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Programme science research on medical male circumcision scale-up in sub-Saharan Africa

Three randomised trials demonstrate that voluntary medical male circumcision (MMC) reduces male HIV acquisition by 50–60%, and post-trial surveillance has shown that the effects are long lasting. Scale-up of services has been initiated in 14 high-priority sub-Saharan African countries with high rate... Full description

Journal Title: Sexually transmitted infections 2013, Vol.89 (5), p.345-349
Main Author: Gray, Ronald H
Other Authors: Wawer, Maria J , Kigozi, Godfrey
Format: Electronic Article Electronic Article
Language: English
Subjects:
HIV
Publisher: London: BMJ Publishing Group Ltd
ID: ISSN: 1368-4973
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recordid: cdi_proquest_miscellaneous_1400622775
title: Programme science research on medical male circumcision scale-up in sub-Saharan Africa
format: Article
creator:
  • Gray, Ronald H
  • Wawer, Maria J
  • Kigozi, Godfrey
subjects:
  • Adolescent
  • Adult
  • AFRICA
  • Africa South of the Sahara - epidemiology
  • Biological and medical sciences
  • CIRCUMCISION
  • Circumcision, Male - economics
  • Circumcision, Male - methods
  • Circumcision, Male - statistics & numerical data
  • Collaboration
  • Cost-Benefit Analysis
  • Delivery of Health Care - economics
  • Delivery of Health Care - standards
  • Demographic aspects
  • Design
  • Disease prevention
  • Epidemiology. Vaccinations
  • General aspects
  • Health aspects
  • HIV
  • HIV infection
  • HIV Infections - prevention & control
  • HIV Infections - transmission
  • Human immunodeficiency virus
  • Human infectious diseases. Experimental studies and models
  • Human papillomavirus
  • Humans
  • Infant, Newborn
  • Infections
  • Infectious diseases
  • Male
  • Medical sciences
  • Methods
  • Physicians
  • Prevention
  • Program Development
  • Quality of Health Care - economics
  • Quality of Health Care - standards
  • Randomized Controlled Trials as Topic
  • Reports
  • Science
  • Statistics
  • Studies
ispartof: Sexually transmitted infections, 2013, Vol.89 (5), p.345-349
description: Three randomised trials demonstrate that voluntary medical male circumcision (MMC) reduces male HIV acquisition by 50–60%, and post-trial surveillance has shown that the effects are long lasting. Scale-up of services has been initiated in 14 high-priority sub-Saharan African countries with high rates of HIV and low prevalence of MMC. However, circumcision coverage in the region remains low. Challenges to MMC rollout include suboptimal demand among higher-risk men, the need to expand access and reduce costs of MMC through personnel task shifting and task sharing, assuring and maintaining a high quality of service provision, and the testing and introduction of non-surgical devices. In addition, early infant male circumcision has not been adequately evaluated in Africa. Here, we describe challenges to implementation and discuss the ongoing and future role of implementation and programme science in addressing such challenges.
language: eng
source:
identifier: ISSN: 1368-4973
fulltext: no_fulltext
issn:
  • 1368-4973
  • 1472-3263
url: Link


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descriptionThree randomised trials demonstrate that voluntary medical male circumcision (MMC) reduces male HIV acquisition by 50–60%, and post-trial surveillance has shown that the effects are long lasting. Scale-up of services has been initiated in 14 high-priority sub-Saharan African countries with high rates of HIV and low prevalence of MMC. However, circumcision coverage in the region remains low. Challenges to MMC rollout include suboptimal demand among higher-risk men, the need to expand access and reduce costs of MMC through personnel task shifting and task sharing, assuring and maintaining a high quality of service provision, and the testing and introduction of non-surgical devices. In addition, early infant male circumcision has not been adequately evaluated in Africa. Here, we describe challenges to implementation and discuss the ongoing and future role of implementation and programme science in addressing such challenges.
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subjectAdolescent ; Adult ; AFRICA ; Africa South of the Sahara - epidemiology ; Biological and medical sciences ; CIRCUMCISION ; Circumcision, Male - economics ; Circumcision, Male - methods ; Circumcision, Male - statistics & numerical data ; Collaboration ; Cost-Benefit Analysis ; Delivery of Health Care - economics ; Delivery of Health Care - standards ; Demographic aspects ; Design ; Disease prevention ; Epidemiology. Vaccinations ; General aspects ; Health aspects ; HIV ; HIV infection ; HIV Infections - prevention & control ; HIV Infections - transmission ; Human immunodeficiency virus ; Human infectious diseases. Experimental studies and models ; Human papillomavirus ; Humans ; Infant, Newborn ; Infections ; Infectious diseases ; Male ; Medical sciences ; Methods ; Physicians ; Prevention ; Program Development ; Quality of Health Care - economics ; Quality of Health Care - standards ; Randomized Controlled Trials as Topic ; Reports ; Science ; Statistics ; Studies
ispartofSexually transmitted infections, 2013, Vol.89 (5), p.345-349
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abstractThree randomised trials demonstrate that voluntary medical male circumcision (MMC) reduces male HIV acquisition by 50–60%, and post-trial surveillance has shown that the effects are long lasting. Scale-up of services has been initiated in 14 high-priority sub-Saharan African countries with high rates of HIV and low prevalence of MMC. However, circumcision coverage in the region remains low. Challenges to MMC rollout include suboptimal demand among higher-risk men, the need to expand access and reduce costs of MMC through personnel task shifting and task sharing, assuring and maintaining a high quality of service provision, and the testing and introduction of non-surgical devices. In addition, early infant male circumcision has not been adequately evaluated in Africa. Here, we describe challenges to implementation and discuss the ongoing and future role of implementation and programme science in addressing such challenges.
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