Age targeting and scale-up of voluntary medical male circumcision in Mozambique

PloS One
Juan DentKatharine Kripke

Abstract

The voluntary medical male circumcision (VMMC) program in Mozambique aimed to increase male circumcision (MC) coverage to 80 percent among males ages 10 to 49 by 2018. Given the difficulty in attracting adult men over age 20 for circumcision, Mozambique became interested in assessing its age-targeting strategy and progress at the provincial level to inform program planning. We examined the impact and cost-effectiveness of circumcising different age groups of men using the Decision Makers' Program Planning Toolkit, Version 2.1 (DMPPT 2). We also applied the model to assess the scale-up efforts through the end of September 2017 and project their impact on HIV incidence through 2030. The DMPPT 2 is a compartmental Excel-based model that analyzes the effects of age at circumcision on program impact and cost-effectiveness. The model tracks changes in age-specific MC coverage due to VMMC program circumcisions. Baseline MC prevalence was based on data from the 2011 Demographic and Health Survey. The DMPPT 2 was populated with HIV incidence projections from Spectrum/Goals under an assumption that Mozambique would reach its national targets for HIV treatment and prevention by 2022. We estimate the VMMC program increased MC coverage amon...Continue Reading

References

Dec 16, 2009·BMC Public Health·Steven ForsytheLori Bollinger
Mar 21, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sergio Torres-RuedaFern Terris-Prestholt
Apr 5, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Emmanuel NjeuhmeliKatharine Kripke
Aug 16, 2018·PloS One·M TchuencheS Forsythe

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Citations

Jun 6, 2020·South African Family Practice : Official Journal of the South African Academy of Family Practice/Primary Care·Celenkosini T Nxumalo, Gugu G Mchunu

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Methods Mentioned

BETA
circumcision
circumcisions

Software Mentioned

DMPPT
Spectrum
Excel

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