#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Voluntary Medical Male Circumcision: Translating Research into the Rapid Expansion of Services in Kenya, 2008–2011


Since the World Health Organization and the Joint United Nations Programme on HIV/AIDS recommended implementation of medical male circumcision (MC) as part of HIV prevention in areas with low MC and high HIV prevalence rates in 2007, the government of Kenya has developed a strategy to circumcise 80% of uncircumcised men within five years. To facilitate the quick translation of research to practice, a national MC task force was formed in 2007, a medical MC policy was implemented in early 2008, and Nyanza Province, the region with the highest HIV burden and low rates of circumcision, was prioritized for services under the direction of a provincial voluntary medical male circumcision (VMMC) task force. The government's early and continuous engagement with community leaders/elders, politicians, youth, and women's groups has led to the rapid endorsement and acceptance of VMMC. In addition, several innovative approaches have helped to optimize VMMC scale-up. Since October 2008, the Kenyan VMMC program has circumcised approximately 290,000 men, mainly in Nyanza Province, an accomplishment made possible through a combination of governmental leadership, a documented implementation strategy, and the adoption of appropriate and innovative approaches. Kenya's success provides a model for others planning VMMC scale-up programs.


Vyšlo v časopise: Voluntary Medical Male Circumcision: Translating Research into the Rapid Expansion of Services in Kenya, 2008–2011. PLoS Med 8(11): e32767. doi:10.1371/journal.pmed.1001130
Kategorie: Review
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pmed.1001130

Souhrn

Since the World Health Organization and the Joint United Nations Programme on HIV/AIDS recommended implementation of medical male circumcision (MC) as part of HIV prevention in areas with low MC and high HIV prevalence rates in 2007, the government of Kenya has developed a strategy to circumcise 80% of uncircumcised men within five years. To facilitate the quick translation of research to practice, a national MC task force was formed in 2007, a medical MC policy was implemented in early 2008, and Nyanza Province, the region with the highest HIV burden and low rates of circumcision, was prioritized for services under the direction of a provincial voluntary medical male circumcision (VMMC) task force. The government's early and continuous engagement with community leaders/elders, politicians, youth, and women's groups has led to the rapid endorsement and acceptance of VMMC. In addition, several innovative approaches have helped to optimize VMMC scale-up. Since October 2008, the Kenyan VMMC program has circumcised approximately 290,000 men, mainly in Nyanza Province, an accomplishment made possible through a combination of governmental leadership, a documented implementation strategy, and the adoption of appropriate and innovative approaches. Kenya's success provides a model for others planning VMMC scale-up programs.


Zdroje

1. WeissHAQuigleyMAHayesRJ 2000 Male circumcision and risk of HIV infection in sub-Saharan Africa: A systematic review and meta-analysis. AIDS 14 2361 2370

2. AuvertBTaljaardDLagardeESobngwi-TambekouJSittaR 2005 Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 Trial. PLoS Med 2 e298 doi:10.1371/journal.pmed.0020298

3. BaileyRCMosesSParkerCBAgotKMacleanI 2007 Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial. Lancet 369 643 656

4. GrayRHKigoziGSerwaddaDMakumbiFWatyaS 2007 Male circumcision for HIV prevention in men in Rakai, Uganda: a randomised trial. Lancet 369 657 666

5. World Health Organization, Joint United Nations Programme on HIV/AIDS 2007 New data on male circumcision and HIV prevention: policy and programme implications. Available: http://libdoc.who.int/publications/2007/9789241595988_eng.pdf. Accessed 22 September 2011

6. Kenya Ministry of Health National AIDS and STI Control Programme 2009 September Kenya AIDS indicator survey 2007: final report Nairobi National AIDS and STI Control Programme Available: http://www.nacc.or.ke/nacc%20downloads/official_kais_report_2009.pdf. Accessed 22 September 2011

