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Your Responses: AIDS in Uganda

Part Two of 'Meanwhile, What about the Women and Children?'

Thanks to Kamilla for writing, "I'm curious as to why the success of Uganda in battling HIV/AIDS isn't even mentioned?" in response to my post "Meanwhile, What about the Women and Children?" An important question. The Ugandan situation is complex, and I thought I couldn't do it justice in a short post on the dilemma of Africa's women and children. But you are right: it should be mentioned.

The initial success of the ABC (Abstain, Be faithful, use Condoms) program in Uganda was dramatic, with the HIV prevalence rate dropping from 15 percent in 1991 to 5 percent in 2000. (See Avert's lengthy analysis here.) I completely agree with Edward C. Green's statement that "condoms have not worked as a primary intervention in the population-wide epidemics of Africa" (emphasis mine) - the primary approach must be based on abstinence and fidelity, because the epidemic in Africa spreads through a vast web of "ongoing multiple concurrent sex partnerships."

However, I also agree with Green's statement that ...

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