Ignorance in the time of AIDS: what we do, and do not know about the ABC message in Uganda
Master Thesis
2010
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University of Cape Town
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Abstract
The reduction of the HIV prevalence rate in Uganda during the early 1990s is often attributed to the introduction of an ABC policy. The Ugandan government is thought to have maintained a consistent message that suggested behaviour change in response to the HIV epidemic - encouraging citizens to Abstain, Be faithful, and/or use Condoms. It is thought that such a policy provides individuals with behavioural 'options', allowing them to choose a manner of protecting themselves against HIV infection. Although often used as an example of a successful social policy, many questions regarding the case are still unanswered. This dissertation establishes what is and is not known about the decline in prevalence in Uganda, as well as the role played by the ABC policy in that decline. The dissertation takes the form of a literature survey using key terms relating to the case. The ABC concept and the issues relevant to its implementation are initially discussed on an abstract level. The dissertation then turns to the implementation of the ABC policy in Uganda and the alleged success thereof. Three key topics are discussed in relation to the case: 1) the available statistical evidence pertaining to HIV/AIDS rates, 2) the available statistical evidence of behaviour change in Uganda, and 3) the national policy employed by the Ugandan government during the past three decades. The ideological debate surrounding the current Ugandan policy is also discussed. From the analysis of the available literature on the ABC policy and the Ugandan case, it becomes evident that certain things are known about the topic while others are not. The literature shows that a decline in prevalence did indeed take place, but that the extent and timing of this decline are unclear. The literature also shows that prevention messages in the country did suggest a change in behaviour in response to the threat of HIV, but that the content of these messages was not consistent on a national level. 6 Most importantly, the literature does not support a clear link between the implementation of an ABC policy and behaviour change in Uganda, nor does it clearly support a link between an ABC policy and a decline in HIV prevalence. Further research on the effectiveness and potential negative impact of the ABC concept is necessary before it is widely implemented in other countries.
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Mauchline, K. 2010. Ignorance in the time of AIDS: what we do, and do not know about the ABC message in Uganda. University of Cape Town.