ABSTRACT

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.

chapter |9 pages

Introduction

chapter 2|18 pages

Sex, Culture, and Disease

chapter 3|13 pages

How the Global AIDS Response Went Wrong

chapter 7|14 pages

Primary Behavior Change and HIV Decline

chapter 8|9 pages

HIV Prevention and Structural Factors

chapter 9|35 pages

Gender, Marriage, and HIV

chapter 10|17 pages

An Endogenous Response to AIDS

chapter 11|13 pages

Where to from Here?