Lydia Boyd

Preaching Prevention


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       PREACHING PREVENTION

       PERSPECTIVES ON GLOBAL HEALTH

      Series editor: James L. A. Webb, Jr.

      The History of Blood Transfusion in Sub-Saharan Africa, by William H. Schneider

      Global Health in Africa: Historical Perspectives on Disease Control, edited by Tamara Giles-Vernick and James L. A. Webb, Jr.

      Preaching Prevention: Born-Again Christianity and the Moral Politics of AIDS in Uganda, by Lydia Boyd

      The Experiment Must Continue: Medical Research and Ethics in East Africa, 1940–2014, by Melissa Graboyes

       PREACHING PREVENTION

      Born-Again Christianity and the Moral Politics of AIDS in Uganda

      Lydia Boyd

      Ohio University Press

      Athens

      Ohio University Press, Athens, Ohio 45701

       ohioswallow.com

      © 2015 by Ohio University Press

      All rights reserved

      To obtain permission to quote, reprint, or otherwise reproduce or distribute material from Ohio University Press publications, please contact our rights and permissions department at (740) 593-1154 or (740) 593-4536 (fax).

      Printed in the United States of America

      Ohio University Press books are printed on acid-free paper

      All photographs are by the author.

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       Library of Congress Cataloging-in-Publication Data

      Boyd, Lydia, author.

      Preaching prevention : born-again Christianity and the moral politics of AIDS in Uganda / Lydia Boyd.

      p. ; cm. — (Perspectives on global health)

      Includes bibliographical references and index.

      ISBN 978-0-8214-2169-7 (hc : alk. paper) — ISBN 978-0-8214-2170-3 (pb : alk. paper) — ISBN 978-0-8214-4532-7 (pdf)

      I. Title. II. Series: Perspectives on global health.

      [DNLM: 1. United States. President’s Emergency Plan for AIDS Relief. 2. Acquired Immunodeficiency Syndrome—prevention & control—Uganda. 3. Acquired Immunodeficiency Syndrome—prevention & control—United States. 4. HIV Infections—prevention & control—Uganda. 5. HIV Infections—prevention & control—United States. 6. Christianity—Uganda. 7. Christianity—United States. 8. Health Policy—Uganda. 9. Health Policy—United States. 10. Sexual Abstinence—Uganda. 11. Sexual Abstinence—United States. WC 503.6]

      RA643.86.U33

      362.19697'920096761—dc23

      2015026459

      ISBN 978-0-8214-4532-7 (e-book)

       For Dave

      CONTENTS

       List of Illustrations

       Acknowledgments

       Introduction

       The Politics and Antipolitics of Miracles

       PART I. THE CONTEXT OF A POLICY

       ONE. American Compassion and the Politics of AIDS Prevention in Uganda

       TWO. AIDS at Home

       Urbanization, Religious Change, and the Politics of the Household in Twentieth- and Twenty-First-Century Uganda

       PART II. ENGAGEMENTS

       THREE. “Abstinence Is for Me, How about You?”

       The Meaning and Morality of Sex

       FOUR. Abstinence and the Healthy Body

       Spiritual Frameworks for Health and Healing, or “The Right Way to Live Long”

       FIVE. Faithfulness

       Urban Sexuality and the Moral Dilemmas of Love

       PART III. IN A POLICY’S WAKE

       SIX. Freedom and the Accountable Subject

       Uganda’s Anti-Homosexuality Bill

       Epilogue

       Beyond the Accountable Subject

       Notes

       Bibliography

       Index

      ILLUSTRATIONS

       Figures

       1.1. “Safe sex is no sex!” rally in support of abstinence, Kampala, October 2006

       2.1. “Fight abstinence stigma”; Christian abstinence activists

       3.1. “Abstinence is for me, how about you?”

       3.2. “Marriage is a fortress”; Mukono abstinence workshop, January 2007

       4.1. “It’s healthy 2 abstain”; rally in support of abstinence, Kampala, October 2006

       5.1. Faithfulness flag, Kampala, World AIDS Day 2006

       6.1. “We should drive out homosexuality”

       Map

       2.1. Uganda and Buganda

      ACKNOWLEDGMENTS

      This project has occupied