See today's letter in the New York Times in response to the WHO recommendation that male circumcision be used to reduce HIV transmission. The writer, an on-the-ground public health worker in South Africa, writes:
"Another worry is the fact that men should abstain from sex for at least four weeks after the [circumcision] surgery. This seems highly unlikely in the conditions I have observed, in southern Africa and elsewhere."
This woman is pointing out what I have been saying all along: interventions that rely on people not having sex in order to be effective will fail every time.
As health advocates we can't forget to ask ourselves the question: What about the fucking?
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