Joan Van Niekerk’s presentation highlighted recent press coverage on several rapes of both children and older persons, which has engendered a sense of shock and horror, both nationally and internationally. Although rape and sexual abuse levels in South Africa have long been among the highest in the world of any country not at war, recent reports have detailed unbelievably cruel and savage acts of sexual and physical torture. As has happened in the past, when the press calls attention to the high levels of sexual assault, there is a flurry of reactive comment and action to deal with the crisis. Sadly, sustained programmes and responses, based on consultation, careful planning and evidence-based programme development remain lacking. Dealing with rape and sexual abuse is a key HIV infection prevention strategy – both in terms of our national Strategic Plan (NSP) on HIV, AIDS, STIs and TB, as well as our commitment to the UN declaration on AIDS.