Expanding Male Circumcision for HIV Prevention

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چکیده

As part of a comprehensive HIV prevention strategy, male circumcision is proven to reduce HIV risk. Yet, a multifaceted intervention is needed to prepare service delivery sites and create an environment for expansion. This document is part of a series of briefs for health program managers interested in implementing evidence-based programs. With a special emphasis on underutilized interventions, they present evidence on programs that work and provide guidance and resources for replication.

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Male Circumcision for HIV Prevention in High HIV Prevalence Settings: What Can Mathematical Modelling Contribute to Informed Decision Making? UNAIDS/WHO/SACEMA Expert Group on Modelling the Impact and Cost of Male Circumcision for HIV

Three recent randomised controlled trials [1–3] in Kenya, South Africa, and Uganda have confirmed previous observational studies [4] and ecological experience [5] and demonstrated beyond reasonable doubt that male circumcision performed by well-trained medical professionals reduces the risk of men acquiring HIV through female-to-male transmission by approximately 60% [5,6]. Furthermore, results...

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Male Circumcision for HIV Prevention in High HIV Prevalence Settings: What Can Mathematical Modelling Contribute to Informed Decision Making? UNAIDS/WHO/SACEMA Expert Group on Modelling the Impact and Cost of Male Circumcision for HIV

Three recent randomised controlled trials [1–3] in Kenya, South Africa, and Uganda have confirmed previous observational studies [4] and ecological experience [5] and demonstrated beyond reasonable doubt that male circumcision performed by well-trained medical professionals reduces the risk of men acquiring HIV through female-to-male transmission by approximately 60% [5,6]. Furthermore, results...

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Voluntary Medical Male Circumcision: Logistics, Commodities, and Waste Management Requirements for Scale-Up of Services

BACKGROUND The global HIV prevention community is implementing voluntary medical male circumcision (VMMC) programs across eastern and southern Africa, with a goal of reaching 80% coverage in adult males by 2015. Successful implementation will depend on the accessibility of commodities essential for VMMC programming and the appropriate allocation of resources to support the VMMC supply chain. Fo...

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Circumcision of Male Children for Reduction of Future Risk for HIV: Acceptability among HIV Serodiscordant Couples in Kampala, Uganda

INTRODUCTION The ultimate success of medical male circumcision for HIV prevention may depend on targeting male infants and children as well as adults, in order to maximally reduce new HIV infections into the future. METHODS We conducted a cross-sectional study among heterosexual HIV serodiscordant couples (a population at high risk for HIV transmission) attending a research clinic in Kampala,...

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The medical proof doesn't get much better than VMMC.

March 2012, Vol. 102, No. 3 SAMJ 1. Ncayiyana DJ. The illusive promise of circumcision to prevent female-to-male HIV infection – not the way for South Africa. S Afr Med J 2011;101:775-777. 2. Auvert B, Taljaard D, Rech D, et al. Effect of the Orange Farm (South Africa) male circumcision rollout (ANRS-12126) on the spread of HIV. 6th IAS Conference on HIV Pathogenesis, Treatment, and Prevention....

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تاریخ انتشار 2012