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BMJ 2005;331:715 (1 October), doi:10.1136/bmj.331.7519.715
Ozge Tuncalp
Connecticut
| The first 150 words of the full text of this article appear below. |
The United Nations' special envoy for HIV and AIDS in Africa, Stephen Lewis, has accused the United States of bowing to pressure from religious groups and promoting abstinence only programmes in Uganda to prevent HIV infection.
Uganda has been one of Africa's success stories in terms of HIV prevention. The rate of transmission of HIV declined from 15% a year in 1991 to 5% in 2001. One of the generally accepted reasons for the success has been President Yoweri Museveni's acknowledgment of the epidemic as a serious problem. Unlike many other African leaders President Museveni has called for a nationwide fight against HIV and AIDS and has allowed non-governmental organisations to embrace the "ABC" approach (abstinence, be faithful, condoms) to reduce infection rates.
However, Mr Lewis's remarks, made at a press conference at the end of August, have raised concerns about recent changes to prevention programmes in Uganda.
Mr Lewis
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