SidaSubSaharaV1, Istex, Corpus, bibRecord, 003C92

Programme science research on medical male circumcision scale-up in sub-Saharan Africa

Identifieur interne : 003C92 ( Istex/Corpus ); précédent : 003C91; suivant : 003C93

Programme science research on medical male circumcision scale-up in sub-Saharan Africa

Auteurs : Ronald H. Gray ; Maria J. Wawer ; Godfrey Kigozi

Source :

Sexually Transmitted Infections [ 1368-4973 ] ; 2013-08.

RBID : ISTEX:BA580FC01A680B7A9B51A567DB0421A66F80F332

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:

https://api.istex.fr/document/BA580FC01A680B7A9B51A567DB0421A66F80F332/fulltext/pdf

DOI: 10.1136/sextrans-2012-050595

Links to Exploration step

ISTEX:BA580FC01A680B7A9B51A567DB0421A66F80F332

Le document en format XML

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<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>
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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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Programme science research on medical male circumcision scale-up in sub-Saharan Africa

Programme science research on medical male circumcision scale-up in sub-Saharan Africa

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