Abstinence Makes the Heart...

...grow wild with desire. Which is why abstinence only programs designed to prevent the spread of sexually-transmitted diseases aren't as effective as programs that also encourage condom use if the temptation proves too great. Uganda had a very successful program called "ABC": Abstain, Be faithful -- but use Condoms if you can't (or won't) follow the first two. The country's HIV transmission rate fell from 15% to 5% after the program was implemented.

Problem is, studies show it was C and not A or B that were most responsible for nearly all of the reduction. Bigger problem is that the US has been putting pressure on Uganda to stress the abstinence aspect of the message -- which they are doing, because much of the funding comes from us. Evangelical organizations in the country are even trying to change the C to stand for "condoms are for the condemned" or "change companions," meaning if you find yourself with someone who wants you to break your abstinence or fidelity pledge, that you should simply leave their presence. Churches seem to have a hard time understanding the realities of sexual behavior.

Perhaps if the message were reframed. Let them say, "The most important rules to follow are abstinence until marriage, and fidelity after." This lets them give top priority to their high moral ground -- it's not merely one piece of advice among equals. But let them also say, "But if you don't follow the most important rule, you had better follow the SECOND most important rule -- use a condom."