Sexual Exchange: Understanding Pre-marital Heterosexual Relationships in Urban Ghana
A review of the pre-and post-AIDS literature on sexual life in Africa reveals numerous research approaches and interpretations which are basically western in the implicit assumptions they make, and which are therefore unlikely to enhance the effectiveness of HIV-related intervention strategies. There is a pressing need for research into sexual behaviour in particular cultural contexts to provide some understanding of the prevailing sexual life so as to contribute towards the development of potentially effective HIV prevention strategies. There were 145 cases of AIDS in Ghana by February 1988. The number had increased to 590 in April 1989, with 85 per cent of reported cases being females. As at 1 January 1993 there were 8345 reported HIV seropositives out of which 67 per cent were women (Ministry of Health, 1993).