Harvard University researcher Edward Green rose to prominence in the AIDS controversy with his 2003 book, Rethinking AIDS Prevention. His new book, Broken Promises: How the AIDS Establishment has Betrayed the Developing World, chronicles the continuing battle over how to prevent the spread of HIV/AIDS in sub-Saharan Africa. Green, a key player in the struggle, documents how two radically different strategies have competed for funding and support.
The first is ABC: Abstinence (or delay of sexual debut); Be faithful (only one sexual partner); Condoms for those who engage in high risk behavior in spite of warnings and for couples where one is already infected. This is a risk elimination strategy
The second is the condom code. The supporters of condoms as the primary prevention method insist that any program be “sex positive”. In other words, there is no need for anyone to change their sexual behavior as long as they use a condom every time. This is a risk reduction strategy since new infections would not be eliminated, only reduced, given the known failure rate of condoms and the fact that even the most motivated sexually