More women than men are turning up for voluntary HIV testing and counselling in the county.
Health personnel in the county have revealed that 70 per cent of those who turn up for testing are women.
Speaking during a health stakeholders' meeting, Narok North Sub-County Medical Officer of Health (MoH) Sarah Okebe said cultural practices in Narok, such as polygamy, are contributing to the spread of HIV.
"Unfortunately, men who could be spreading the disease from one partner to the other continue to bury their heads in the sand," Dr Okebe said.
The health officials urged men to turn up in large numbers for HIV and Aids voluntary testing to help stem the spread of the disease.
Women who go for counselling and testing, the meeting heard, do so secretly for fear of being reprimanded by their husbands.
This in turn, affects the response of these patients to various services such as anti-retroviral therapy and other treatments that can prevent transmission of the virus from mother to child.
The officials said that more strategies need to be put in place to ensure that more men go for HIV and Aids counselling, and testing.
"Men are the decision makers in the society and if they are not involved in the HIV prevention and care, this could erode the gains already made in stemming the spread of the virus," Okebe said.
They also voiced concern over rise in cases of sexually transmitted infections and abortions among students.