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Voluntary Medical Male Circumcision

A simple approach with life-long benefits could prevent millions of HIV infections. It’s time to realize that potential.

Voluntary medical male circumcision (VMMC) is one of the most powerful and cost-effective HIV prevention tools at hand. Studies from 2006 showed that it reduces a man’s risk of acquiring HIV from a female partner by up to 60 percent, increasing to around 75 percent over time.

VMMC is being rolled out for HIV prevention in 14 sub-Saharan African countries with high HIV prevalence and low levels of adult male circumcision. The goal: achieve 80 percent coverage among men in these countries in order to avert 3.4 million new HIV infections and save US$16.6 billion in future healthcare costs. After years of slow progress, scale-up of VMMC is accelerating. Sustained investment and close monitoring are needed to keep things on track.

Newly available non-surgical circumcision devices could also play a role, offering an alternative to sutures and surgery that some men may prefer. Countries need to decide if and how to introduce devices, while making plans, budgets and communications campaigns to keep scale-up on track. AVAC and others are advocating for action to make sure these steps happen.

What We're Reading

With increasing coverage of ART and VMMC, HIV incidence declined substantially in Siaya County between 2011 and 2016. VMMC, but not ART, was suggested to have a direct protective effect.

May 1, 2018
The Lancet

Mozambique is to circumcise 100,000 men over the coming months in one of the largest mass drives of a regional campaign to combat the spread of HIV in eastern and southern Africa.

May 1, 2018
The Telegraph

The majority of individuals who seek voluntary medical male circumcision (VMMC) services in sub-Saharan Africa are adolescents (ages 10–19 years). However, adolescents who obtain VMMC services report receiving little information on HIV prevention and care. In this study, the authors assess the perceptions of VMMC facility managers and providers about current training and their perspectives on age-appropriate counseling for adolescents.

April 3, 2018
Clinical Infectious Diseases
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