Broken Promises

Edward C. Green is a senior research scientist at the Harvard School of Public Health and Director of the Harvard AIDS Prevention Research Project at the Harvard Center for Population and Development Studies. He, the author of numerous books, edited volumes, and academic articles, including the seminal Rethinking AIDS Prevention: Learning from Successes in Developing Countries (Praeger, 2003). He has also published books and articles about indigenous knowledge and behaviors related to medicine and healing.

"Broken Promises combines a remarkable Present at the Creation' perspective with historical and scientific data to tell a riveting story of how AIDS prevention in Africa went so terribly wrong. You may agree or disagree with Green, but you will never be bored. The lessons go beyond AIDS and even foreign aid' to the very process of how consensus is formed in our supposedly modern scientific world."--Norman Hearst, Professor, University of California, San Francisco"Dr. Edward Green is a pioneer of the approach currently gaining favor for African HIV epidemics: discouraging multiple and concurrent partners and encouraging male circumcision. Broken Promises argues for an approach to AIDS that is more African as well as more evidence based."--Cedza Diamini, Ubuntu Institute, South Africa"Condoms used consistently and correctly do work effectively for couples in some countries, but condom marketing in Africa encourages earlier, riskier sex with more partners, increasing AIDS. Broken Promises explains that difficult but very important distinction."--Nick Danforth, Resident Scholar, Women's Studies Research Center, Brandeis University

• ProloguePart I The Road to Fidelity 1. Gangs, Maroons, and the Egg Taboo 2. The Visitation Part II Uganda 3. The Twenty-five-cent Solution 4. The Crossroads and the Cul-de-sac 5. Infidelity Part III Calamity's Cradle 6. Putting the Bedroom before the Sickroom 7. Ins and Outs of the Castle Part IV Shifting the Riverbed 8. Jihad 9. Breakthrough 10. Policy by Applause 11. Cracking the Error Ediface 12. Chasing the Wild Programs 13. A Bridge to Somewhere? Epilogue Abbreviations and Acronyms Notes Index About the Author