AIDS, Behavior, and Culture presents a bold challenge to the prevailing wisdom of "the global AIDS industry" and offers an alternative framework for understanding what works in HIV prevention. Arguing for a behavior-based approach, Green and Ruark make the case that the most effective programs are those that encourage fundamental behavioral changes such as abstinence, delay of sex, faithfulness, and cessation of injection drug use. Successful programs are locally based, low cost, low tech, innovative, and built on existing cultural structures. In contrast, they argue that anthropologists and public health practitioners focus on counseling, testing, condoms, and treatment, and impose their Western values, culture, and political ideologies in an attempt to "liberate" non-Western people from sexual repression and homophobia. This provocative book is essential reading for anyone working in HIV/AIDS prevention, and a stimulating introduction to the key controversies and approaches in global health and medical anthropology for students and general readers.
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Edward C. Green is currently Director of the New Paradigm Fund in Washington DC and an Associate at the Johns Hopkins University. He was formerly a senior research scientist at the Harvard School of Public Health (2002-2010) and Director of the AIDS Prevention Research Project at the Harvard Center for Population and Development Studies. He is the author of numerous books, edited volumes, and academic articles, including the seminal Rethinking AIDS Prevention: Learning from Successes in Developing Countries (Praeger, 2003). He has also published books and articles about indigenous knowledge and behaviors related to medicine and healing. Ms. Ruark is co-author, with Edward C. Green, of The ABC Approach to Preventing the Sexual Transmission of HIV: Common Questions and Answers (2007), a monograph that is being used by numerous non-governmental organizations and by the United States Agency for International Development.
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