After all we are circumcised and at least protected against HIV and AIDS (Opija,married, in-depth interview respondent, 29 years old).

Recent research among circumcised fishermen along Lake Victoria also indi-
cated that some circumcised fishermen along Lake Victoria associated
VMMC with the belief that it acted as a perfect protection therefore,
condom use or other protective measures were no longer necessary

Conclusion
Fishing communities have been recognized as a key population
at higher risk particularly in Sub-Saharan Africa. In this study, cir-
cumcised fishermen described the nature and context of their sexu-
al behaviour which compromised their ability to practice safer sex.
Sex in the bush clearly facilitates the spread of HIV in the fishing
communities. The study has also confirmed that HIV vulnerability
among circumcised fishermen was also driven by high mobility and
migration, transactional sex and gendered power imbalances. As such
there should be an effective behaviour change communication target-
ing fishermen post-VMMC. Beyond effective behaviour change com-
munication, including information about the dangers of HIV/AIDS,
the lack of protection following circumcision and the importance of
safe sex and condom use, fishermen should be provided with general
education and empowering information on diversification of income
generating activities during seasons of low fish catches.
Acknowledgement