Abstinence doing well

Catholic Relief Services. It was awarded $6.2 million to teach abstinence and fidelity in three countries; $335 million in a consortium providing antiretroviral treatment; and $9 million to help orphans and children affected by HIV/AIDs. The group offers "complete and correct information about condoms" but will not promote, purchase or distribute them, said Carl Stecker, senior program director for HIV/AIDS.

World Relief, founded by the National Association of Evangelicals. It won $9.7 million for abstinence work in four countries.

For prevention, Bush embraces the "ABC" strategy: abstinence before marriage, being faithful to one partner and condoms targeted for high-risk activity. The Republican-led Congress mandated that one-third of prevention money be reserved for abstinence and fidelity.

"This drive for abstinence is putting a lot of pressure on girls to get married earlier," said Dr. Abeja Apunyo, the Uganda representative for Pathfinder International, a reproductive health nonprofit group based in Massachusetts.

"For years now we have been trying to tell our daughters that they should finish their education and train in a profession before they get married. Otherwise they have few options if they find themselves separated from their husbands for some reason," Apunyo said.
An AIDS program pastor in Uganda explained his abstinence teaching to unmarried young people.

"Why give an alternative and have them take a risk?" asked the Rev. Sam Lawrence Ruteikara of the Anglican Church of Uganda, a U.S. grant recipient. "This person doesn't have a sexual partner, so why should I report too much, saying that in case you get a sexual partner, please use a condom. I am saying, please don't get a sexual partner — don't get involved because it is risky."

U.S.-backed programs have spread abstinence and faithfulness education to more than 13 million people in Uganda, according to the State Department. Officials promote the nation as an "ABC" model, with its HIV infection rate down by more than half in a decade.

Rep. Chris Smith, R-N.J., said that on a tour of Uganda in January he saw pro-abstinence rallies and skits praising Bush, and U.S.-supported groups conducting house-to-house testing, care and counseling.

"The good news about the faith-based groups is not only the passion they bring to the work, but it is the moral authority and the extended numbers of volunteers they can mobilize to get the word out," Smith said.