Navigation Links
Did 'ABCs' cause Uganda's fall in HIV rates?

The much-publicized "ABC" approach to HIV prevention continues to be mired in controversy, partly because of its focus on abstinence-only sex education programs over condom promotion, a focus that pits political and religious conservatives against their liberal counterparts. Nevertheless, the ABC approach is sometimes credited as being responsible for Uganda's dramatic decline in HIV rates. A provocative debate in PLoS Medicine considers the two sides to the question of whether the ABCs are helpful or harmful in the battle to control the HIV pandemic.

Elaine Murphy and Margaret Green (George Washington University School of Public Health and Health Services) argue that "ABC behaviors were attainable in Uganda" and the promotion of ABC messages was "exceptionally successful." They acknowledge, however, that in some parts of the world women are not empowered to insist on abstinence or fidelity, which leaves them at risk of infection.

Nevertheless, they say, many women in Uganda had little power at the outset of the AIDS epidemic. "Fortunately," say Murphy and Greene, "a 'this could not work here' attitude did not deter Uganda from moving forward to implement its wide-ranging HIV prevention program and adding gender-related elements when it became clear that this strategy was necessary."

In Uganda, they say, policies to advance women's status were part of the ABC strategy. "In the context of Uganda's political leadership, nationwide social mobilization and gender empowerment policies, both women and men benefited and HIV prevalence declined."

Countering Murphy and Greene's viewpoint, Alexandra Mihailovic (University of Toronto) and Peter Olupot-Olupot (Mbale Regional Referral Hospital, Uganda), argue that "by emphasizing abstinence, the ABC approach is political and not evidence-based." Uganda receives funding from the US President's Emergency Plan for Emergency AIDS Relief, which has a major focus on abstinence-driven public health campaigns.

Such campaigns, say Mihailovic and Olupot-Olupot, assume that abstinence will allow young women to focus on going to school, controlling their relationships, and becoming socially empowered. Yet the reality for many young women in Uganda, they say, is that social circumstances drive them into transactional or commercial sex to pay for, among other things, schooling or gaining financial independence from family obligations.

"Encouraging abstinence, while at the same time excluding sexual education and protection against HIV," they say, "puts these girls at great danger of exploitation and ignorance, depriving them of the opportunity to learn the needed tools to approach sexuality in a healthy and informed manner."


'"/>

Source:Public Library of Science


Related biology news :

1. Dysentery uses sword and shield to cause infection
2. Scientists detect probable genetic cause of some Parkinsons disease cases
3. BRCA1 causes ovarian cancer through indirect, biochemical route
4. Scientists decipher genome of fungus that can cause life-threatening infections
5. Researchers discover molecule that causes secondary stroke
6. Molecule that usually protects infection-fighting cells may cause plaque deposits inside arteries
7. NASA study finds snow melt causes large ocean plant blooms
8. Emergence of cancer as major cause of childhood death in developing countries is not being adequately addressed
9. UNC launches study of liver injury caused by drugs
10. First technology to remove prions that cause vCJD from blood launched
11. Norovirus found to cause travelers diarrhea
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/29/2017)... March 29, 2017  higi, the health IT company ... North America , today announced a Series ... acquisition of EveryMove. The new investment and acquisition accelerates ... tools to transform population health activities through the collection ... higi collects and secures data today on ...
(Date:3/24/2017)... The Controller General of Immigration from Maldives Mr. Mohamed Anwar ... the prestigious international IAIR Award for the most innovative high security ePassport ... ... Maldives Immigration Controller General, Mr. ... on the right) have received the IAIR award for the "Most innovative ...
(Date:3/23/2017)... Research and Markets has announced the addition of the ... to 2025" report to their offering. ... The Global Vehicle Anti-Theft System Market ... the next decade to reach approximately $14.21 billion by 2025. ... for all the given segments on global as well as regional ...
Breaking Biology News(10 mins):
(Date:10/10/2017)... PA (PRWEB) , ... October 10, 2017 , ... ... year’s recipients of 13 prestigious awards honoring scientists who have ... presented in a scheduled symposium during Pittcon 2018, the world’s leading conference and ...
(Date:10/9/2017)... ... October 09, 2017 , ... At its national board meeting ... a professor in Harvard University’s Departments of Physics and Astronomy, has been selected for ... of the winning team for the 2015 Breakthrough Prize in Fundamental physics for the ...
(Date:10/7/2017)... ... October 06, 2017 , ... ... consulting for microscopy and surface analysis, Nanoscience Instruments is now expanding into ... a broad range of contract analysis services for advanced applications. Services will ...
(Date:10/6/2017)... ... October 06, 2017 , ... The HealthTech Venture ... sector at their fourth annual Conference where founders, investors, innovative practitioners and collaborators ... ELEVATE pitch competition showcasing early stage digital health and med tech companies. , ...
Breaking Biology Technology: