A model for the roll-out of comprehensive adult male circumcision services in African low-income settings of high HIV incidence: the ANRS 12126 Bophelo Pele Project.
Identifieur interne : 000494 ( PubMed/Curation ); précédent : 000493; suivant : 000495A model for the roll-out of comprehensive adult male circumcision services in African low-income settings of high HIV incidence: the ANRS 12126 Bophelo Pele Project.
Auteurs : Pascale Lissouba [France] ; Dirk Taljaard ; Dino Rech ; Sean Doyle ; Daniel Shabangu ; Cynthia Nhlapo ; Josephine Otchere-Darko ; Thabo Mashigo ; Caitlin Matson ; David Lewis ; Scott Billy ; Bertran AuvertSource :
- PLoS medicine [ 1549-1676 ] ; 2010.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Afrique, Circoncision masculine (), Circoncision masculine (utilisation), Femelle, Humains, Hétérosexualité, Incidence, Infections à VIH (), Infections à VIH (transmission), Infections à VIH (épidémiologie), Jeune adulte, Mise en oeuvre des programmes de santé (), Mise en oeuvre des programmes de santé (économie), Modèles théoriques, Mâle, Pauvreté (), Relations communauté-institution, Études de faisabilité.
- MESH :
- utilisation : Circoncision masculine.
- économie : Infections à VIH, Mise en oeuvre des programmes de santé.
- épidémiologie : Infections à VIH.
- Adolescent, Adulte, Adulte d'âge moyen, Afrique, Circoncision masculine, Femelle, Humains, Hétérosexualité, Incidence, Infections à VIH, Jeune adulte, Mise en oeuvre des programmes de santé, Modèles théoriques, Mâle, Pauvreté, Relations communauté-institution, Études de faisabilité.
English descriptors
- KwdEn :
- Adolescent, Adult, Africa, Circumcision, Male (statistics & numerical data), Circumcision, Male (utilization), Community-Institutional Relations, Feasibility Studies, Female, HIV Infections (epidemiology), HIV Infections (prevention & control), HIV Infections (transmission), Health Plan Implementation (economics), Health Plan Implementation (methods), Heterosexuality, Humans, Incidence, Male, Middle Aged, Models, Theoretical, Poverty (statistics & numerical data), Young Adult.
- MESH :
- geographic : Africa.
- economics : Health Plan Implementation.
- epidemiology : HIV Infections.
- methods : Health Plan Implementation.
- prevention & control : HIV Infections.
- statistics & numerical data : Circumcision, Male, Poverty.
- transmission : HIV Infections.
- utilization : Circumcision, Male.
- Adolescent, Adult, Community-Institutional Relations, Feasibility Studies, Female, Heterosexuality, Humans, Incidence, Male, Middle Aged, Models, Theoretical, Young Adult.
Abstract
World Health Organization (WHO)/Joint United Nations Programme on AIDS (UNAIDS) has recommended adult male circumcision (AMC) for the prevention of heterosexually acquired HIV infection in men from communities where HIV is hyperendemic and AMC prevalence is low. The objective of this study was to investigate the feasibility of the roll-out of medicalized AMC according to UNAIDS/WHO operational guidelines in a targeted African setting.
