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  Title Voluntary medical male circumcision – southern and eastern Africa, 2010-2012 Type Journal Article
  Year 2013 Publication MMWR. Morbidity and Mortality Weekly Report Abbreviated Journal MMWR Morb Mortal Wkly Rep  
  Volume 62 Issue 47 Pages 953-957  
  Keywords Adolescent; Adult; Africa, Eastern; Africa, Southern; Centers for Disease Control and Prevention (U.S.); Circumcision, Male/*statistics & numerical data; HIV Infections/*prevention & control; Humans; International Cooperation; Male; Program Evaluation; United States; *Voluntary Programs/economics; Young Adult  
  Abstract Sub-Saharan Africa bears the greatest global burden of human immunodeficiency virus (HIV) infection; 70% (25.0 million) of all persons living with HIV reside in this region. Voluntary medical male circumcision (VMMC) has been shown to reduce the risk for heterosexually acquired HIV among men by approximately 60% in three randomized controlled trials. Further studies found that the protection from HIV acquisition conferred by VMMC was sustained for 6 years following surgery. In 2007, the World Health Organization (WHO) and Joint United Nations Programme on HIV/AIDS (UNAIDS) recommended that 14 countries with generalized HIV epidemics (i.e., where >1% of the population is HIV-positive) and low male circumcision prevalence prioritize scale-up of VMMC for HIV prevention. On December 1, 2011 (World AIDS Day), funding through the President's Emergency Plan for AIDS Relief (PEPFAR) was announced to support >4.7 million VMMCs over the next 2 years. This report presents the results of VMMC scale-up in nine countries where national ministries of health and CDC are implementing VMMC services for HIV prevention: Botswana, Kenya, Malawi, Mozambique, Namibia, South Africa, Tanzania, Uganda, and Zambia. During October 2009-September 2012, a total of 1,924,792 VMMCs were performed in 14 countries using PEPFAR funding provided through U.S. government agencies; of this total, 1,020,424 were conducted at approximately 1,600 CDC-supported VMMC sites: 137,096 VMMCs in 2010, 347,724 in 2011, and 535,604 in 2012. Continued program monitoring and quality assurance activities are required to ensure that CDC-supported country programs meet World AIDS Day targets for VMMC.  
  Address  
  Corporate Author Centers for Disease Control and Prevention (CDC) Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0149-2195 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:24280914 Approved no  
  Call Number refbase @ user @ Serial 27821  
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