Population Action International

Only Condoms

Condoms are necessary for the success of HIV/AIDS prevention efforts, but they are by no means sufficient. Overall success is dependent on strong political leadership, appropriate funding, supportive policies, and well-planned and coordinated programs that work to influence attitudes and change behaviors and that provide the necessary services and supplies.


A supportive policy and social environment is key to the success of prevention strategies. Governments, in collaboration with a civil society that is well attuned to their communities’ cultural nuances, need to provide such an environment. By addressing the policies, cultural practices and economic conditions that increase people’s vulnerability to HIV infection, governments and societies can encourage individuals’ behavior change.


Changing attitudes and behavior is at the heart of HIV prevention. A successful strategy establishes the conditions and environment that allows people to protect themselves against infection, educates about sexual health and HIV transmission, and emphasizes abstinence and delaying the onset of sexual activity for those who are not sexually active. It encourages having fewer sexual partners, provides the skills to negotiate safer sex, and promotes condom use for those who are sexually active. A good prevention strategy also treats STIs, provides HIV counseling and testing for those who want to know their HIV status, prevents mother-to-child-transmission by protecting the mother from infection, and treats infected mothers. It should also address traditional practices, such as female genital cutting, that increase the risk of HIV infection. Strategies should also be in place to ensure the safety of blood supplies and to address injecting drug use.

Prevention from infection will remain for the foreseeable future the mainstay of the battle against AIDS and the inclusion of condoms in prevention efforts is essential. The ever-changing nature of the virus that causes AIDS makes finding a cure and vaccine among the most urgent challenges of our time, but development and testing is still expected to take years, with even more precious time required to distribute widely.

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