The widespread prevalence of HIV/AIDS across the globe has evoked a varied response in health-care approaches to the disease. In some countries, such as Thailand, the recognition and acceptance that HIV/AIDS occurs among all segments of a population has led to a very successful program to stop the spread. In other countries, a mixture of denial that HIV/AIDS is a problem for all segments of the population as well as deeply internalized beliefs about homosexuality has resulted in disastrous treatment plans that have actually seen the instances of the disease increase. As a medical anthropologist, how might you approach the problem if you were attempting to understand the presence of HIV/AIDS in a country where attitudes toward homosexuality were both strongly negative and deeply internalized to the extent that people were reluctant to talk about it and about sexuality?
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