BMJ 1994;308:789 (19 March)

Letters

HIV infection in Uganda

EDITOR, - In the Rakai district of Uganda, Maria J Wawer and colleagues have shown that, despite universal knowledge of AIDS, extensive education, and programmes for distributing condoms, the incidence of HIV infection remains high.1 The failure of such programmes to curb the epidemic may not be unique to Rakai, given that HIV continues to spread in many parts of Africa where prevention programmes exist.2 Rather than intensifying programmes,1 however, we must ask why the necessary behavioural change has not occurred. We therefore conducted in depth interviews about the context in which people have sex. We drew our sample - 17 key informants from three villages in Rakai and 31 female prostitutes and 44 other residents from Kimwanyi, a poor neighbourhood of Kampala - from those used in two unpublished studies that required representativeness of the population.

Preliminary analysis suggests the importance of three themes. Firstly, despite knowledge that a . . . [Full text of this article]


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Relevant Article

Incidence of HIV-1 infection in a rural region of Uganda
M J Wawer, N K Sewankambo, S Berkley, D Serwadda, S D Musgrave, H R Gray, M Musagara, Y R Stallings, and K J Konde-Lule
BMJ 1994 308: 171-173. [Abstract] [Full Text]

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