In the April 15 Lancet an editorial focuses on the US AIDS/HIV prevention package, PEPFAR, provided through the WHO. PEPFAR hopes to secure US$15 billion in funding between 2004 and 2008. 15 countries that are especially badly affected by HIV will receive $9 billion between them: 12 countries from Africa, plus Guyana, Haiti, and Vietnam. PEPFAR will also spend $5 billion on ongoing bilateral programmes in 105 other countries and will donate $1 billion to the Global Fund to fight AIDS, TB and Malaria.
The cornerstone of PEPFAR's prevention strategy is the ABC approach—Abstain, Be faithful, use Condoms—with a strong emphasis on A and B, over C, in most settings.
Because of ambiguity on what is high risk and who can use a condom in this package the editorial, correctly in my opinion, suggest a reversal to CAB. US morality should not be used to bludgeon other countries, that Condoms are still the best protection in most parts of the world.

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