scholarly journals Messaging Circumstances and Economic Pressures as Influences on Linkage to Medical Male Circumcision following Community-Based HIV Testing for Men in Rural Southwest Uganda: A Qualitative Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Hannah N. Gilbert ◽  
Monique A. Wyatt ◽  
Stephen Asiimwe ◽  
Bosco Turyamureeba ◽  
Elioda Tumwesigye ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Hiv Testing ◽  
Male Circumcision ◽  
Sub Saharan Africa ◽  
Voluntary Medical Male Circumcision ◽  
Hiv Education ◽  
Community Based ◽  
Medical Male Circumcision ◽  
Demand Creation

Voluntary medical male circumcision (MMC) reduces risk of HIV infection, but uptake remains suboptimal among certain age groups and locations in sub-Saharan Africa. We analysed qualitative data as part of the Linkages Study, a randomized controlled trial to evaluate community-based HIV testing and follow-up as interventions promoting linkage to HIV treatment and prevention in Uganda and South Africa. Fifty-two HIV-negative uncircumcised men participated in the qualitative study. They participated in semistructured individual interviews exploring (a) home HTC experience; (b) responses to test results; (c) efforts to access circumcision services; (d) outcomes of efforts; (e) experiences of follow-up support; and (f) local HIV education and support. Interviews were audio-recorded, translated, transcribed, and summarized into “linkage summaries.” Summaries were analysed inductively to identify the following three thematic experiences shaping men’s circumcision choices: (1) intense relief upon receipt of an unanticipated seronegative diagnosis, (2) the role of peer support in overcoming fear, and (3) anticipation of missed economic productivity. Increased attention to the timing of demand creation activities, to who delivers information about the HIV prevention benefits of MMC, and to the importance of missed income during recovery as a barrier to uptake promises to strengthen and sharpen future MMC demand creation strategies.

scholarly journals Progress in voluntary medical male circumcision for HIV prevention supported by the US President’s Emergency Plan for AIDS Relief through 2017: longitudinal and recent cross-sectional programme data

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e021835 ◽  
Author(s):  
Stephanie M Davis ◽  
Jonas Z Hines ◽  
Melissa Habel ◽  
Jonathan M Grund ◽  
Renee Ridzon ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Male Circumcision ◽  
Sub Saharan Africa ◽  
Eastern Africa ◽  
Voluntary Medical Male Circumcision ◽  
Emergency Plan ◽  
Medical Male Circumcision ◽  
Hiv Test ◽  
The Us

ObjectiveThis article provides an overview and interpretation of the performance of the US President’s Emergency Plan for AIDS Relief’s (PEPFAR’s) male circumcision programme which has supported the majority of voluntary medical male circumcisions (VMMCs) performed for HIV prevention, from its 2007 inception to 2017, and client characteristics in 2017.DesignLongitudinal collection of routine programme data and disaggregations.Setting14 countries in sub-Saharan Africa with low baseline male circumcision coverage, high HIV prevalence and PEPFAR-supported VMMC programmes.ParticipantsClients of PEPFAR-supported VMMC programmes directed at males aged 10 years and above.Main outcome measuresNumbers of circumcisions performed and disaggregations by age band, result of HIV test offer, procedure technique and follow-up visit attendance.ResultsPEPFAR supported a total of 15 269 720 circumcisions in 14 countries in Southern and Eastern Africa. In 2017, 45% of clients were under 15 years of age, 8% had unknown HIV status, 1% of those tested were HIV+ and 84% returned for a follow-up visit within 14 days of circumcision.ConclusionsOver 15 million VMMCs have been supported by PEPFAR since 2007. VMMC continues to attract primarily young clients. The non-trivial proportion of clients not testing for HIV is expected, and may be reassuring that testing is not being presented as mandatory for access to circumcision, or in some cases reflect test kit stockouts or recent testing elsewhere. While VMMC is extremely safe, achieving the highest possible follow-up rates for early diagnosis and intervention on complications is crucial, and programmes continue to work to raise follow-up rates. The VMMC programme has achieved rapid scale-up but continues to face challenges, and new approaches may be needed to achieve the new Joint United Nations Programme on HIV/AIDS goal of 27 million additional circumcisions through 2020.

