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Innovative Methods of Male Circumcision for HIV Prevention—Getting the Right Evidence

World Health Organization recommends that countries with hyperendemic and generalized HIV epidemics implement voluntary medical male circumcision programs for HIV prevention. Innovative methods of male circumcision including devices have the potential to simplify the procedure, reduce time and cost,...

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Detalles Bibliográficos
Autores principales: Samuelson, Julia, Hargreave, Timothy, Ridzon, Renee, Farley, Tim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JAIDS Journal of Acquired Immune Deficiency Syndromes 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4936503/
https://www.ncbi.nlm.nih.gov/pubmed/27331591
http://dx.doi.org/10.1097/QAI.0000000000000738
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author Samuelson, Julia
Hargreave, Timothy
Ridzon, Renee
Farley, Tim
author_facet Samuelson, Julia
Hargreave, Timothy
Ridzon, Renee
Farley, Tim
author_sort Samuelson, Julia
collection PubMed
description World Health Organization recommends that countries with hyperendemic and generalized HIV epidemics implement voluntary medical male circumcision programs for HIV prevention. Innovative methods of male circumcision including devices have the potential to simplify the procedure, reduce time and cost, increase client acceptability, enhance safety, and expand the numbers of providers who may perform circumcision. We describe work led by World Health Organization and supported by global partners to define a pathway for the evaluation of efficacy and safety of male circumcision devices, to set priority criteria, and to establish a process to guide the use of devices in publicly funded voluntary medical male circumcision programs for HIV prevention. A device classification scheme, an expert Technical Advisory Group on Innovations in Male Circumcision, and a formal prequalification program have also guided considerations on safe use of devices. A rigorous approach was deemed appropriate given the intervention is for use among healthy men for public health purposes. The pathway and processes led to coordinated research, better standardization in research outcomes, and guidance that informed the research, introduction and implementation phases. The lessons learnt from this case study can inform evaluation and use of future public health innovations.
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spelling pubmed-49365032016-07-26 Innovative Methods of Male Circumcision for HIV Prevention—Getting the Right Evidence Samuelson, Julia Hargreave, Timothy Ridzon, Renee Farley, Tim J Acquir Immune Defic Syndr Supplement Article World Health Organization recommends that countries with hyperendemic and generalized HIV epidemics implement voluntary medical male circumcision programs for HIV prevention. Innovative methods of male circumcision including devices have the potential to simplify the procedure, reduce time and cost, increase client acceptability, enhance safety, and expand the numbers of providers who may perform circumcision. We describe work led by World Health Organization and supported by global partners to define a pathway for the evaluation of efficacy and safety of male circumcision devices, to set priority criteria, and to establish a process to guide the use of devices in publicly funded voluntary medical male circumcision programs for HIV prevention. A device classification scheme, an expert Technical Advisory Group on Innovations in Male Circumcision, and a formal prequalification program have also guided considerations on safe use of devices. A rigorous approach was deemed appropriate given the intervention is for use among healthy men for public health purposes. The pathway and processes led to coordinated research, better standardization in research outcomes, and guidance that informed the research, introduction and implementation phases. The lessons learnt from this case study can inform evaluation and use of future public health innovations. JAIDS Journal of Acquired Immune Deficiency Syndromes 2016-06-01 2016-05-24 /pmc/articles/PMC4936503/ /pubmed/27331591 http://dx.doi.org/10.1097/QAI.0000000000000738 Text en Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Supplement Article
Samuelson, Julia
Hargreave, Timothy
Ridzon, Renee
Farley, Tim
Innovative Methods of Male Circumcision for HIV Prevention—Getting the Right Evidence
title Innovative Methods of Male Circumcision for HIV Prevention—Getting the Right Evidence
title_full Innovative Methods of Male Circumcision for HIV Prevention—Getting the Right Evidence
title_fullStr Innovative Methods of Male Circumcision for HIV Prevention—Getting the Right Evidence
title_full_unstemmed Innovative Methods of Male Circumcision for HIV Prevention—Getting the Right Evidence
title_short Innovative Methods of Male Circumcision for HIV Prevention—Getting the Right Evidence
title_sort innovative methods of male circumcision for hiv prevention—getting the right evidence
topic Supplement Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4936503/
https://www.ncbi.nlm.nih.gov/pubmed/27331591
http://dx.doi.org/10.1097/QAI.0000000000000738
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