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Abstinence Promotion under PEPFAR: The Shifting Focus of HIV Prevention for Youth

Citation

Santelli, John S.; Speizer, Ilene S.; & Edelstein, Zoe R. (2013). Abstinence Promotion under PEPFAR: The Shifting Focus of HIV Prevention for Youth. Global Public Health, 8(1), 1-12. PMCID: PMC3984004

Abstract

Abstinence-until-marriage (AUM) - strongly supported by religious conservatives in the USA - became a key element of initial human immunodeficiency virus (HIV) prevention efforts under the President's Emergency Plan for AIDS Relief (PEPFAR). AUM programmes have demonstrated limited efficacy in changing behaviours, promoted medically inaccurate information and withheld life-saving information about risk reduction. A focus on AUM also undermined national efforts in Africa to create integrated youth HIV prevention programmes. PEPFAR prevention efforts after 2008 shifted to science-based programming, however, vestiges of AUM remain. Primary prevention programmes within PEPFAR are essential and nations must be able to design HIV prevention based on local needs and prevention science.

URL

http://dx.doi.org/10.1080/17441692.2012.759609

Reference Type

Journal Article

Year Published

2013

Journal Title

Global Public Health

Author(s)

Santelli, John S.
Speizer, Ilene S.
Edelstein, Zoe R.

PMCID

PMC3984004