"Rather than use the AIDS epidemic as an opportunity to redress the under financing of African health services, USAID would seem to be pursuing its long-desired program goal of population control. The agency is insisting on the nature of AIDS as an STD, the heterosexual transmission of AIDS in Africa, and the importance of condom use to prevent HIV transmission. Of course condoms also prevent conception. Although USAID projects a 30 to 50 percent increase in child mortality as a result of the epidemic, it expects the population growth rate to decline by only I percent, because total fertility is so high in Africa (Harris 1990). USAID concludes, "Not only is this not the time to diminish family planning efforts, but instead such efforts could be redoubled . ." (Merritt, Lyerly, and Thomas 1988: 127)"