HIV/AIDS policy in Africa: what has worked in Uganda and what has failed in Botswana?
HIV/AIDS policy in Africa: what has worked in Uganda and what has failed in Botswana?
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DOI：
10.1002/jid.1168
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发表时间：
2004-01-01
影响因子：
1.4
通讯作者：
Heald, S.
中科院分区：
文献类型：
--
作者：
Allen, T.;Heald, S.
对博茨瓦纳和乌干达的艾滋病毒/艾滋病政策作一比较就很有启发性。它有助于突出强调应对非洲大流行病所需的政策种类，在非洲，这一流行病已经是一场公共卫生灾难。有人认为，在博茨瓦纳，早期推广避孕套证明是适得其反的，而在1980年代和1990年代初没有推广避孕套有助于乌干达的行为改变战略取得相对成功。其他重要因素包括国家和地方一级的领导、宗教团体和当地治疗师的参与（或疏远），以及最有争议的社会遵守程序。最后，我们呼吁采取比目前设想的更为严厉的措施。
A comparison of HIV/AIDS policies in Botswana and Uganda is revealing. It helps to highlight the kinds of policies that are necessary to come to terms with the pandemic in Africa, where it is already a public health disaster. It is argued that the promotion of condoms at an early stage proved to be counter-productive in Botswana, whereas the lack of condom promotion during the 1980s and early 1990s contributed to the relative success of behaviour change strategies in Uganda. Other important factors included national and local-level leadership, the engagement (or alienation) of religious groups and local healers and, most controversially, procedures of social compliance. We end with a call for more draconian measures than are currently envisaged.