Birth control will only work as a result of education, but this is in a perfect world. Unfortunately all attempts to educate people about AIDS in Africa has had minimal results. For the time being customary beliefs still rule the roost. If aids isn't making people realize they should use condoms birth control has got no chance at all. I really wonder why it is that Africa has so much Aids, malaria, yellow fever, ebola... I know this might sound racist, but maybe it is natures way of restoring some kind of balance. Stranger things have happened.