Couldn't Be Bothered??
No, before AIDS they just had much more pressing things to worry about than sexual health, for example, famines, droughts, civil wars, and all the other diseases which are endemic in that part of the world.
If it's 'just' a sexual health problem, why is the American government pushing abstinance based programmes over condom based ones? When it's obvious that a physical barrier will be more effective than trusting to the willpower and good sense of an entire continent. Libya, an african country, did have the capacity to manufacture drugs, sadly, this meant it also had the capacity to produce chemical weapons, so when the US destroyed that capacity, it destroyed both.