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

Identifieur interne : 002C44 ( Main/Exploration ); précédent : 002C43; suivant : 002C45

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

Auteurs : Ronald H. Gray [États-Unis] ; Maria J. Wawer [États-Unis] ; Godfrey Kigozi [Ouganda]

Source :

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

RBID : ISTEX:BA580FC01A680B7A9B51A567DB0421A66F80F332

Descripteurs français

Wicri :
- geographic : Kenya, Ouganda.
- topic : Moyen de communication de masse, Santé publique.

English descriptors

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

Affiliations:

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Le document en format XML

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<author><name sortKey="Gray, Ronald H" sort="Gray, Ronald H" uniqKey="Gray R" first="Ronald H" last="Gray">Ronald H. Gray</name>
</author>
<author><name sortKey="Wawer, Maria J" sort="Wawer, Maria J" uniqKey="Wawer M" first="Maria J" last="Wawer">Maria J. Wawer</name>
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<author><name sortKey="Kigozi, Godfrey" sort="Kigozi, Godfrey" uniqKey="Kigozi G" first="Godfrey" last="Kigozi">Godfrey Kigozi</name>
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<term>Complication rates</term>
<term>Conditional cash transfers</term>
<term>Conventional surgery</term>
<term>Dorsal slit</term>
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<term>Female partners</term>
<term>General population</term>
<term>Herpes simplex virus type</term>
<term>Human papillomavirus</term>
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<term>Implementation science</term>
<term>Implementation science studies</term>
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<term>Kenya</term>
<term>Kigozi</term>
<term>Local anaesthesia</term>
<term>Male circumcision</term>
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<front><div type="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.</div>
</front>
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<country name="Ouganda"><noRegion><name sortKey="Kigozi, Godfrey" sort="Kigozi, Godfrey" uniqKey="Kigozi G" first="Godfrey" last="Kigozi">Godfrey Kigozi</name>
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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

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri