Prostitution for economic gain is high among universities students; female hostels and residential areas for students are hot spots for "sugar daddies" who come to exchange money for sex. In Cameroon, economic hardship lead many young women to use sexual relations for economic support, despite high levels of HIV/AIDS (Meeker and Calves, 1997; Nsagha, 2003).

Economic hardship and dependence make many girls not to refuse unprotected sex, they cannot negotiate safe sex, neither can they refuse it. This leads many young people to be engaged in casual sex with people they do not know simply because of money.

In churches and mosques, materials for HIV/AIDS prevention are lacking. The clergy may lack the necessary training to give good sermons with a focus on HIV/AIDS prevention, care and mitigation and other STIs.