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Senegal has maintained one of the lowest rates of
HIV infection in sub-Saharan Africa and has long emphasized prevention and primary
healthcare. As in Uganda and Thailand, there was a unified response to HIV from the
government and religious leaders. HIV prevention was included when sex education was
introduced in schools, HIV voluntary and confidential counseling and testing were made
available, condoms were promoted to sex workers and their clients, and STI care was
integrated into regular primary healthcare services. As these interventions were
introduced, rates of all STIs measured among pregnant women in Dakar dropped dramatically. |