That's why they don't have an industry there. But any western manufacturer could go to some lightly-regulated place, start handing out Better Condoms (tm) like candy, and then point to major improvements in user satisfaction, disease transmission rates, and so on in order to create pressure for a more careful evaluation in other markets like the US or EU.

Think back to news you've read about the deployment of improved mosquito netting and the like, which is tried out in Africa because that's where the greatest need exists.