7. Kenya National Bureau of Statistics, ICF Macro 2010 Kenya demographic and health survey 2008–09 Calverton (Maryland) ICF Macro Available: http://www.measuredhs.com/pubs/pdf/FR229/FR229.pdf. Accessed 22 September 2011

8. Kenya National AIDS Control Council 2009 Kenya national AIDS strategic plan 2009/10–2012/13—delivering on universal access to services. Available: http://www.nacc.or.ke/nacc%20downloads/knasp_iii.pdf. Accessed 22 September 2011

9. Unites State Agency for International Development Health Policy Initiative, Joint United Nations Programme on HIV/AIDS 2009 Decision makers' program planning tool—calculating the costs and impacts of a male circumcision program. Washington (District of Columbia): Futures Group, Health Policy Initiative, Task Order 1. Available: http://www.malecircumcision.org/about/documents/DMPPT_manual_110909.pdf. Accessed 22 September 2011

10. World Health Organization, Joint United Nations Programme on HIV/AIDS 2011 Progress in scale-up of male circumcision for HIV prevention in eastern and southern Africa: focus on service delivery—2011 Geneva World Health Organization

11. Kenya Ministry of Health National AIDS and STD Control Programme 2008 National guidance for voluntary male circumcision in Kenya. Available: http://www.malecircumcision.org/programs/documents/KenyaMCguidance.pdf. Accessed 22 September 2011

12. Kenya Ministry of Public Health and Sanitation, National AIDS and STI Control Programme 2011 Voluntary medical male circumcision for HIV prevention: report of the first Rapid Results Initiative, conducted in November/December 2009 Nairobi National AIDS and STI Control Programme

13. World Health Organization 2010 Considerations for implementing models for optimizing the volume and efficiency of male circumcision services for HIV prevention. Available: http://www.malecircumcision.org/programs/documents/mc_MOVE_2010_web.pdf. Accessed 22 September 2011

14. World Health Organization, Joint United Nations Programme on HIV/AIDS, Jhpiego 2009 Manual for male circumcision under local anaesthesia, version 2.5 Geneva World Health Organization Available: http://www.who.int/hiv/pub/malecircumcision/who_mc_local_anaesthesia.pdf. Accessed 27 September 2011

15. MogucheJPavinMOdingoGWereRBeattyS 2011 Improving male circumcision coverage through tasking shifting to non-physician clinicians [abstract]. International AIDS Society Conference; Rome, Italy, July 2011. Available: http://pag.ias2011.org/EPosterHandler.axd?aid=3707. Accessed 22 September 2011

16. Herman-RoloffAOtienoNAgotKNdinya-AcholaJBaileyRC 2011 Acceptability of medical male circumcision among uncircumcised men in Kenya one year after the launch of the national male circumcision program. PLoS ONE 6 e19814 doi:10.1371/journal.pone.0019814

17. ObureANyambedhaEOindoB 2011 Interpersonal influences in the scale-up of male circumcision services in a traditionally non-circumcising community in rural western Kenya. Glob J Community Psychol Pract 1 1 11

18. Kenya Ministry of Public Health and Sanitation 2010 Voluntary medical male circumcision (VMMC) communication guide for Nyanza Province. Available: http://www.c-hubonline.org/7815/17/NYANZA_COMMUNICATION_GUIDE.pdf. Accessed 22 September 2011

19. Kenya Ministry of Public Health and Sanitation, National AIDS and STD Control Programme 2009 Kenya national strategy for voluntary medical male circumcision

Štítky
Interné lekárstvo

Článok vyšiel v časopise

PLOS Medicine


2011 Číslo 11
Najčítanejšie tento týždeň
Najčítanejšie v tomto čísle
Kurzy

Zvýšte si kvalifikáciu online z pohodlia domova

Aktuální možnosti diagnostiky a léčby litiáz
nový kurz
Autori: MUDr. Tomáš Ürge, PhD.

Všetky kurzy
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#