Age Differences in Perceptions of and Motivations for Voluntary Medical Male Circumcision Among Adolescents in South Africa, Tanzania, and Zimbabwe
The World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS (UNAIDS) have set a Fast-Track goal to achieve 90% coverage of voluntary medical male circumcision (VMMC) among boys and men aged 10–29 years in priority settings by 2021. We aimed to identify age-specific facilitators of VMMC uptake among adolescents.
Supplement: Adolescent Voluntary Medical Male Circumcision - Vital Intervention Yet Improvements Needed
Global experts recognize the need to transform conventional models of healthcare to create adolescent responsive health systems. As countries near 80% coverage of voluntary medical male circumcision (VMMC) for those aged 15–49 years, prioritization of younger men becomes critical to VMMC sustainability. This special supplement reporting 9 studies focusing on adolescent VMMC programming and services comes at a critical time.
This document provides implementing partners supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) with a collection of the best resources available for sites providing voluntary medical male circumcision (VMMC) for HIV prevention. This version is Edition 2; Edition 1, released in 2013 focused on assisting implementing partners and site staff with opening new VMMC service locations. The first version covered all aspects of the planning, launch, and oversight of daily operations at the site level.
Please join the Health Communication Capacity Collaborative (HC3) to learn about the findings from a three-country Adolescent VMMC Assessment. The goal of the study was to gain a better understanding of whether VMMC programs are adequately meeting adolescent needs in age-appropriate ways by exploring counseling, communication and client-provider interaction. Cross-country comparisons will be shared from Tanzania, Zimbabwe and South Africa. The findings have implications for all countries working in the VMMC arena as well as in adolescent sexual and reproductive health programming.
The toolkit provides guidance on health care waste management (HCWM) and environmental hygiene best practices for VMMC services. Each component of the toolkit is based on VMMC program experience, WHO guidance, and USAID environmental protection/compliance regulations. The toolkit contains two components: program guidance and site guidance. The resources in the toolkit’s program guidance component provide VMMC implementing partners with guiding principles for the design, implementation, and monitoring of VMMC environmental health programs.
Could Circumcision of HIV-Positive Males Benefit Voluntary Medical Male Circumcision Programs in Africa? Mathematical Modeling Analysis in Zambia
The epidemiological and programmatic implications of inclusivity of HIV-positive males in voluntary medical male circumcision (VMMC) programs are uncertain. We modeled these implications using Zambia as an illustrative example.
Engaging women in the dialogue on VMMC can have broad impacts on voluntary medical male circumcision (VMMC) programs, especially when women become aware that circumcision can reduce HIV risk. In Tanzania, AIDSFree found that women can influence men’s decisions to undergo VMMC and impact men’s willingness to get circumcised. An initiative to examine the role of women in demand creation resulted in changing the gender distribution of health promoters—by increasing the number of females to provide a more balanced perspective and approach to VMMC uptake.
Mass Circumcision Cut HIV Acquisition: Widespread circumcision program in Africa beneficial, models suggest
Modeling Impact and Cost-Effectiveness of Increased Efforts to Attract Voluntary Medical Male Circumcision Clients Ages 20–29 in Zimbabwe
Zimbabwe aims to increase circumcision coverage to 80% among 13- to 29-year-olds. However, implementation data suggest that high coverage among men ages 20 and older may not be achievable without efforts specifically targeted to these men, incurring additional costs per circumcision. Scale-up scenarios were created based on trends in implementation data in Zimbabwe, and the cost-effectiveness of increasing efforts to recruit clients ages 20–29 was examined.