Ugandan effort to constrain HIV spread hampered by systemic and cultural obstacles to male circumcision

Ugandan effort to constrain HIV spread hampered by systemic and cultural obstacles to male circumcision.

CMAJ • NOVEMBER 18, 2008 • 179(11) © 2008 Canadian Medical Association or its licensors 1119 The president of the country once scoffed at the notion. Some scientists fear it may ultimately prove counterproductive because it may persuade some men to take fewer precautions during sex. Others say the country’s primitive health care system compounds the problem. The system lacks the resources and t...

Male circumcision and HIV

Background There is an urgent need to intensify and expand HIV prevention strategies, with an estimated 33.4 million people living with HIV in 2008 and an estimated 2.7 million newly infected. New infections continue to outstrip advances made in numbers treated – for every 2 people put on antiretroviral therapy, another 5 become infected. Current strategies to reduce sexual transmission of HIV ...

Cultural and societal obstacles in responding to Swaziland's HIV epidemic.

Male CirCuMCision and HiV PreVention

Prevention of HIV by male circumcision.

Three randomised controlled trials consistently show that medically performed male circumcision can reduce the acquisition of HIV infection in men by at least 50%.1 2 3 In east Africa and southern Africa—where rates of new HIV infections are high and circumcision rates are low— modelling studies estimate that circumcision could reduce the incidence of HIV in men by 50-60%.4 5 Clearly, the size ...