Programme science research on medical male circumcision scale-up in sub-Saharan Africa
Identifieur interne : 003C92 ( Istex/Corpus ); précédent : 003C91; suivant : 003C93Programme science research on medical male circumcision scale-up in sub-Saharan Africa
Auteurs : Ronald H. Gray ; Maria J. Wawer ; Godfrey KigoziSource :
- Sexually Transmitted Infections [ 1368-4973 ] ; 2013-08.
English descriptors
- KwdEn :
- Adverse event, Bloomberg school, Circumcised, Circumcision, Complication rates, Conditional cash transfers, Conventional surgery, Dorsal slit, Dorsal slit procedure, Early infant, Eimc, Female partners, General population, Herpes simplex virus type, Human papillomavirus, Implementation research, Implementation science, Implementation science studies, Johns hopkins university, Kenya, Kigozi, Local anaesthesia, Male circumcision, Mass media, Nyanza province, Observational studies, Orange farm, Orange farms, Personal communication, Plo, Prepex device, Programme, Programme science, Programme science research, Public health, Rakai, Randomised, Randomised trial, Randomised trials, Randomized trial, School holidays, Service delivery, Sexual satisfaction, Shang, Shang ring, Sleeve procedure, Southern africa, Surgical time, Trial closure, Uganda, Uncircumcised, Women partners, Wound dehiscence.
- Teeft :
- Adverse event, Bloomberg school, Circumcised, Circumcision, Complication rates, Conditional cash transfers, Conventional surgery, Dorsal slit, Dorsal slit procedure, Early infant, Eimc, Female partners, General population, Herpes simplex virus type, Human papillomavirus, Implementation research, Implementation science, Implementation science studies, Johns hopkins university, Kenya, Kigozi, Local anaesthesia, Male circumcision, Mass media, Nyanza province, Observational studies, Orange farm, Orange farms, Personal communication, Plo, Prepex device, Programme, Programme science, Programme science research, Public health, Rakai, Randomised, Randomised trial, Randomised trials, Randomized trial, School holidays, Service delivery, Sexual satisfaction, Shang, Shang ring, Sleeve procedure, Southern africa, Surgical time, Trial closure, Uganda, Uncircumcised, Women partners, Wound dehiscence.
Abstract
Three randomised trials demonstrate that voluntary medical male circumcision (MMC) reduces male HIV acquisition by 50–60%, and post-trial surveillance has shown that the effects are long lasting. Scale-up of services has been initiated in 14 high-priority sub-Saharan African countries with high rates of HIV and low prevalence of MMC. However, circumcision coverage in the region remains low. Challenges to MMC rollout include suboptimal demand among higher-risk men, the need to expand access and reduce costs of MMC through personnel task shifting and task sharing, assuring and maintaining a high quality of service provision, and the testing and introduction of non-surgical devices. In addition, early infant male circumcision has not been adequately evaluated in Africa. Here, we describe challenges to implementation and discuss the ongoing and future role of implementation and programme science in addressing such challenges.
Url:
DOI: 10.1136/sextrans-2012-050595
Links to Exploration step
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<addr-line>Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland</addr-line>
, <country>USA</country>
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<aff id="af2"><label>2</label>
<addr-line>The Rakai Health Sciences Program, Entebbe</addr-line>
, <country>Uganda</country>
</aff>
<author-notes><corresp><label>Correspondence to</label>
Dr Ronald H Gray, Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe Street, Baltimore, MD 21205, USA; <email>rgray@jhsph.edu</email>
</corresp>
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<year>2013</year>
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<fpage>345</fpage>
<history><date date-type="received"><day>29</day>
<month>3</month>
<year>2012</year>
</date>
<date date-type="rev-recd"><day>4</day>
<month>4</month>
<year>2013</year>
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<month>4</month>
<year>2013</year>
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<abstract><p>Three randomised trials demonstrate that voluntary medical male circumcision (MMC) reduces male HIV acquisition by 50–60%, and post-trial surveillance has shown that the effects are long lasting. Scale-up of services has been initiated in 14 high-priority sub-Saharan African countries with high rates of HIV and low prevalence of MMC. However, circumcision coverage in the region remains low. Challenges to MMC rollout include suboptimal demand among higher-risk men, the need to expand access and reduce costs of MMC through personnel task shifting and task sharing, assuring and maintaining a high quality of service provision, and the testing and introduction of non-surgical devices. In addition, early infant male circumcision has not been adequately evaluated in Africa. Here, we describe challenges to implementation and discuss the ongoing and future role of implementation and programme science in addressing such challenges.</p>
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<name type="personal"><namePart type="given">Maria J</namePart>
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<name type="personal"><namePart type="given">Godfrey</namePart>
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<abstract>Three randomised trials demonstrate that voluntary medical male circumcision (MMC) reduces male HIV acquisition by 50–60%, and post-trial surveillance has shown that the effects are long lasting. Scale-up of services has been initiated in 14 high-priority sub-Saharan African countries with high rates of HIV and low prevalence of MMC. However, circumcision coverage in the region remains low. Challenges to MMC rollout include suboptimal demand among higher-risk men, the need to expand access and reduce costs of MMC through personnel task shifting and task sharing, assuring and maintaining a high quality of service provision, and the testing and introduction of non-surgical devices. In addition, early infant male circumcision has not been adequately evaluated in Africa. Here, we describe challenges to implementation and discuss the ongoing and future role of implementation and programme science in addressing such challenges.</abstract>
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