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
Source:Public Library of Science