, 2008 re: "Dan Gainor: All that green comes straight from your wallet"

Examiner Reader said:
This whole topic is such a hoax. As with all DNC initiatives, it's a tragedy when facts get in the way. But truth be told, we just wrapped up a sun-spot cycle. These cycles include solar flares. The existence of such physics always leads to a higher Earth temperature. What we will see next is a more drastic decrease in temperature than expected. Hence -- and aside from the Baltimore Area, the worst winter in like forever in some eyes.

Stay away from the green cool aide.

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2:44 PM MST on Thu., Apr. 10, 2008 re: "Dan Gainor: All that green comes straight from your wallet"

Examiner Reader said:
Howard County deserves it, for electing an inexperienced Glendening crony who got his job through connections from his bigwig daddy. Howard County must not pay enough to get someone qualified to be County Executive.

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12:08 PM MST on Thu., Apr. 10, 2008 re: "Eric Rozenman: God and girl at Goucher"

Examiner Reader said:
You must have missed Newt Gingrich last year, when your daughter was a senior, and the talks on intelligent design (both sides). There have been quite a variety of speakers at Goucher lately. And the "speaker trained by the terrorist fellow-traveling International Solidarity Movement (who) delivered an anti-Israel rant", well, I think the point of that was to show a diverse view, the other side that is not presented in many colleges. We were able to make our own decision on that talk, being a well-informed community. Goucher promotes freedom of speech and allows students to choose what they want to support based on valued research and classroom discussion. As a journalist, you should recognize the value of anyone's freedoms.

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2:18 PM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

JCT said:
In "Duck Soup" Groucho Marx, as the leader of Freedonia,is told by a cabinet member that the workers are demanding shorter hours. He replies "We'll start by cutting their lunch hour to twenty minutes." But then the state legisalature doesn't consider themselves workers and this isn't Freedonia. At least we have 8 months to recover.

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10:40 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

Dunn said:
It like Al Gore... spouting off what has been on PBS for decades, being "Mr. Environment," all the while flying around in private jets. I bet he doesn't even recycle and owns a big house with lots of runoff and energy waste. I still have yet to hear anyone mention that living in the city with already existing infrastructure and housing around mass tranist and existing employment centers is a glaring solution.

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10:31 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

Examiner Reader said:
Frank Keegan's editorial is good, but does not go far enough for the accountability of our governments (Federal, State, County, and City) to their respective citizens. The Federal Government passed in 2002 the Sarbanes-Oxley Act that generally rquires corporate CEO's and CFO's to sign a statement that assures investors and shareholders that the internal controls and financial information provided in audited financial statements are reasonably accurate as to the financial condition of the company. I believe that we need a similar ACT for our governments at each level. We, the citizens of each level of government, are the "shareholders" in this government (company). Why should we not expect the same type of "assurance" from our governments as our governments require of the companies that we hold shares in our personal retirement accounts (401K's, IRA's,Roth IRA's, and pension plans. There needs to be MORE ACCOUNTABILITY for the various taxes that we all pay to run the governments.

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9:57 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

Reader said:
9:22 They will give up and like it. Whats good for the goose is good for the gander. Smaller houses, no extra vacations, no maid, no food, no feet.

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9:22 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

TYNZA'MAE said:
Thank you Frank Keegan for this article. The Headline: Officials cant find cuts?, and I especially like this part-"THEY CAN START WITH THEMSELVES"! Well how about it you people up there at the so called top, gonna give up some those luxuries you've been enjoying????

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9:16 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

Tom said: said:
excellent editorial Examiner..these people complain now but their the ones who voted these clowns into office....and to be honest with you, in a couple of years they would have forgotten about all of this, and will re-elect them...........

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8:34 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

Juan said:
Oh the humanity! How about anarchy? Start with cutting Clinton out of the race (and her husband).

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7:26 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

Examiner Reader said:
Maryland voters get what they vote for, a self-serving democratic party machine. Until some of the fat cats are thrown out of office, nothing will change.

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7:15 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

Fridely Wallheimer said:
Frank: You excellent editorial interrupted my game of solitaire. Please save these for weekends. /s/ Loyal State employee.

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6:46 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

avid reader said:
Annapolis seems to be full of buttheads.

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6:44 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

avid reader said:
As I said before what a bunch of shameful politicians we have in Annapolis doing nothing for the voters of Maryland

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5:41 AM MST on Mon., Apr. 7, 2008 re: "Officials can�t find cuts? They can start with themselves"

Examiner Reader said:
Your rock, Mr. Keegan. But shouldn't we have done this at the beginning of the session instead of on the last day? Maybe Maryland voters will remember for next year.

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5:37 AM MST on Sun., Apr. 6, 2008 re: "Aaron Keith Harris: Obama loses credibility as �uniter�"

Examiner Reader said:
Great article. Amen to that!

