Ideological blinders have led to millions of preventable AIDS deaths in Africa. Dr. Edward C. Green, former director of the Harvard AIDS Prevention Project, describes how Western AIDS “experts” stubbornly pursued ineffective remedies and sabotaged the most successful AIDS prevention program on that ravaged continent. Drawing on 30 years of conducting research in Africa, Southeast Asia, and other parts of the world in international health, Green offers a set of evidence-based and experience-rich solutions to the AIDS crisis. He calls for new emphasis on promoting sexual fidelity, the only strategy shown by research to work. Controversial but important findings for health researchers, international development specialists, and policy makers.
Table of Contents
1. Gangs, Maroons, and the Egg Taboo
2. The Visitation
Part II Uganda
3. The Twenty-five-cent Solution
4. The Crossroads and the Cul-de-sac
Part III Calamity's Cradle
6. Putting the Bedroom before the Sickroom
7. Ins and Outs of the Castle
Part IV Shifting the Riverbed
10. Policy by Applause
11. Cracking the Error Ediface
12. Chasing the Wild Programs
13. A Bridge to Somewhere?
Abbreviations and Acronyms
About the Author
"Broken Promises combines a remarkable Present at the Creation' perspective with historical and scientific data to tell a riveting story of how AIDS prevention in Africa went so terribly wrong. You may agree or disagree with Green, but you will never be bored. The lessons go beyond AIDS and even foreign aid' to the very process of how consensus is formed in our supposedly modern scientific world."--Norman Hearst, Professor, University of California, San Francisco
"Dr. Edward Green is a pioneer of the approach currently gaining favor for African HIV epidemics: discouraging multiple and concurrent partners and encouraging male circumcision. Broken Promises argues for an approach to AIDS that is more African as well as more evidence based."
--Cedza Diamini, Ubuntu Institute, South Africa
"Condoms used consistently and correctly do work effectively for couples in some countries, but condom marketing in Africa encourages earlier, riskier sex with more partners, increasing AIDS. Broken Promises explains that difficult but very important distinction."
--Nick Danforth, Resident Scholar, Women's Studies Research Center, Brandeis University