MuchMoreThanMuscle saidIt's called poverty and no access to medical care.
Something as simple as washing one's hands after defecating is a luxury many impoverished areas of Africa could not afford (and in some cases, still cannot). It is also one of the simplest and best ways to prevent communicable (and fatal) diseases that can be spread through fecal matter.
During my last quarter at college I did a term paper for a globalization class on the Millennium Development Goals; an action plan created by the United Nations to improve living conditions on all levels for all impoverished areas of the world. You should look into it and maybe you'll learn something.
Judging by your irrational contributions surrounding the topic of HIV it's crystal clear you have a propagandistic agenda. The fact that you chose to single out one disease is a blatant, singular magnification out of the many medical crises other less fortunate areas of the world still suffer from.
We could say the same about malaria in Africa. Or we can say the same about polio in the Middle East (as well as Africa). These are problems of the past for developed nations simply because they have money and access to medical care.
Your logic is fallacious and your obsession with HIV is obvious.
^^^ AGREED ^^^
Annually, malaria kills more people worldwide than HIV. Tuberculosis is a major threat in Africa affecting HIV+ people, and often people die of TB and not HIV.
Having lived in Kenya, Zimbabwe, and South Africa (and having worked in many other sub-Saharan countries), I can tell you that HIV is a serious problem, of course. But poverty, hygiene, and access to healthcare are far more serious determinants of health, and responsible for such high infection rates and deaths due to lack of treatment.
In many places, condoms are not freely available like they are in the west, where you can find them in every public toilet, clinic, community centre, and nightclub.
In places like Malawi, there is only 1 doctor for every 100,000 people. Often these few medical staff are only available in centralised hospitals in big cities, far from the rural areas that most people live in. So accessing healthcare is very difficult — geographically, and economically. Further adding to the problem is the high cost of medicine, which is often out of reach for regular people. Doctors Without Borders (Médecins Sans Frontières) does a great job of bridging extreme gaps, but they can't do it alone. They need donations, volunteer medical staff, and cooperation from other organisations and governments.
In fact, its been clinically proven that modern triple combination HIV treatment is effective in controlling the transmission and spread of HIV. Taking your meds and achieving an "undetectable" viral load is 96.6% effective in stopping HIV from being transmitted from positive partners to negative parthers (this success rate is the same as condoms). That is not to say we should throw out condoms, but instead it is to reassure people that there is an additional layer of protection, and not to fear partnering with HIV+ people who are managing their health.
Of course, there are other sexually transmitted infections out there, which condoms are better at preventing (e.g. HPV, gonorrhea, syphilis, hepatitis, etc.) but also not 100%.