Was the "ABC" approach (abstinence, being faithful, using condoms) responsible for Uganda's decline in HIV?

<h4>Background to the debate</h4>Uganda is one of the few African countries where rates of HIV infection have fallen, from about 15 percent in the early 1990s to about five percent in 2001. At the end of 2005, UNAIDS estimated that 6.7 percent of adults were infected with the virus. The...

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Main Authors: Elaine M Murphy, Margaret E Greene, Alexandra Mihailovic, Peter Olupot-Olupot
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2006-09-01
Series:PLoS Medicine
Online Access:https://doi.org/10.1371/journal.pmed.0030379
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author Elaine M Murphy
Margaret E Greene
Alexandra Mihailovic
Peter Olupot-Olupot
author_facet Elaine M Murphy
Margaret E Greene
Alexandra Mihailovic
Peter Olupot-Olupot
author_sort Elaine M Murphy
collection DOAJ
description <h4>Background to the debate</h4>Uganda is one of the few African countries where rates of HIV infection have fallen, from about 15 percent in the early 1990s to about five percent in 2001. At the end of 2005, UNAIDS estimated that 6.7 percent of adults were infected with the virus. The reasons behind Uganda's success have been intensely studied in the hope that other countries can emulate the strategies that worked. Some researchers credit the success to the Ugandan government's promotion of "ABC behaviors"--particularly abstinence and fidelity. Uganda receives funds from the United States President's Emergency Plan for AIDS Relief, which promotes the ABC approach with a focus on abstinence-driven public health campaigns. Other researchers question whether the ABC approach was really responsible for the decline in HIV infection. Critics of the ABC approach also argue that by emphasizing abstinence over condom use, the approach leaves women at risk of infection, because in many parts of the world women are not empowered to insist on abstinence or fidelity.
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spelling doaj.art-e03482b0a52b4ad6b9a69f66922c2ab12022-12-21T19:59:03ZengPublic Library of Science (PLoS)PLoS Medicine1549-12771549-16762006-09-0139e37910.1371/journal.pmed.0030379Was the "ABC" approach (abstinence, being faithful, using condoms) responsible for Uganda's decline in HIV?Elaine M MurphyMargaret E GreeneAlexandra MihailovicPeter Olupot-Olupot<h4>Background to the debate</h4>Uganda is one of the few African countries where rates of HIV infection have fallen, from about 15 percent in the early 1990s to about five percent in 2001. At the end of 2005, UNAIDS estimated that 6.7 percent of adults were infected with the virus. The reasons behind Uganda's success have been intensely studied in the hope that other countries can emulate the strategies that worked. Some researchers credit the success to the Ugandan government's promotion of "ABC behaviors"--particularly abstinence and fidelity. Uganda receives funds from the United States President's Emergency Plan for AIDS Relief, which promotes the ABC approach with a focus on abstinence-driven public health campaigns. Other researchers question whether the ABC approach was really responsible for the decline in HIV infection. Critics of the ABC approach also argue that by emphasizing abstinence over condom use, the approach leaves women at risk of infection, because in many parts of the world women are not empowered to insist on abstinence or fidelity.https://doi.org/10.1371/journal.pmed.0030379
spellingShingle Elaine M Murphy
Margaret E Greene
Alexandra Mihailovic
Peter Olupot-Olupot
Was the "ABC" approach (abstinence, being faithful, using condoms) responsible for Uganda's decline in HIV?
PLoS Medicine
title Was the "ABC" approach (abstinence, being faithful, using condoms) responsible for Uganda's decline in HIV?
title_full Was the "ABC" approach (abstinence, being faithful, using condoms) responsible for Uganda's decline in HIV?
title_fullStr Was the "ABC" approach (abstinence, being faithful, using condoms) responsible for Uganda's decline in HIV?
title_full_unstemmed Was the "ABC" approach (abstinence, being faithful, using condoms) responsible for Uganda's decline in HIV?
title_short Was the "ABC" approach (abstinence, being faithful, using condoms) responsible for Uganda's decline in HIV?
title_sort was the abc approach abstinence being faithful using condoms responsible for uganda s decline in hiv
url https://doi.org/10.1371/journal.pmed.0030379
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