WaPo: Abstinence, Shown Working, 'Controversial' Anti-AIDS Tool

Photo of Tom Blumer.
By Tom Blumer | April 3, 2008 - 10:01 ET

On the House floor, yesterday, Rep. Chris Smith (R-NJ) relayed this news, as reported by the Catholic News Agency (CNA):

"No generalized HIV epidemic has ever been rolled back by a prevention strategy primarily based on condoms.”

No major Old Media outlet has, as far as I can tell, reported Smith's relay of that powerful finding.

But the Washington Post's David Brown did find space in his coverage of the 2008 bill that would renew the President’s Emergency Plan for AIDS Relief (PEPFAR) to call abstinence initiatives "controversial."

Here is the relevant text from CNA (bolds are mine):

Story Continues Below Ad ↓

.... the congressman said recent reports showed the effectiveness of African HIV/AIDS prevention program based on promoting positive behavioral change.

“Five years after PEPFAR first began, the efficacy and importance of promoting abstinence and ‘be faithful’ initiatives have been demonstrated. The evidence is compelling,” Smith said.

PEPFAR, he said, relies on the ABC model, which stands for “Abstain, Be faithful, use Condoms.” Smith cited comments about PEPFAR from the U.S. State Department, USAID, and the Department of Health and Human Services that said the ABC model “is now recognized as the most effective strategy to prevent HIV in generalized epidemics… The legislation’s emphasis on ‘AB’ activities has been an important factor in the fundamental and needed shift in USG (Unitied States Global) prevention strategy from a primarily ‘C’ approach prior to PEPFAR to the balanced ABC strategy.”

Rep. Smith added that a “growing body of data” validates the behavioral changes encouraged by ABC programs. Data from Zimbabwe and Kenya “mirrors the earlier success of Uganda’s ABC approach to preventing HIV,” he noted.

….. Smith also referred to the September, 2007 testimony of Dr. Norman Hearst before the Foreign Affairs Committee. Hearst said, “Five years ago, I was commissioned by UNAIDS to conduct a technical review of how well condoms have worked for AIDS prevention in the developing world.” After he and his associates collected “mountains of data,” he said, “we then looked for evidence of public health impact for condoms in generalized epidemics. To our surprise, we couldn’t find any. No generalized HIV epidemic has ever been rolled back by a prevention strategy primarily based on condoms.”

One might think that those who hold out for a condoms-only, values-free approach to fighting AIDS might be in for heavy media criticism. Not according to WaPo's Brown, who wrote:

Although it contained controversial features, including a heavy emphasis on abstinence-oriented prevention strategies, the global AIDS program has been popular with lawmakers in both parties and has been praised around the world.

Jim Abrams of AP noted how what works (of course he didn't describe it in those terms) got shortchanged in the bill:

To advance the legislation, conservatives had to give up a provision in the 2003 act requiring that one-third of all HIV prevention funds be spent on abstinence programs. Instead it directs the administration to promote "balanced funding for prevention activities" in target countries.

So less than one-third of the money (in amounts that are ballooning out of control, as usual) is going to abstinence, the "A" element (see above) of what works. An unknown amount, but probably not much, will go to "being faithful," the "B" element, which also works. That leaves likely half or more -- billions and billions of dollars -- that will go to issuing condoms and encouraging their use, the "C" element, which hasn't ever worked when it's the primary strategy.

But David Brown, and the rest of Old Media, didn't find any of that "controversial."

Noted in briefer and revised form in the first item at this BizzyBlog post.

—Tom Blumer is president of a training and development company in Mason, Ohio, and is a contributing editor to NewsBusters

Comments Policy

All comments are owned by whoever posted them and are subject to our terms of use. They should not be assumed to represent the views of NewsBusters.

Viewing options

Select your preferred way to display the comments and click "Save settings" to activate your changes.

Hey Tom - did the House cut it out, in the end?

Hey Tom - did congress cut it out (the requirement that some of the money went to abstinence), in the end?

It is interesting to note, that since 2004, this administration has distributed over 1.9 billion condoms in Africa. The left side of the isle still believes that Bush is refusing to distribute condoms.

The president's original 5 year plan, PEPFAR, called for 1/3 of 20% of the $15 billion budget to be spent on abstinence. 20% was for prevention - 1/3 of that for abstinence / or 6.7% of the total. I'll go out on a limb here. Naturally, 90% of the little bit of news coverage that President Bush has received (it has been a wee bit better recently - only a wee bit) has used the MSM's favorite crutch, "'They say' that spending 1/3rd... oh, here's one from JENNIFER LOVEN, Associated Press Writer:

Democrats want to strip requirements that one-third of the money go to abstinence-until-marriage programs and that some groups sign anti-prostitution pledges.

Common speak for the MSM is - simply a concerted effort of lying to the voters. 

The entire MSM, long ago, convinced itself that he program was bad, mostly because it was President Bush's, but structurally because they despised that a tiny fraction of the funding went to abstinence related causes. In their uniform effot to shape public opinon against the President's effort to save millions of lives, they hyped up the 6% number to be 1/3rd,  and once they became comfortable with the "1/3rd" exaggeration, the next step was to suggest that  most of the funding went to abstinence.

MSM math. 6.7% = Most

I also have noticed in several interviews with Bill Clinton the reporter seldom misses the oportunity to plug Clinton with something like, (parpharased) "Do you join, Mr. President, in the view that Bush's insistence that most of this funding go to abstinence, is causing more lives to be lost?" To Clinton's credit, he usually doesn't fully take the bait, instead laying out some generic praise of Bush's effort (always leaves a look of shock on the journalist's face ("Whoa, where'd that come from") - but then usually bites on the general view.

Ann Curry's interview of Bush, while in Africa this past Feb., was  a shocker. Even though she managed to get the words out, conditioned as always ("even your critics say"):

"Even your critics, Mr. [we prefer Mr. President] Bush say that you have had the greatest impact on Africa than any President in US history. You have fought for funding and have saved over a million lives, from Malaria and Aids."I bet that a handful of folks caught that one lone interview. I bet that fewer than 3% of US voters are aware. I suspect that fewer than 20% of the mainstream media has even allowed a serious consideration of the facts here.

Gary, good question

The report I cited said they went to a mushy requirement -- "Instead it directs the administration to promote 'balanced funding for prevention activities' in target countries."

As to that 1/3 v. 6.7%, any links you have would be welcome.

Tom

That's what I understood was changing also. I have to run - will get back to it.  Recently, I convinced the LA Times to issue a note to it's people, not to incorrectly state the number again - as they acknowledged, it has been consistently misstated. gary 

Also of note in the media bias arena here, is that when Bush initially challenged congress to double the spending from his historic record $15billion/5 years to $30billion/5 years - the Democrats jumped all over it as not enough and too late - and the MSM carried their theme. It was presented in the usual negative light - that President Bush was trying to cut it short.