Common myths, fear of social reprisal and old traditions inhibit much of the populations from using condoms (Dossier, 2005). Condoms are seen by many in Africa as the white mans means of keeping the black population down (Dossier, 2005). If condoms are requested in personal sex situations it is seen as a violation of trust and intimacy. In brothels the lure of financial gain and fear of client refusal, added of course to the ever-present fear of physical abuse from clients, are the primary reasons for not using condoms (Health Transition Centre, 2004). Success of these measures could be seen within two years, with STD rates in brothels falling steeply, and HIV prevalence among army recruits declined by two thirds (Health Transition Centre, 2004).Nudging government along, complementing and sometimes substituting for official programmes, have been efforts by mission hospitals, churches, NGOs, community-based organisations and concerned individuals. This response has reflected a genuine outpouring of compassion and concern for fellow human beings as well as an attempt to channel anxiety in productive ways and gain some control over an unwelcome and frightening threat to well-being. The dynamics of these non-official or non-governmental responses bear some resemblance to those which occurred in North America and Europe during this same period.In the African context, however, community action was not so much a consequence of the vacuum left by governments, initially unwilling to acknowledge the threat of the crisis and to come to the aid of a section of the population already stigmatised by what some regarded as aberrant sexuality. There was considerable denial among. Aids in Africa: Demographic Transition.
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