Male circumcision studies
Background
Modelling data estimate that
600,000 new HIV infections could be prevented if 80% of Zimbabwean men aged
13-29 are circumcised within seven years. The data also suggest that initially
prioritizing men aged 15-29 will lead to the greatest reduction in HIV
incidence in the short-term, whilst scaling up male circumcision to reach the
target will yield US$3.8 billion net savings in antiretroviral treatment costs
over 15 years. Since 2009, Zimbabwe has provided voluntary medical male circumcision
(VMMC) to adult and adolescent men. The programme aims to reach 1.3 million
15-29 year-old men by 2017. In addition to adult VMMC, Zimbabwe aims to
roll-out infant male circumcision, starting in 2014.
CeSHHAR Zimbabwe researchers have been involved in several
studies designed to guide male circumcision programming in Zimbabwe and the
wider region including the following:
·
October – November 2009
representative population-based survey conducted in rural Zimbabwe that assessed
acceptability of adult and infant male circumcision (publication of findings
available at):
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2011.02744.x/pdf
·
June – October 2010 qualitative
study conducted in 5 of Zimbabwean provinces to explore in-depth, acceptability
of adult and infant male circumcision as well as feasibility of introducing infant
male circumcision (publication of findings available at):
·
January – December 2011 longitudinal study with a
cohort of men to explore decision-making process around male circumcision,
sexual behaviour and risk compensation
·
January 2011– December 2012 study that systematically
monitored voluntary medical male circumcision scale-up in Kenya, South Africa,
Tanzania and Zimbabwe (interim report available at):
·
Ongoing study to pilot implementation of early
infant male circumcision using devices (Mogen clamp and AccuCirc) in Zimbabwe
(study registered with Pan African Clinical Trial Registry):
www.pactr.org
·
Upcoming study to assess the implementation of VMMC
services conducted by nurses
Resources:
Resources:
Acceptability of Early Infant Male Circumcision as an HIVPrevention Intervention in Zimbabwe: A QualitativePerspective
