Scaling up adult male circumcision calculated to have HIV prevention benefits additional to those seen with 90-90-90 treatment target

Michael Carter

Scale-up of voluntary medical male circumcision (VMMC) in countries with a high HIV prevalence has the potential to reduce incidence of new infections over and above the level associated with attainment of the 90-90-90 treatment target, according to a modelling study published in PLOS One

The model was based on rollout of VMMC to cover 90% of males aged 15-49 years. The investigators modelled three viral suppression scenarios, two of which involved viral suppression rates below the 90% target. In all three scenarios, male circumcision would reduce HIV incidence to at least levels predicted with 90% viral suppression, even when suppression rates were as low as 75%. Although VMMC scale-up would initially increase costs, it was projected to reduce expenditure in the longer term.

February 27, 2017
Year of publication
2017
Resource types
Journal and research articles
Tags
90-90-90 targets, voluntary medical male circumcision (VMMC), HIV prevention, male circumcision, HIV reduction, viral suppression, VMMC scale-up

Similar Resources

Global experts recognize the need to transform conventional models of healthcare to create adolescent responsive health systems.

Remarkable progress is being made on HIV treatment. Ahead of World AIDS Day, UNAIDS has launched a new report showing that access to treatment has risen significantly. In 2000, just 685 000 people living with HIV had access to antiretroviral therapy.

An important collection of articles focused on infant medical male circumcision as an approach to sustain the HIV prevention gains made from adult voluntary medical male circumcision (VMMC). The ten articles in this collection offer insight into a few country experiences with introduction of…

For prevention of HIV, early infant male circumcision (EIMC) needs to be scaled up in countries with high HIV prevalence. Routine EIMC will maintain the HIV prevention gains anticipated from current adult male circumcision initiatives.

The government of the Kingdom of Swaziland recognizes that it must urgently scale up HIV prevention interventions, such as voluntary medical male circumcision (VMMC). Swaziland has adopted a 2-phase approach to male circumcision scale-up.

The World Health Organization and the Joint United Nations Programme on HIV/AIDS recommend early infant male circumcision (EIMC) as a component of male circumcision programs in countries with high HIV prevalence and low circumcision rates.

To understand the uptake of HIV services by adolescent women, the authors conducted a retrospective analysis of patient-level data (2011–2013) on services for antenatal care (ANC) and prevention of mother-to-child transmission (PMTCT) in 36 facilities in 5 districts in Zimbabwe.

In 2016, an estimated 1.5 million females aged 15-24 years were living with human immunodeficiency virus (HIV) infection in Eastern and Southern Africa, where the prevalence of HIV infection among adolescent girls and young women (3.4%) is more than double that for males in the same age range (1…

In 2013, Uganda updated its prevention of maternal-to-child transmission of HIV program to Option B+, which requires that all HIV-infected pregnant and breastfeeding women be started on lifelong antiretroviral therapy (ART) regardless of CD4 count…

Objective: This 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 prev