A final example of the iatrogenic effects of international public interventions is the impact on condom use that resulted from the “ABC” (Abstinence, Be Faithful, Use Condoms) approach to AIDS prevention, which has dominated programmatic efforts in Nigeria since about 2000. The President's Emergency Plan for AIDS Relief (PEPFAR), created under US President George W. Bush's administration, promoted a conservative approach to AIDS prevention through its ABC messages, which were (1) abstinence is the only true prevention; (2) if one is in a sexual relationship, stay faithful to one partner; and (3) if one can't do either, use condoms.