Progress in voluntary medical male circumcision for HIV prevention supported by the US President's Emergency Plan for AIDS Relief through 2017: longitudinal and recent cross-sectional programme data

BMJ Open
Stephanie M DavisCarlos Toledo

Abstract

This article provides an overview and interpretation of the performance of the US President's Emergency Plan for AIDS Relief's (PEPFAR's) male circumcision programme which has supported the majority of voluntary medical male circumcisions (VMMCs) performed for HIV prevention, from its 2007 inception to 2017, and client characteristics in 2017. Longitudinal collection of routine programme data and disaggregations. 14 countries in sub-Saharan Africa with low baseline male circumcision coverage, high HIV prevalence and PEPFAR-supported VMMC programmes. Clients of PEPFAR-supported VMMC programmes directed at males aged 10 years and above. Numbers of circumcisions performed and disaggregations by age band, result of HIV test offer, procedure technique and follow-up visit attendance. PEPFAR supported a total of 15 269 720 circumcisions in 14 countries in Southern and Eastern Africa. In 2017, 45% of clients were under 15 years of age, 8% had unknown HIV status, 1% of those tested were HIV+ and 84% returned for a follow-up visit within 14 days of circumcision. Over 15 million VMMCs have been supported by PEPFAR since 2007. VMMC continues to attract primarily young clients. The non-trivial proportion of clients not testing for HIV is ex...Continue Reading

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Citations

May 13, 2020·Transboundary and Emerging Diseases·Ahmed F KabapyEkram W Abd El-Wahab
Jul 8, 2020·BMC Medicine·Michael A CorkLaura Dwyer-Lindgren
Oct 13, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Gideon LoevinsohnUNKNOWN Rakai Health Sciences Program
Oct 6, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Kieran TomsRosalind Parkes-Ratanshi

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Methods Mentioned

BETA
circumcision
circumcisions

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