TY - JOUR
T1 - Uganda AIDS prevention
T2 - A,B,C and politics
AU - Blum, Robert W.
N1 - Funding Information:
As attention to abstinence-based approaches has increased, so too has attention turned globally to models of HIV/AIDS prevention where abstinence is a core component of the intervention. Perhaps the most celebrated example of such an approach is in Uganda, which recently has undergone a tremendous amount of scrutiny, both within the United States and by the international community [2] . The present brief report summarizes the evidence for the Uganda experience and is based upon both available data and personal observations. Specifically, in December 2002, the Institute for Youth Development (IYD), a nongovernmental organization based in Herndon, Virginia, sponsored a delegation to Uganda in cooperation with the Department of Health and Human Services, led by Deputy Secretary Claude Allen and supported by Shepherd Smith, IYD's President. IYD developed an abstinence-based program, Right Choices for Youth, in the mid-1990s; a program adopted in Virginia when Secretary Allen was Commissioner of Health. I participated as one of eight members of this public/private delegation comprised of two researchers, a philanthropist, a representative of the United States Agency for International Development (USAID), the Director of the United States Ryan White program, the Deputy Secretary of DHHS, and the President and Vice President of IYD. Data presented here are based upon information shared at that visit as well as the published literature.
PY - 2004/5
Y1 - 2004/5
N2 - Uganda is one of the few countries in the world that has experienced a significant reduction in Human Immunodeficiency Virus (HIV) prevalence over the past decade. In contrast to many of its neighbors, Uganda has had an explicit national policy that includes: Abstinence, Be faithful, and Condoms. This strategy, known as "A,B,C," has garnered wide attention in the United States as the efficacy of abstinence-based sex education is debated. This commentary is based on published and unpublished data together with personal observations derived from a Department of Health and Human Services (DHHS)-led delegation to Uganda in December 2002. The empirical bases for both an abstinence-only and a combined (A,B,C) strategy is reviewed; and the political consequences of the debate for both Africa and the United States are explored.
AB - Uganda is one of the few countries in the world that has experienced a significant reduction in Human Immunodeficiency Virus (HIV) prevalence over the past decade. In contrast to many of its neighbors, Uganda has had an explicit national policy that includes: Abstinence, Be faithful, and Condoms. This strategy, known as "A,B,C," has garnered wide attention in the United States as the efficacy of abstinence-based sex education is debated. This commentary is based on published and unpublished data together with personal observations derived from a Department of Health and Human Services (DHHS)-led delegation to Uganda in December 2002. The empirical bases for both an abstinence-only and a combined (A,B,C) strategy is reviewed; and the political consequences of the debate for both Africa and the United States are explored.
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U2 - 10.1016/S1054-139X(03)00543-3
DO - 10.1016/S1054-139X(03)00543-3
M3 - Review article
C2 - 15093799
AN - SCOPUS:1942452733
SN - 1054-139X
VL - 34
SP - 428
EP - 432
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 5
ER -