DOI: 10.1371/journal.pmed.1000309
PubMed: 20652013
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faisabilité</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">World Health Organization (WHO)/Joint United Nations Programme on AIDS (UNAIDS) has recommended adult male circumcision (AMC) for the prevention of heterosexually acquired HIV infection in men from communities where HIV is hyperendemic and AMC prevalence is low. The objective of this study was to investigate the feasibility of the roll-out of medicalized AMC according to UNAIDS/WHO operational guidelines in a targeted African setting.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20652013</PMID><DateCreated><Year>2010</Year><Month>07</Month><Day>23</Day></DateCreated><DateCompleted><Year>2010</Year><Month>11</Month><Day>02</Day></DateCompleted><DateRevised><Year>2014</Year><Month>12</Month><Day>03</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1549-1676</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><Issue>7</Issue><PubDate><Year>2010</Year><Month>Jul</Month><Day>20</Day></PubDate></JournalIssue><Title>PLoS medicine</Title><ISOAbbreviation>PLoS Med.</ISOAbbreviation></Journal><ArticleTitle>A model for the roll-out of comprehensive adult male circumcision services in African low-income settings of high HIV incidence: the ANRS 12126 Bophelo Pele Project.</ArticleTitle><Pagination><MedlinePgn>e1000309</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pmed.1000309</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">World Health Organization (WHO)/Joint United Nations Programme on AIDS (UNAIDS) has recommended adult male circumcision (AMC) for the prevention of heterosexually acquired HIV infection in men from communities where HIV is hyperendemic and AMC prevalence is low. The objective of this study was to investigate the feasibility of the roll-out of medicalized AMC according to UNAIDS/WHO operational guidelines in a targeted African setting.</AbstractText><AbstractText Label="METHODS AND FINDINGS" NlmCategory="RESULTS">The ANRS 12126 "Bophelo Pele" project was implemented in 2008 in the township of Orange Farm (South Africa). It became functional in 5 mo once local and ethical authorizations were obtained. Project activities involved community mobilization and outreach, as well as communication approaches aimed at both men and women incorporating broader HIV prevention strategies and promoting sexual health. Free medicalized AMC was offered to male residents aged 15 y and over at the project's main center, which had been designed for low-income settings. Through the establishment of an innovative surgical organization, up to 150 AMCs under local anesthesia, with sterilized circumcision disposable kits and electrocautery, could be performed per day by three task-sharing teams of one medical circumciser and five nurses. Community support for the project was high. As of November 2009, 14,011 men had been circumcised, averaging 740 per month in the past 12 mo, and 27.5% of project participants agreed to be tested for HIV. The rate of adverse events, none of which resulted in permanent damage or death, was 1.8%. Most of the men surveyed (92%) rated the services provided positively. An estimated 39.1% of adult uncircumcised male residents have undergone surgery and uptake is steadily increasing.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study demonstrates that a quality AMC roll-out adapted to African low-income settings is feasible and can be implemented quickly and safely according to international guidelines. The project can be a model for the scale-up of comprehensive AMC services, which could be tailored for other rural and urban communities of high HIV prevalence and low AMC rates in Eastern and Southern Africa. Please see later in the article for the Editors' Summary.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lissouba</LastName><ForeName>Pascale</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>INSERM U1018 Centre de Recherche en Epidémiologie et Santé des Populations (CESP), Villejuif, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Taljaard</LastName><ForeName>Dirk</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Rech</LastName><ForeName>Dino</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Doyle</LastName><ForeName>Sean</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Shabangu</LastName><ForeName>Daniel</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Nhlapo</LastName><ForeName>Cynthia</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Otchere-Darko</LastName><ForeName>Josephine</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Mashigo</LastName><ForeName>Thabo</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Matson</LastName><ForeName>Caitlin</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Lewis</LastName><ForeName>David</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Billy</LastName><ForeName>Scott</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Auvert</LastName><ForeName>Bertran</ForeName><Initials>B</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>07</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>PLoS Med</MedlineTA><NlmUniqueID>101231360</NlmUniqueID><ISSNLinking>1549-1277</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>N Engl J Med. 2002 Apr 11;346(15):1105-12</RefSource><PMID Version="1">11948269</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Behav. 2010 Aug;14(4):913-21</RefSource><PMID Version="1">18931903</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2004 May 1;36(1):613-21</RefSource><PMID Version="1">15097305</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Crit Rev Oncol Hematol. 2005 Feb;53(2):165-77</RefSource><PMID Version="1">15661566</PMID></CommentsCorrections><CommentsCorrections 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HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Curation/RBID.i -Sk "pubmed:20652013" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Curation/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |