Rural people used condoms less consistently. This may be related to supply and access problems, and there is evidence of this in a number of rural communities. The South African Health Review 2000 shows high levels of availability of condoms in all provinces (fixed clinic waiting rooms, 87%; rural clinics, 85%). However, in some communities there are problems related to lack of confidential, non-judgemental access to condoms. This is an important factor that considerably limits condom access by young people. Also, contrary to the above review, there are many rural areas of the country where condoms are unavailable. It seems wise to think that the actual condom use rates are indeed much lower than estimated.