How much does it cost to improve access to voluntary medical male circumcision among high-risk, low-income communities in Uganda?

PloS One
Bruce LarsonFred Magala

Abstract

The Ugandan Ministry of Health has endorsed voluntary medical male circumcision as an HIV prevention strategy and has set ambitious goals (e.g., 4.2 million circumcisions by 2015). Innovative strategies to improve access for hard to reach, high risk, and poor populations are essential for reaching such goals. In 2009, the Makerere University Walter Reed Project began the first facility-based VMMC program in Uganda in a non-research setting. In addition, a mobile clinic began providing VMMC services to more remote, rural locations in 2011. The primary objective of this study was to estimate the average cost of performing VMMCs in the mobile clinic compared to those performed in health facilities (fixed sites). The difference between such costs is the cost of improving access to VMMC. A micro-costing approach was used to estimate costs from the service provider's perspective of a circumcision. Supply chain and higher-level program support costs are not included. The average cost (US$2012) of resources used per circumcision was $61 in the mobile program ($72 for more remote locations) compared to $34 at the fixed site. Costs for community mobilization, HIV testing, the initial medical exam, and staff for performing VMMC operations...Continue Reading

References

Jul 11, 2006·PLoS Medicine·Brian G WilliamsBertran Auvert
Mar 5, 2008·International Journal of Epidemiology·Gregory J Londish, John M Murray
Jun 19, 2009·Medical Care·Kevin D Frick
Mar 1, 2012·Eating Behaviors·Meghan M GillenPatrick M Markey
Dec 12, 2012·Proceedings of the National Academy of Sciences of the United States of America·Till BärnighausenSalal Humair
Jan 8, 2013·Cost Effectiveness and Resource Allocation : C/E·Stéphane Verguet
Feb 6, 2013·JAMA Pediatrics·Joel W Hay
Jul 22, 2014·JAMA : the Journal of the American Medical Association·Harsha ThirumurthyKawango Agot

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Citations

Oct 14, 2017·Health Policy and Planning·Omar GalárragaJoseph K Wang'ombe
Mar 21, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sergio Torres-RuedaFern Terris-Prestholt
Nov 30, 2019·African Journal of AIDS Research : AJAR·Carlos Pineda-AntunezSergio Bautista-Arredondo

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Methods Mentioned

BETA
circumcision
circumcisions

Software Mentioned

Excel
MUWRP

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