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Rethinking AIDS Prevention - Learning from Successes in Developing Countries (Hardcover, New)
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Rethinking AIDS Prevention - Learning from Successes in Developing Countries (Hardcover, New)
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This is not another book about how AIDS is out of control in Africa
and Third World nations, or one complaining about the inadequacy of
secured funds to fight the pandemic. The author looks objectively
at countries that have succeeded in reducing HIV infection
rates...along with a worrisome flip side to the progress. The
largely medical solutions funded by major donors have had little
impact in Africa, the continent hardest hit by AIDS. Instead,
relatively simple, low-cost behavioral change programs--stressing
increased monogamy and delayed sexual activity for young
people--have made the greatest headway in fighting or preventing
the disease's spread. Ugandans pioneered these simple, sustainable
interventions and achieved significant results. As National Review
journalist Rod Dreher put it, "Rather than pay for clinics, gadgets
and medical procedures--especially in the important earlier years
of its response to the epidemic--Uganda mobilized human resources."
In a New York Times interview, Green cited evidence that "partner
reduction," promoted as mutual faithfulness, is the single most
effective way of reducing the spread of AIDS. That deceptively
simple solution is not merely about medical advances or condom use.
It is about the ABC model: Abstain, Be faithful, and use Condoms if
A and B are impossible. Yet deeply rooted Western biases have
obstructed the effectiveness of AIDS prevention. Many Western
scientists have attacked the ABC approach as impossible and
moralistic. Some Western activists and HIV carriers have been
outraged, thinking the approach passes moral judgment on their
behaviors. But there is also a troubling suspicion among a growing
number of scientists who support theABC model that certain
opponents may simply be AIDS profiteers, more interested in
protecting their incomes than battling the disease. This book is a
bellwether in the escalating controversy, offering persuasive
evidence in support of the ABC approach and exposing the fallacies
and motivations of its opponents.
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