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The HIV PandemicLocal and Global Implications$
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Eduard J. Beck, Nicholas Mays, Alan W. Whiteside, and José M. Zuniga

Print publication date: 2007

Print ISBN-13: 9780199237401

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780199237401.001.0001

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(p.228) Chapter 15 Senegal
The HIV Pandemic

Chris Simms

Papa Salif Sow

Elhadj Sy

Oxford University Press

This chapter reviews Senegal's response to its HIV epidemic. Senegal's experience offers important lessons, particularly as regards why has it been successful and what aspects of this success can be ‘duplicated’ elsewhere. Social and cultural factors, low alcohol consumption, circumcision, conservative attitudes toward sexuality and, consequently, low levels of sexually transmitted diseases are some of the key features to this success. Responses that included condom distribution, STI control programmes, and antiretroviral drugs have been effective, especially because they were immediate and comprehensive. Political leadership and very strong participation by social and religious groups seem key to explaining the quality of the response: the leadership made good use of existing advantages by bringing on board and entering into dialogue with stakeholders and building on health system infrastructure.

Keywords:   STIs, HIV epidemic, political leadership, health system, stakeholders

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