Good column this AM from the LA Times by way of the SWJ Editorial round up.

It brings up the social mores issue as part of the puzzle.

Africa's AIDS puzzle

The key to combating a disease still killing millions is to take a human approach.
By Jonny Steinberg March 5, 2008

Even though it is hardly fashionable today to regard plagues as God-sent, the African AIDS pandemic is a catastrophe of such massive proportions that we have to struggle not to think about it in a religious way. More than 2 million people are perishing each year; millions more will die if they do not receive treatment. Out of this colossal theft of human beings, we have a great need to tell a story about this epidemic that ends with redemption.

In our secular age, though, the agent of the redemption we conjure is not a god but Science with a capital S. In this case, Science's lodestar is antiretroviral treatment, or ART, which, if made accessible across the continent, has the potential to save millions of lives.

Great redemptive hope has been invested in ART. The distinguished African historian John Iliffe, for instance, has suggested that the drugs will inspire Africans to challenge the dire leadership that has afflicted the continent since independence in the 1960s, thus heralding an era of renewal in African public life. We watch with keen interest as social movements rally around treatment, in the hope that they will elevate African countries to new heights.