Scale-Up of Early Infant Male Circumcision Services for HIV Prevention in Lesotho: A Review of Facilitating Factors and Challenges

Virgile Kikaya, Rajab Kakaire, Elizabeth Thompson, Mareitumetse Ramokhele, Tigistu Adamu, Kelly Curran, Emmanuel Njeuhmeli

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. Lesotho began incorporating EIMC into routine maternal, newborn, and child health (MNCH) services in 2013 with funding from the United States Agency for International Development and United Nations Children’s Fund. This presented unique challenges: Lesotho had no previous experience with EIMC and cultural traditions link removal of the foreskin to rites of passage. This process evaluation provides an overview of EIMC implementation.

December 2, 2016
Year of publication
Resource types
Guidelines and Policies, Journal and research articles, Programmatic guidance
MNCH services, maternal newborn and child health (MNCH), Lesotho, early infant male circumcision (EIMC), HIV prevention, voluntary medical male circumcision (VMMC), infant medical male circumcision, policy

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