Course 4
Problems
Personal
Cultural
Economic
Political
Getting the Facts
Empowering Women
Delivering Health Services
Political Problems
 性傳播疾病的預防:行為的改變   STD Prevention: Behavior Change
 安全性行為-推行安全性行為所面臨的問題
政治上的問題
沒有政治的支持,任何預防AIDS的專案都不會成功。
可是,常常缺乏這種支持。多年來,有太多的國家政府輕視甚或拒絕預防AIDS的專案,由此它們在採取必須的措施方面已經喪失了寶貴的時間。一些政府也忽視其他國家的經驗教訓,採取一些達不到預期目標的措施。有兩個典型事例:性行為刑事化與如果發現妓女擁有安全套,將會被逮捕。

同時,已經有了一些進展,但是,當以全球的眼光審視的時候,進展仍然太慢。按照近來美國智囊委員會的報告  AIDS全國流行的下一波海嘯般的浪潮將波及一些重要的國家,這些國家的合計人口超過了世界人口的40%。除非這些國家迅速行動起來,否則,它們可能面臨高感染率的危險。它們不僅將突然付出人民健康的代價,而且可能失去受過教育的社會精英,伴隨這些國家的將是喪失其經濟增長和造成國際負面影響。有著眾多人口的印度和中國也許能夠較其他國家有耐力,但是,如果這兩個國家不強化預防措施,最終也將面臨相同的嚴酷未來。即使假定美國智囊委員會的估計過高,這至多只是早發生與晚出現的問題。所以,那些仍在猶豫彷徨的各個政府必須明白的是,遲早它們不僅必須面對以百萬為計的病人和瀕死的國民,而且其結局將可能是經濟蕭條、政治危機和軍事崩潰的國家災難。AIDS確實可能使這些國家的社會分崩離析。

2002-2010年下一波受到衝擊的國家成人AIDS/HIV感染現時和將來最低與最高估計數(單位:百萬)

High and Low Estimates of Current and Future AIDS/HIV Infected Adults in Millions
in Next-Wave Countries 2002 and 2010

 
資料來源:美國國家智囊委員會,2002年9月   /Source: National Intelligence Council (NIC), USA, Sept. 2002
2002 估計數/Estimates
 
低/Low
 
高/High

2010 估計數/Estimates
 低/Low
 
高/High

 Safer Sex - Problems of Safer Sex Promotion

Political Problems
No AIDS prevention program can succeed without political support. However, this support has often been lacking. Governments in too many countries for too many years have belittled or even denied the problem and thus have lost precious time in taking the necessary steps. Some governments also ignored the lessons learned by others and took measures that were actually counterproductive. Two examples: Criminalizing homosexual behavior and arresting women for prostitution if they were found to be in the possession of condoms.

In the meantime, there has been some progress, but, when viewed globally, it is still too slow. According to a recent American intelligence report, the next big wave of the AIDS pandemic will hit important countries which together comprise more than 40% of the world population. These countries could face very high infection rates unless they act fast: Not only will their health costs explode, but they may lose large parts of their educated elites and with them their economic growth and international influence. India and China with their large populations may be able to cope longer than the other countries, but eventually they will face the same grim future if they do not intensify their prevention efforts. Even assuming that the American intelligence estimates are too high, one is, at best, talking about a time lag. Therefore, governments that are still hesitant today must understand that, sooner or later, they may have to face not only millions of sick and dying citizens, but, in consequence, national disasters that could disrupt their economic, political, and military structures. Indeed, AIDS could tear apart the very fabric of their societies.

 

[Course 4] [Description] [How to use it] [Introduction] [Curable STDs] [Incurable STDs] [STD Prevention] [Abstinence] [Safer Sex] [Additional Reading] [Examination]