Preventing HIV Among Adolescent Boys and Young Men Through PEPFAR-Supported Voluntary Medical Male Circumcision in 15 Sub-Saharan African Countries, 2018

Preventing HIV Among Adolescent Boys and Young Men Through PEPFAR-Supported Voluntary Medical Male Circumcision in 15 Sub-Saharan African Countries, 2018–2021

Published:2023-07 Issue:Supplement A Volume:35 Page:67-81
ISSN:0899-9546
Container-title:AIDS Education and Prevention
language:en
Short-container-title:AIDS Education and Prevention

Author:

Peck Megan E.¹,Ong Katherine¹,Lucas Todd¹,Thomas Anne G.²,Wandira Ronald³,Ntwaaga Bene⁴,Mkhontfo Mandzisi³,Zegeye Tiruneh³,Yohannes Fikirte³,Mulatu Dejene⁵,Gultie Teruwork⁶,Juma Ambrose Wanyonyi⁷,Odoyo-June Elijah³,Maida Alice³,Msungama Wezi³,Canda Marcos³,Mutandi Gram³,Zemburuka Brigitte L. T.³,Kankindi Ida³,Vranken Peter³,Maphothi Nandi³,Loykissoonlal Dayanund⁸,Bunga Sudhir³,Grund Jonathan M.³,Kazaura Kokuhumbya J.³,Kabuye Geoffrey³,Chituwo Omega³,Muyunda Brian³,Kamboyi Royd⁹,Lingenda Godfrey¹⁰,Mandisarisa John³,Peterson Amy³,Malaba Rickie³,Xaba Sinokuthemba¹¹,Moyo Talent¹¹,Toledo Carlos¹

Affiliation:

1. Division of Global HIV and Tuberculosis (TB), Center for Global Health (CGH), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.

2. HIV/AIDS Prevention Program, U.S. Department of Defense, San Diego, California.

3. The following authors are affiliated with the respective country offices of the Division of Global HIV and TB, CGH, CDC: Ronald Wandira (Gaborone, Botswana), Mandzisi Mkhontfo (Mbabane, Eswatini), Tiruneh Zegeye, and Fikirte Yohannes (Addis Ababa, Ethiopia), Elijah Odoyo-June (Nairobi, Kenya), Alice Maida, and Wezi Msungama (Lilongwe, Malawi), Marcos Canda (Maputo, Mozambique), Gram Mutandi, and Brigitte L. T. Zemburuka (Windhoek, Namibia), Ida Kankindi (Kigali, Rwanda), Peter Vranken, and Nandi Maphothi...

4. Ministry of Health, Gaborone, Botswana.

5. Disease Prevention and Control Directorate Senior, HIV Prevention and Control Expert, Addis Ababa, Ethiopia.

6. ICAP, is located in Addis Ababa, Ethiopia.

7. National STD/ AIDS Control Program (NASCOP), Ministry of Health, Nairobi, Kenya.

8. National VMMC Program Manager, National Department of Health, South Africa.

9. Ministry of Health Lusaka, Zambia.

10. U.S. Agency for International Development, Lusaka, Zambia.

11. Ministry of Health and Child Care, Harare, Zimbabwe.

Abstract

Voluntary medical male circumcision (VMMC) is an HIV prevention intervention that has predominantly targeted adolescent and young men, aged 10–24 years. In 2020, the age eligibility for VMMC shifted from 10 to 15 years of age. This report describes the VMMC client age distribution from 2018 to 2021, at the site, national, and regional levels, among 15 countries in southern and eastern Africa. Overall, in 2018 and 2019, the highest proportion of VMMCs were performed among 10–14-year-olds (45.6% and 41.2%, respectively). In 2020 and 2021, the 15–19-year age group accounted for the highest proportion (37.2% and 50.4%, respectively) of VMMCs performed across all age groups. Similarly, in 2021 at the site level, 68.1% of VMMC sites conducted the majority of circumcisions among men aged 15–24 years. This analysis highlights that adolescent boys and young men are the primary recipients of VMMC receiving an important lifetime reduction in HIV risk.

Publisher

Guilford Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health,Health (social science)

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