Abstract
New information on prevention of HIV/AIDS in Africa from the VIth International AIDS Conference is summarized with comments putting it into context. Epidemiological papers on transmission emphasized the role of non-ulcerative STDs as well as ulcerative diseases and non-circumcision of males. Reports indicate that a particular type of vaginal tightening agent stones also increases susceptibility to HIV. Studies on effectiveness of mass media and communication programs confirm that information transfer can be verified but behavior modification is best achieved by small group face to face participative community-based approaches. Examples are television in areas of Africa where the medium is new and programs are viewed communally; and the Chikankata hospital home-based pediatric volunteer care programs. There are data on increases in numbers of condoms distributed but little data on quality of condoms or their cost relative to cost of living. Programs are few and belated for adolescents. Exceptions are an excellent multisectoral program in Malawi a school notebook message in Zaire and teacher training in South Africa for students as well as dropouts. Serological surveys show that men engaged in long-distance transportation and military services are at high risk and in need of intervention.
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