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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

This study tracked nearly 34,000 participants from 30 communities for 17 years and attributed significant declines in the rate of infection to combination prevention. The interventions under review included voluntary medical male circumcision, antiretroviral treatment and viral suppression, and a number of behavioral changes

November 29, 2017
New England Journal of Medicine

New observational data released at IAS 2017 shows VMMC reduces risk to women

July 26, 2017
Medpage Today

Voluntary medical male circumcision has many health benefits, but despite this it remains rare among older men who are among the main drivers of the HIV epidemic…[but] do not undergo VMMC as frequently as their younger peers.

May 4, 2017
Mpumalanga News
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