We need to question the efficacy of pushing condoms as the only safe sex choice. The condom campaign does not seem to be working anymore and people are not getting the message. Yet Aids Service Organizations (ASOs) continue with this message. Granted, with PrEP there is a shift in responsibility that goes beyond those already infected with HIV, to everyone engaging in sex. Yet this shift brings a lot of discomfort as people outside of the HIV community and within begin to see their own roles and responsibilities changing.
Sticking with the condom campaign is the safe route, (pardon the pun) for institutions as they begin to formulate and consolidate their position on PrEP. Is there fear that supporting PrEP could imply promoting unsafe sex and sexual behavior that is out of control? Is promoting the use of PrEP taking too much of a risk with funders and stake holders who are comfortable with the good old (but not tried and true) condom message? Is PrEP a tough sell as the general public remains in a state of fear and denial about HIV?
Let’s be honest. Who practices safe sex all the time? People make mistakes. People faulter. Who likes using condoms all the time? I don’t. I was in a long term relationship with an HIV negative person where “all conditions” were adhered to, meaning – we were monogamous, had no other sexually transmitted infections, I had an undetectable viral load and was on anti retroviral treatment. Also being a woman, the likelihood of transmitting the virus has been shown statistically to be low. Throughout this time my partner remained HIV negative. It was what Josh Kruger refered to as an “adult informed decision”.
But if I mention this to the general public or my local ASO the reaction would be one of horror. I would be handed a condom pack, with a corny safe sex message inside, and given a pat on the head and small lecture on safe sex with condom use as my only option. My job might be threatened too as I am not adhering to the organization’s policies.
In the meantime, I will continue to tow the party line, pretend that condoms are the only solution to reducing HIV transmission rates, while those of us in the know will continue to make responsible, informed decisions about bare backing. Are Aids Service Organizations, the Supreme Court of Canada and the general public in denial about the latest development in research and medical evidence? Who are the risk takers and who is going to take risks and acknowledge that condom use alone, as the safe sex message, is not working.
I choose to remain anonymous as I value my job and the funding that comes to the organization I work for.
Monologues are independent stories. The opinions shared are the writer’s own. To learn more about PrEP, ARTs, and other prevention measures, the Beta Blog is a great resource. What HIV sources do you recommend? Have you experienced fear of PrEP? What HIV awareness campaigns are working?