GAO Criticizes Bush's AIDS PlanAbstinence-and-Fidelity Provision Sowing Confusion, Report Says
By David Brown
Washington Post Staff Writer
Wednesday, April 5, 2006; Page A03
The requirement that a large fraction of President Bush's global AIDS plan go to promote abstinence and fidelity is causing confusion in many countries and in a few is eroding other prevention efforts, including ones to reduce mother-to-child transmission of the virus.
Those are among the chief conclusions of an 87-page report by the Government Accountability Office that examined the most controversial aspect of the giant AIDS plan, budgeted at $15 billion over five years.
The survey of U.S.-funded programs in 20 countries -- 15 of them the focus of the President's Emergency Plan for AIDS Relief (PEPFAR) -- found widespread support for the "ABC" strategy that encourages abstinence until marriage, being faithful thereafter and using condoms in high-risk sexual encounters.
At the same time, the document paints a picture of worried program managers trying to juggle the demands of both their local populations and the U.S. Congress, seeking to craft comprehensive prevention messages while simultaneously keeping account books that strictly record spending on the abstinence effort.
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