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Estimating male circumcision coverage in 15 priority countries in sub‐Saharan Africa

INTRODUCTION: Given the importance of voluntary medical male circumcision (VMMC) in reducing HIV incidence, access to and use of quality data for programme planning and management are essential. Unfortunately, such data are currently not standardized for reliable and consistent programme use in prio...

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Autores principales: Stegman, Peter M., Yee, Randy, Davis, Joshua, Tchuenche, Michel, Linder, Rachael, Zembe, Lycias, Frescura, Luisa, Kripke, Katharine E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454680/
https://www.ncbi.nlm.nih.gov/pubmed/34546643
http://dx.doi.org/10.1002/jia2.25789
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author Stegman, Peter M.
Yee, Randy
Davis, Joshua
Tchuenche, Michel
Linder, Rachael
Zembe, Lycias
Frescura, Luisa
Kripke, Katharine E.
author_facet Stegman, Peter M.
Yee, Randy
Davis, Joshua
Tchuenche, Michel
Linder, Rachael
Zembe, Lycias
Frescura, Luisa
Kripke, Katharine E.
author_sort Stegman, Peter M.
collection PubMed
description INTRODUCTION: Given the importance of voluntary medical male circumcision (VMMC) in reducing HIV incidence, access to and use of quality data for programme planning and management are essential. Unfortunately, such data are currently not standardized for reliable and consistent programme use in priority countries. To redress this, the UNAIDS Reference Group (RG) on Estimates, Modelling, and Projection worked with partner Avenir Health to use the Decision Makers Program Planning Toolkit (DMPPT) 2 Online to provide estimates of VMMC coverage and to support countries to set age‐ and geographic‐specific targets. This article describes the methods and tools used for assembling, reviewing and validating VMMC programme data as part of the 2021 Estimates process. DISCUSSION: The approach outlined for integrating VMMC data using the DMPPT2 Online required significant country engagement as well as upgrades to the DMPPT2 Online. The process brought together local‐level VMMC stakeholders, for example Ministries of Health, the Joint United Nations Programme on HIV/AIDS (UNAIDS), the US President's Emergency Plan for AIDS Relief, the World Health Organization (WHO), VMMC implementers and so on, to review, amend and agree on historical and more recent VMMC data. The DMPPT2 Online was upgraded to align with the Spectrum and Naomi models used in the Annual HIV Estimates process. In addition, new and revised inputs were incorporated to enhance accuracy of modelled outputs. The process was successful in mobilizing stakeholders behind efforts to integrate VMMC into the annual HIV Estimates process and generating comprehensive, country‐owned and validated VMMC data that will enhance programme monitoring and planning. CONCLUSIONS: VMMC programme data from most of the priority countries were successfully reviewed, updated, validated and incorporated into the annual HIV Estimates process in 2020. It is important to ensure that these data continue to be used for programme planning and management. Current and future data issues will need to be addressed, and countries will need ongoing support to do so. The integration of the DMPPT2 Online into the annual HIV Estimates process is a positive step forward in terms of streamlining country‐owned planning and analytical practices for the HIV response.
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spelling pubmed-84546802021-09-27 Estimating male circumcision coverage in 15 priority countries in sub‐Saharan Africa Stegman, Peter M. Yee, Randy Davis, Joshua Tchuenche, Michel Linder, Rachael Zembe, Lycias Frescura, Luisa Kripke, Katharine E. J Int AIDS Soc Supplement: Commentary INTRODUCTION: Given the importance of voluntary medical male circumcision (VMMC) in reducing HIV incidence, access to and use of quality data for programme planning and management are essential. Unfortunately, such data are currently not standardized for reliable and consistent programme use in priority countries. To redress this, the UNAIDS Reference Group (RG) on Estimates, Modelling, and Projection worked with partner Avenir Health to use the Decision Makers Program Planning Toolkit (DMPPT) 2 Online to provide estimates of VMMC coverage and to support countries to set age‐ and geographic‐specific targets. This article describes the methods and tools used for assembling, reviewing and validating VMMC programme data as part of the 2021 Estimates process. DISCUSSION: The approach outlined for integrating VMMC data using the DMPPT2 Online required significant country engagement as well as upgrades to the DMPPT2 Online. The process brought together local‐level VMMC stakeholders, for example Ministries of Health, the Joint United Nations Programme on HIV/AIDS (UNAIDS), the US President's Emergency Plan for AIDS Relief, the World Health Organization (WHO), VMMC implementers and so on, to review, amend and agree on historical and more recent VMMC data. The DMPPT2 Online was upgraded to align with the Spectrum and Naomi models used in the Annual HIV Estimates process. In addition, new and revised inputs were incorporated to enhance accuracy of modelled outputs. The process was successful in mobilizing stakeholders behind efforts to integrate VMMC into the annual HIV Estimates process and generating comprehensive, country‐owned and validated VMMC data that will enhance programme monitoring and planning. CONCLUSIONS: VMMC programme data from most of the priority countries were successfully reviewed, updated, validated and incorporated into the annual HIV Estimates process in 2020. It is important to ensure that these data continue to be used for programme planning and management. Current and future data issues will need to be addressed, and countries will need ongoing support to do so. The integration of the DMPPT2 Online into the annual HIV Estimates process is a positive step forward in terms of streamlining country‐owned planning and analytical practices for the HIV response. John Wiley and Sons Inc. 2021-09-21 /pmc/articles/PMC8454680/ /pubmed/34546643 http://dx.doi.org/10.1002/jia2.25789 Text en © 2021 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Supplement: Commentary
Stegman, Peter M.
Yee, Randy
Davis, Joshua
Tchuenche, Michel
Linder, Rachael
Zembe, Lycias
Frescura, Luisa
Kripke, Katharine E.
Estimating male circumcision coverage in 15 priority countries in sub‐Saharan Africa
title Estimating male circumcision coverage in 15 priority countries in sub‐Saharan Africa
title_full Estimating male circumcision coverage in 15 priority countries in sub‐Saharan Africa
title_fullStr Estimating male circumcision coverage in 15 priority countries in sub‐Saharan Africa
title_full_unstemmed Estimating male circumcision coverage in 15 priority countries in sub‐Saharan Africa
title_short Estimating male circumcision coverage in 15 priority countries in sub‐Saharan Africa
title_sort estimating male circumcision coverage in 15 priority countries in sub‐saharan africa
topic Supplement: Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454680/
https://www.ncbi.nlm.nih.gov/pubmed/34546643
http://dx.doi.org/10.1002/jia2.25789
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