Dr Elliott, a Researcher, Has Launched a Well-Received Campaign in New

Dr. Elliott, a researcher, has launched a well-received campaign in New York State to increase awareness among HIV-positive individuals regarding how to prevent spreading the disease to other people. Dr. Elliott has been asked to advise researchers in South Africa about how to create an effective campaign. What is one difference between New York State and South Africa that may need to be considered if the campaign is to be effective?

A) The disease is mostly spread male to male, but most South Africans will deny they engage in homosexual behaviour because it is not culturally accepted.
B) Drugs to reduce the severity of symptoms are not readily available in South Africa so the consequences of the disease are more serious than if it is contracted in North America.
C) Most HIV/AIDS transmission in South Africa is through heterosexual contact but females, not males, are expected to make decisions concerning contraception, including condom use.
D) In South Africa, many people will believe that HIV/AIDS should be treated by natural healers and not by artificially derived prescriptions.