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Voluntary Medical Male Circumcision: an Introduction to the Cost, Impact, and Challenges of Accelerated Scaling Up

Overview
Journal PLoS Med
Specialty General Medicine
Date 2011 Dec 6
PMID 22140362
Citations 42
Authors
Affiliations
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Abstract

Scaling up voluntary medical male circumcision (VMMC) for HIV prevention is cost saving and creates fiscal space in the future that otherwise would have been encumbered by antiretroviral treatment costs. An investment of US$1,500,000,000 between 2011 and 2015 to achieve 80% coverage in 13 priority countries in southern and eastern Africa will result in net savings of US$16,500,000,000. Strong political leadership, country ownership, and stakeholder engagement, along with effective demand creation, community mobilisation, and human resource deployment, are essential. This collection of articles on determining the cost and impact of VMMC for HIV prevention signposts the way forward to scaling up VMMC service delivery safely and efficiently to reap individual- and population-level benefits.

Citing Articles

Shifting reasons for older men remaining uncircumcised: Findings from a pre- and post-demand creation intervention among men aged 25-39 years in western Kenya.

Agot K, Onyango J, Otieno G, Musingila P, Gachau S, Ochillo M PLOS Glob Public Health. 2024; 4(5):e0003188.

PMID: 38820408 PMC: 11142559. DOI: 10.1371/journal.pgph.0003188.


Relative efficiency of demand creation strategies to increase voluntary medical male circumcision uptake: a study conducted as part of a randomised controlled trial in Zimbabwe.

Mangenah C, Mavhu W, Garcia D, Gavi C, Mleya P, Chiwawa P BMJ Glob Health. 2021; 6(Suppl 4).

PMID: 34275870 PMC: 8287601. DOI: 10.1136/bmjgh-2021-004983.


Association between medical male circumcision and HIV risk compensation among heterosexual men: a systematic review and meta-analysis.

Gao Y, Yuan T, Zhan Y, Qian H, Sun Y, Zheng W Lancet Glob Health. 2021; 9(7):e932-e941.

PMID: 33939956 PMC: 8690595. DOI: 10.1016/S2214-109X(21)00102-9.


Priority Setting in HIV, Tuberculosis, and Malaria - New Cost-Effectiveness Results From WHO-CHOICE.

Ralaidovy A, Lauer J, Pretorius C, Briet O, Patouillard E Int J Health Policy Manag. 2021; 10(11):678-696.

PMID: 33590743 PMC: 9278379. DOI: 10.34172/ijhpm.2020.251.


Healthcare workers' perceptions and experiences of implementing voluntary medical male circumcision in KwaZulu-Natal, South Africa.

Nxumalo C, Mchunu G Afr J Prim Health Care Fam Med. 2020; 12(1):e1-e10.

PMID: 32242429 PMC: 7160602. DOI: 10.4102/phcfm.v12i1.2253.


References
1.
Thomas A, Tran B, Cranston M, Brown M, Kumar R, Tlelai M . Voluntary medical male circumcision: a cross-sectional study comparing circumcision self-report and physical examination findings in Lesotho. PLoS One. 2011; 6(11):e27561. PMC: 3226626. DOI: 10.1371/journal.pone.0027561. View

2.
Lagarde E, Dirk T, Puren A, Bertran A . Acceptability of male circumcision as a tool for preventing HIV infection in a highly infected community in South Africa. AIDS. 2002; 17(1):89-95. DOI: 10.1097/00002030-200301030-00012. View

3.
Tobian A, Serwadda D, Quinn T, Kigozi G, Gravitt P, Laeyendecker O . Male circumcision for the prevention of HSV-2 and HPV infections and syphilis. N Engl J Med. 2009; 360(13):1298-309. PMC: 2676895. DOI: 10.1056/NEJMoa0802556. View

4.
Edgil D, Stankard P, Forsythe S, Rech D, Chrouser K, Adamu T . Voluntary medical male circumcision: logistics, commodities, and waste management requirements for scale-up of services. PLoS Med. 2011; 8(11):e1001128. PMC: 3226460. DOI: 10.1371/journal.pmed.1001128. View

5.
Halperin D, Fritz K, McFarland W, Woelk G . Acceptability of adult male circumcision for sexually transmitted disease and HIV prevention in Zimbabwe. Sex Transm Dis. 2005; 32(4):238-9. DOI: 10.1097/01.olq.0000149782.47456.5b. View