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Adolescent Sexual and Reproductive Health Services and Implications for the Provision of Voluntary Medical Male Circumcision: Results of a Systematic Literature Review
BACKGROUND: Voluntary medical male circumcision (VMMC) is a critical HIV prevention tool. Since 2007, sub-Saharan African countries with the highest prevalence of HIV have been mobilizing resources to make VMMC available. While implementers initially targeted adult men, demand has been highest for b...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4777442/ https://www.ncbi.nlm.nih.gov/pubmed/26938639 http://dx.doi.org/10.1371/journal.pone.0149892 |
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author | Kaufman, Michelle R. Smelyanskaya, Marina Van Lith, Lynn M. Mallalieu, Elizabeth C. Waxman, Aliza Hatzhold, Karin Marcell, Arik V. Kasedde, Susan Lija, Gissenge Hasen, Nina Ncube, Gertrude Samuelson, Julia L. Bonnecwe, Collen Seifert-Ahanda, Kim Njeuhmeli, Emmanuel Tobian, Aaron A. R. |
author_facet | Kaufman, Michelle R. Smelyanskaya, Marina Van Lith, Lynn M. Mallalieu, Elizabeth C. Waxman, Aliza Hatzhold, Karin Marcell, Arik V. Kasedde, Susan Lija, Gissenge Hasen, Nina Ncube, Gertrude Samuelson, Julia L. Bonnecwe, Collen Seifert-Ahanda, Kim Njeuhmeli, Emmanuel Tobian, Aaron A. R. |
author_sort | Kaufman, Michelle R. |
collection | PubMed |
description | BACKGROUND: Voluntary medical male circumcision (VMMC) is a critical HIV prevention tool. Since 2007, sub-Saharan African countries with the highest prevalence of HIV have been mobilizing resources to make VMMC available. While implementers initially targeted adult men, demand has been highest for boys under age 18. It is important to understand how male adolescents can best be served by quality VMMC services. METHODS AND FINDINGS: A systematic literature review was performed to synthesize the evidence on best practices in adolescent health service delivery specific to males in sub-Saharan Africa. PubMed, Scopus, and JSTOR databases were searched for literature published between January 1990 and March 2014. The review revealed a general absence of health services addressing the specific needs of male adolescents, resulting in knowledge gaps that could diminish the benefits of VMMC programming for this population. Articles focused specifically on VMMC contained little information on the adolescent subgroup. The review revealed barriers to and gaps in sexual and reproductive health and VMMC service provision to adolescents, including structural factors, imposed feelings of shame, endorsement of traditional gender roles, negative interactions with providers, violations of privacy, fear of pain associated with the VMMC procedure, and a desire for elements of traditional non-medical circumcision methods to be integrated into medical procedures. Factors linked to effective adolescent-focused services included the engagement of parents and the community, an adolescent-friendly service environment, and VMMC counseling messages sufficiently understood by young males. CONCLUSIONS: VMMC presents an opportune time for early involvement of male adolescents in HIV prevention and sexual and reproductive health programming. However, more research is needed to determine how to align VMMC services with the unique needs of this population. |
format | Online Article Text |
id | pubmed-4777442 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-47774422016-03-10 Adolescent Sexual and Reproductive Health Services and Implications for the Provision of Voluntary Medical Male Circumcision: Results of a Systematic Literature Review Kaufman, Michelle R. Smelyanskaya, Marina Van Lith, Lynn M. Mallalieu, Elizabeth C. Waxman, Aliza Hatzhold, Karin Marcell, Arik V. Kasedde, Susan Lija, Gissenge Hasen, Nina Ncube, Gertrude Samuelson, Julia L. Bonnecwe, Collen Seifert-Ahanda, Kim Njeuhmeli, Emmanuel Tobian, Aaron A. R. PLoS One Research Article BACKGROUND: Voluntary medical male circumcision (VMMC) is a critical HIV prevention tool. Since 2007, sub-Saharan African countries with the highest prevalence of HIV have been mobilizing resources to make VMMC available. While implementers initially targeted adult men, demand has been highest for boys under age 18. It is important to understand how male adolescents can best be served by quality VMMC services. METHODS AND FINDINGS: A systematic literature review was performed to synthesize the evidence on best practices in adolescent health service delivery specific to males in sub-Saharan Africa. PubMed, Scopus, and JSTOR databases were searched for literature published between January 1990 and March 2014. The review revealed a general absence of health services addressing the specific needs of male adolescents, resulting in knowledge gaps that could diminish the benefits of VMMC programming for this population. Articles focused specifically on VMMC contained little information on the adolescent subgroup. The review revealed barriers to and gaps in sexual and reproductive health and VMMC service provision to adolescents, including structural factors, imposed feelings of shame, endorsement of traditional gender roles, negative interactions with providers, violations of privacy, fear of pain associated with the VMMC procedure, and a desire for elements of traditional non-medical circumcision methods to be integrated into medical procedures. Factors linked to effective adolescent-focused services included the engagement of parents and the community, an adolescent-friendly service environment, and VMMC counseling messages sufficiently understood by young males. CONCLUSIONS: VMMC presents an opportune time for early involvement of male adolescents in HIV prevention and sexual and reproductive health programming. However, more research is needed to determine how to align VMMC services with the unique needs of this population. Public Library of Science 2016-03-03 /pmc/articles/PMC4777442/ /pubmed/26938639 http://dx.doi.org/10.1371/journal.pone.0149892 Text en https://creativecommons.org/publicdomain/zero/1.0/ This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication. |
spellingShingle | Research Article Kaufman, Michelle R. Smelyanskaya, Marina Van Lith, Lynn M. Mallalieu, Elizabeth C. Waxman, Aliza Hatzhold, Karin Marcell, Arik V. Kasedde, Susan Lija, Gissenge Hasen, Nina Ncube, Gertrude Samuelson, Julia L. Bonnecwe, Collen Seifert-Ahanda, Kim Njeuhmeli, Emmanuel Tobian, Aaron A. R. Adolescent Sexual and Reproductive Health Services and Implications for the Provision of Voluntary Medical Male Circumcision: Results of a Systematic Literature Review |
title | Adolescent Sexual and Reproductive Health Services and Implications for the Provision of Voluntary Medical Male Circumcision: Results of a Systematic Literature Review |
title_full | Adolescent Sexual and Reproductive Health Services and Implications for the Provision of Voluntary Medical Male Circumcision: Results of a Systematic Literature Review |
title_fullStr | Adolescent Sexual and Reproductive Health Services and Implications for the Provision of Voluntary Medical Male Circumcision: Results of a Systematic Literature Review |
title_full_unstemmed | Adolescent Sexual and Reproductive Health Services and Implications for the Provision of Voluntary Medical Male Circumcision: Results of a Systematic Literature Review |
title_short | Adolescent Sexual and Reproductive Health Services and Implications for the Provision of Voluntary Medical Male Circumcision: Results of a Systematic Literature Review |
title_sort | adolescent sexual and reproductive health services and implications for the provision of voluntary medical male circumcision: results of a systematic literature review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4777442/ https://www.ncbi.nlm.nih.gov/pubmed/26938639 http://dx.doi.org/10.1371/journal.pone.0149892 |
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