1. The Debate between ABC and CNN, - a few thoughts. David KABISWA 13 th January 2005

2. ACET (U) International Conference, Jan 2005 2 Overview Definitions: ABC – Abstinence, Be faithful, Condom use CNN – Condoms, Needles and Negotiation Bangkok Conference Held July 2004, There was a lot of debate about the ABC, animosity towards it Propagation of a number of things that shall have a lot implications on the future of HIV/AIDS support Linkages between ABC Model, A, anti rights

3. ACET (U) International Conference, Jan 2005 3 Uganda: Origins of ABC In 1993, AIDS graph was produced Pattern: AIDS cases from age 0-5, Gap between age 5-12; Resumption of cases 12-49+ Sex distribution revealed girls between 12-19 years were 6 times at risk than their male counter parts Graph revealed that sex was occurring among Young people, a fact that many adults did not want to believe /accept. Reasons for early sex, and related risk not entirely known

4. ACET (U) International Conference, Jan 2005 4 Uganda AIDS trend, 1993 0 5 12 15 19 24 29 Window of Hope # Age

5. ACET (U) International Conference, Jan 2005 5 Uganda’s options – (1) Abstinence 0 5 12 15 19 Window of Hope # Age

6. ACET (U) International Conference, Jan 2005 6 Uganda’s options – (2) Faithfulness, condoms 0 5 12 15 19 Window of Hope # Age Graph shifts horizontally Old curve New curve

7. ACET (U) International Conference, Jan 2005 7 Public Health Common sense.. Applied?? MeaningMalariaHIV/AIDSCNN A Avoid contact Avoid Malaria zone Abstinence B Reduce exposure Sleep under a net Fidelity (Zero grazing) Negotiation C Eliminate efficacy of vector Use of Anti Malarial drugs Reduction (Protection) Condoms, Needles ???

8. ACET (U) International Conference, Jan 2005 8 A few indicators?? MeaningScienceChurch A Abstinence Raise the age at 1 st sexual contact Abstinence (till marriage) B Fidelity (Zero grazing) Decrease the number of sexual partners Faithfulness within marriage C Reduction (Protection) Use condomsCondoms in the context of marriage

9. ACET (U) International Conference, Jan 2005 9 CNN Vs ABC.. How to handle it The battle against the A, B appears to reveal that there is limited understanding of the scientific soundness of the model; Is the failure to articulate the model by the proponents of A, B part of the problem? Do Pastors and preachers know the ambits of A, B What practical programmes can promote A, B What support mechanisms can be put in place Calls for talking about sexuality, with reverence and yet with the ‘uncomfortable’ detail.

10. ACET (U) International Conference, Jan 2005 10 Recommendations – a few options Let us be as wise as serpents and as harmless as doves = = wisdom. 1.Packaging of the message 2.Measurement (demonstration of success) 3.Persecution Complex (ensure high quality before crying foul play). Be use persecution is persecution eliminate factors of doubt. 4.Stick to the tried and tested. A, B and C