ABSTRACT
The low efficacy of attempts to reduce sexual transmission of HIV is basically due to mistakes which have already been globally identified in many countries of the Third World. Decisions regarding public prevention policies have not taken account of the relevant sexual culture, particularly the social and cultural context of sexual decision making. Public prevention measures have not gone beyond providing general information on HIV transmission and have not stimulated the development of skills to ensure protection. The emphasis has been on individual decision making and motivation, based on notions of autonomy and the individual’s sense of responsibility-notions which are not appropriate in many countries (Elias 1991).