Meta-analysis of average costs of HIV testing and counselling and voluntary medical male circumcision across thirteen countries

2019 ◽  
Vol 18 (4) ◽  
pp. 341-349
Author(s):  
Carlos Pineda-Antunez ◽  
Gisela Martinez-Silva ◽  
Diego Cerecero-Garcia ◽  
Lily Alexander ◽  
Drew B Cameron ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Male Circumcision ◽  
Meta Analysis ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
Hiv Testing And Counselling

scholarly journals Early resumption of sexual activity following voluntary medical male circumcision in Botswana: A qualitative study

PLoS ONE ◽  
2017 ◽  
Vol 12 (11) ◽  
pp. e0186831 ◽  
Author(s):  
Jenny H. Ledikwe ◽  
Nankie M. Ramabu ◽  
Lisa P. Spees ◽  
Scott Barnhart ◽  
Conrad Ntsuape ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Sexual Activity ◽  
Male Circumcision ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision

scholarly journals Modifying the health system to maximize voluntary medical male circumcision uptake: a qualitative study in Botswana

2017 ◽  
Vol Volume 10 ◽  
pp. 1-8
Author(s):  
Bazghina-Werq Semo ◽  
Kathleen Wirth ◽  
Conrad Ntsuape ◽  
Scott Barnhart ◽  
Nora Kleinman ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health System ◽  
Male Circumcision ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision

scholarly journals Effectiveness of Demand creation promotions and demand creation personnel in creating demand for Voluntary Medical Male Circumcision in Chitungwiza district, Zimbabwe in 2016

2018 ◽  
Author(s):  
Taurai Matikiti ◽  
Tsitsi P Juru ◽  
Notion Gombe ◽  
Peter Nsubuga ◽  
Mufuta Tshimanga
Keyword(s):  
Male Circumcision ◽  
Service Providers ◽  
Sampling Technique ◽  
Professional Judgment ◽  
Voluntary Medical Male Circumcision ◽  
Age Group ◽  
Medical Male Circumcision ◽  
Hiv Prevention Intervention ◽  
Demand Creation ◽  
Eastern And Southern Africa

AbstractZimbabwe is one of the 14 countries in eastern and southern Africa that have adopted Voluntary Medical Male Circumcision (VMMC) as an HIV prevention intervention in response to WHO’s recommendation for countries with generalised high HIV epidemics and low VMMC prevalence. However, since 2013 when VMMC was scalled up in Zimbabwe, there was a general low uptake of the VMMC programme particularly on the target age group 20-29 years which has an immediate reduction in the HIV burden. The failure of VMMC uptake in the priority age group prompted the need to analyse the effectiveness of demand creation promotions and personnel used in creating demand for VMMC in Chitungwiza district, Zimbabwe. We employed judgmental sampling, a non-probability sampling technique where we interviewed VMMC clients (n=50) and service providers (n=10) using self administered questions, and community mobilisers (n=10) and demand creation teams (n=3) using face-to-face interviews based on their experience, knowledge and professional judgment. We also randomly analysed client records in the form of 50 Client Intake Forms (CIF) books. We found out that Community mobilisers and Demand creation officers were effective in mobilising clients in the age group 10-15 years and 16-30 years respectively. The use of clinicians (nurses) was also found to be useful in creating demand for VMMC. We also found out that intensifying campaigns during school holidays, the use of tent-based/caravan campaigns and the door to door campaigns were most effective strategies under demand creation promotions. We concluded that there is need to increase demand creation officers and qualified community mobilisers. To regulary train and motivate current community mobilisers as well as increasing the use of clinicians(nurses) in demand creation. We recommended the need to increase the number of mobile caravans and intensifying on the door to door campaigns in the district.

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