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1:20 PM MST on Thu., Apr. 3, 2008 re: "Marc Kilmer: Let consumers make health care choices"

John Greene said:
A voice of reason in Maryland. What a concept. What Marc Kilmer describes in his commentary on letting consumers make their own health care choices is only the tip of the iceberg. There are many creaves and traps with government run heatlh care. Little new technology will be introduced or paid for by the government, including new medicines and other treatments. The entire legislative sessions could be taken up with bills to fix provider reimbursements and raise taxes to pay for all the health care that consumers want to consume. Meanwhile, there will be no incentive to improve lifestyle choices. Wellness programs and management of chronic conditions are where the cost drivers exists. Only a very small percentage of the population uses the majority of resources. We need to figure out how to manage this group better. Maryland's high risk pool is the smartest health care public policy decision in many years, is among the best in the country. Let's continue to improve the private sector.

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5:27 AM MST on Tue., Apr. 1, 2008 re: "Cal Thomas: Conversion: A one-way street?"

Examiner Reader said:
Touche, Cal Thomas! Why is it a provocative act when a Muslim, prominent or not, converts to another religion? Perhaps the reaction of these Islamic organizations, clergy, and spokespeople shines a harsh light on Islam? After all, it took an international outcry last year and the work of diplomats of many nations to save one, poor Afgahni man who converted to Christianity? Thank the Lord that he was saved from imprisonment, torture, and, in all possibility, death!

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2:00 PM MST on Sun., Mar. 30, 2008 re: "D.R. Belz: Going metric, going crazy"

E.T. said:
The message we sent you about the recorded music aboard your Voyager spacecraft was: "Send more Chuck Berry." Re; your Viewpoint of Wednesday, March 26: "Send more D.R. Belz." Very funny stuff.

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11:18 AM MST on Sun., Mar. 30, 2008 re: "Brooke Gunning: Support our Md. Guard"

Cletus Nze said:
It's all very well praising the sacrifices of one's native country's armed forces, but much better to first ensure that they are made ONLY when ABSOLUTELY necessary! This is the best way to show true respect for the armed forces - not funds for monuments, however grandiose, for those of them whose lives are wasted in needless conflicts.

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9:27 AM MST on Sun., Mar. 30, 2008 re: "Dan Gainor: Time to stop the five-ring circus"

Examiner Reader said:
Responding to 'Commentary - Dan Gainor: Time to stop the five-ring circus' For an ignorant 'journalist' like you, the best thing to do is to tune you out. I cut out your commentaty out as a reminder that some shameless people always try to take a moral high ground and accuse others without even get their facts straight. Look at the history of how the native Indians were being treated. Do I need to say more?

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8:55 AM MST on Sun., Mar. 30, 2008 re: "Cal Thomas: Freedom is not a natural state"

Cletus Nze said:
It is difficult to logically justify the assertion that America, as a country, appreciates and values freedom more than any other. This, afterall, is the country were, not too long ago, one of the worst crimes against freedom in the history of mankind was perpetrated. A little humility please!

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12:29 AM MST on Fri., Mar. 28, 2008 re: "Aaron Keith Harris: Obama loses credibility as �uniter�"

Cletus Nze said:
Mama Mia! Mr Aaron Keith Harris thinks Obama actively supports the Reverend Jeremiah Wright despite his public condemnations of what the latter has said - and then he thinks ANY thinking person will regard him as somebody capable of logic? Judging from the polls, the American people clearly understand the position Obama has taken here: Whoever wants to help others does not run away from them or their faults. He condemns their faults, and encourages their abandonment - but seeks to embrace those who bear them! That is the christian way! Clearly, a way of thinking and living that Aaron Keith Harris finds alien. I suppose he expects doctors also to run away from difficult patients - and teachers to abandon all but straight A pupils. And the idea that being black gives anyone ANY sort of advantage in the US - particularly in politics -underlines the fact that Mr. Aaron Keith Harris relies more on gut feeling than what's in his cranium for arriving at his bizarre conclusions.

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12:07 AM MST on Thu., Mar. 27, 2008 re: "Walter E. Williams: Is Obama ready for America?"

Cletus Nze said:
I begin to wonder about some of the people who comment here: On what logical foundation does Mr. W. Williams base his claim that Obama is no Jackie Robinson? On the one hand, he cites Obama's achievements in politics against the odds, similar to Jackie Robinson's in sports; on the other he says that with Obama this proves how good Americans are, not that Obama is a good politician, whereas with Jackie Robinson it proves he was a great sportsman, who succeeded despite Americans being nasty towards him. In the meantime, he wants his readers to accept that racial stereotyping is a given; a part of human nature - perhaps even a good thing! Finally, he wants us to accept that the difficulties being experienced by Blacks today have nothing to do with the past - and purely due to the propensity of Black folks to be more badly behaved than others in America. Well, really! The only "good" thing about this sort of "reasoning" is that it seems to afflict mainly the aged who will sonn exit

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10:55 AM MST on Wed., Mar. 26, 2008 re: "Cal Thomas: Stop replaying race grievances"

Cletus Nze said:
Cal Thomas sounds like an ignoramus when he says forget the grievances of history and not compensate the loss of the victims. Would he also apply this to the Holocaust, for instance? Without adequate compensation of direct AND indirect victims of major atrocities - such as slavery and torture - there can be no resolution of the problems they cause. W