Updated 04:40 pm.EST, Sat November 21, 2009

World|Mon, Jan. 12 2009 03:37 PM EST

AIDS Battle Burnishes Bush's Legacy in Africa

By Associated Press Writer|Clare Nullis

Another promising option would be male circumcision, which can cut transmission by up to 60 percent. But it has so far received little PEPFAR backing because any mass program is thought to be too complex for impoverished countries to undertake.

Most experts agree that prevention means a fundamental change of behavior โ€” fewer sexual partners and mutually faithful relationships. "We are trying to change culture, tradition," says Mandla Ndlovu, project officer for Johns Hopkins Health and Education in South Africa.

"It is not going to be a one-round fight," says Ndlovu, who runs a PEPFAR project to increase AIDS awareness among men in Carltonville, a gold mining town outside Johannesburg where men live in hostels away from their families and there are few pastimes besides alcohol and casual sex.

Bost brims with superlatives about the achievements of PEPFAR in South Africa, and believes Bush will be judged more kindly in history than on Jan. 21.

Dybul, a specialist in infectious diseases whose title is now U.S. Global AIDS Coordinator, concurs.

"It's the largest international health initiative in history for a single disease," he says. "In any other circumstances, he (Bush) would be getting a Nobel prize."

Sweetness Mzolisa, overflowing with energy and enthusiasm, puts it more simply.

"He's got heart," she declares. "He cares about people."

___

Associated Press writers Donna Bryson and Celean Jacobson in South Africa, Rodrick Mukumbira in Namibia and Lewis Mwanangombe in Zambia contributed to this report.

Copyright 2008 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
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  • Wed Feb 11, 2009 7:47 pm Agree: 0   Disagree: 0

    Scarlet Letter: A Christian With AIDS
    The following is a actual letter I sent to a close Christian friend in 1999, immediately after I was diagnosed with HIV. Since then the HIV has progressed on into AIDS.
    http://www.davidbenariel.org/cog/scarlet-letter-christian-aids.htm

  • Mon Jan 19, 2009 8:59 am Agree: 0   Disagree: 0

    John, actually having a same sex partner and being completely committed is fool proof as well :)

  • Thu Jan 15, 2009 1:38 pm Agree: 1   Disagree: 2

    Abstinence, Christian lifestyle, morality, one man--one woman, etc. There may not be a cure but there are plenty of fool proof preventions.

  • Tue Jan 13, 2009 8:40 am Agree: 0   Disagree: 0

    I meant to say "Abstinence while unfashionalbe in America..."

  • Tue Jan 13, 2009 8:39 am Agree: 1   Disagree: 0

    I would agree as a fellow South African working for an non-profit whose programs are funded by PEPFAR. George Bush has done a lot for AIDS in Africa choosing to fund African organisations that provide African solutions to our AIDS problems. It is laughable when people even mention condoms in context of AIDS in Africa. While maybe the under 25's have accepted them they are not an African solution and are not used. Abstinence while maybe un-American is far more acceptable to culture here than condoms which are seen as tools of colonialists to keep African population numbers down. The PEPFAR program has really helped us change AIDS in South Africa

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