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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

PEPFAR has supported the voluntary medical male circumcisions (VMMC) of 15,269,720 men and boys in 14 countries in sub-Saharan Africa, in the eleven years to 2017, according to a paper recently published in BMJ Open.

September 26, 2018
aidsmap

According to the results of Namibia’s first ever population-based HIV survey, known as NamPHIA, the country exceeded many of the 90-90-90 targets set by UNAIDS in 2014. The targets call for countries to get 90 percent of people living with HIV diagnosed; 90 percent of those diagnosed accessing treatment; and 90 percent of people on treatment to have suppressed viral loads by 2020.

August 14, 2018
Devex

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
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