This might sound callous, but Im looking for the scientific answer

It seems to me that prolonging the life of a person with HIV/AIDS only gives that person more time to spread the disease. Is there a program to make sure that the people who are given these drug "cocktails" understand how important it is to be responsible and stuff with regards to spreading the disease? Is there a way to hold them accountable? What about 3rd world countries where the women are having their second or 3rd HIV infected baby, but they are receiving life prolonging drugs. I know it sounds rude and cruel, but I'm trying to understand the benefit vs the drawbacks to society and research.

1. Programs which provide health care to HIV-positive people do, in fact, emphasize the importance of both "safe sex" and other personal activities which could cause the spread of the diease, e.g. blood donation, notifying potential sex partners, getting pregnant, etc. Of course, this applies to those living in the high-tech world.

2. In order to hold someone accountable for transmission of the disease would mean a person must notify a central agency every single time s/he has sex and indicate with whom the sex occured. (Can you imagine the bueaucratic nightmare this would cause, even ignoring anything else?)

3. The vast majority of people in 3rd world or developing countries do *not* receive modern life-prolonging drugs. They also do *not* necessarily receive good education about what causes HIV infections or how to prevent them. There are still groups which believe AIDS can be cured by having sex with a virgin. People believe that the antiviral drugs are designed to make them sterile and allow other groups to take over thier lands.