keeping an eye on the tree and the forest

Dave's Exegesis is my eclectic site of exegesis on pretty much everything I can think of, whether biblical studies, theology, music, movies, culture, food, drink, sports, or the internet.

AIDS in Africa

07.10.06

Here’s another interactivity post:

PBS television, on the Jim Lehrer New Hour, recently aired (6/28/06) an update on the HIV/AIDS epidemic in Uganda. The program highlighted Uganda as one example of the recent increase in United States funding for AIDS across Sub-Saharan Africa. Those who have followed the global plight of AIDS recall that while other African nations were in denial during the 1980′s Uganda tackled the disease head on with an agressive and comprehensive information and treatment campaign. The basic message is follow the ABC’s, namely:

1. Abstinence
2. Be Faithful
3. Condom

The program has been lauded as the most successful in Africa and served as a model for other nations. The United States has increased its funding for this program, while appealing to the Ugandan government for more emphais to be placed on Abstinence and less on Condom use. Many faith-based groups in Uganda have changed the “C” from condom to CHANGE COMPANY. The program stated that the U.S. is stipulating 1/3 of the finances to be used for abstinence education. Critics say this may be detracting funds from purchasing more anti-viral drugs for those currently infected. To date, there are over 1 million who have contracted the disease and only 30,000 have access to the approprate drug treatments.

Questions:
From a Christian ethical perspective, knowing that some are suffering and dying, is it right to focus funding on abstinence over medical treatment? As evangelicals can we expect abstinence to take root within an uncoverted heart? Should abstinence education over condom distribution be the appropriate plan when dealing with the health of a nation? Some marriages have one spouse who is infected and the other healthy, should abstinence be the message or condom use or another alternative?

This is a phenomenal question and is extremely relevant to the greatest epidemic of our age. First I will say, regardless of the situation, for Christians to expect abstinence to be a ligitimate “approach” toward sex education among non-christians is just out-right foolishness. I don’t say that because I think we should be fornicators, but I think that it is not our place to impose the Law of God upon people and expect that they will be able to fullfil it apart from a regenerative work of the Spirit of God. At best it’s legalism, at worst it does not help the problem. We are having a hard time enough having Christians remain abstinent before marriage. Of course, the problem in Africa with AIDS is that even people who are married and faithful (mostly wives) as well as celibate and abstinent (children) are the greatest victims. AIDS and HIV have worked there way into the family structure in African countries and the most effective strategies to fight against the spread of these diseases are education, medical research, and condom distribution. Even if there wasn’t a single case spread after this year, we would still have to deal with the millions who are ineffected right now, which would lead me to believe that the priority needs to be not on education about abstinence, but medical research and the distribution of common medicines that most people have no access to in Uganda or the rest of Africa.

Maybe I’m just dense, but I’m still trying to figure how much money you need in order to tell people not to have sex. If people are aware of what kind of problem there is with AIDS and how it is contracted, then it seems to me that people would want to take the necessary precautions in order to prevent it. Thus, general education about AIDS/HIV should be the best preventative measure. The information available at DATA’s website (http://www.data.org/) and the One Campaign (http://www.one.org/) offer the best info I have seen on this subject.

2 comments so far

This issue is so huge, so complex that no answer will suffice on a blog. Nevertheless, I will make a couple of comments in response.

While getting antiviral drugs to infected persons is critical, this only deals with the symptoms not the source of HIV/AIDS. In other words, if monies are dedicated to healing current HIV carriers AS WELL AS preventing more carriers (abstinence and condoms) present and future people and generations can be spared the life-taking effects of AIDS.

As for the ethics of promoting abstinence, this is not just a “biblical” position; it is a widely held moral postion, affirmed by many religions. Just think about this…what if everyone in the world agreed to only have sex within the confines of marriage, commitment to one person, that person being thier spouse of the opposite sex. Think of all the psychological, physical, emotional, and social damage that could be prevented = sodomy, rape, incest, homosexuality, step moms and dads, many abortions, etc. THis is just a moral argument based on abstinence and is not imposting Christian law, but moral sense. It appeals to a natural moral law that promotes the good of society and the stability of families. So yes, promote abstinence and do well.

Excellent Jonathan, yes, treatment and prevention go hand-in-hand in fighting these diseases, no doubt. And yes, there are many religions that believe in abstinence, so to use a moral approach that it is for the good of a society is certainly valid. I guess what I am assuming, which I did not make as clear in my comments is that most cases of AIDS/HIV transpire as men sleep with prostitutes and they bring that back to the family. This is why I said the victims are wives and children who happen to be recipients even though they may be faithful or abstinent. The heinous slave trade and prostitution that is so part of the culture in Africa is crippling the nation by serving up these diseases and degrading their moral fibers. Thus, abstinence for those infected is critical for those not married and condoms absolutely necessary for those who are married. I guess what I was saying, is that if you wanted to prioritize things financially, I would say education and medicine should be on the top of the list because I think they lay the ground work for abstinence awareness and condom use.



Leave a comment
Line and paragraph breaks automatic, e-mail address never displayed, approval may be required for first time posters, HTML allowed: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

(required)

(required but not displayed)