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Defining the Global Research and Programmatic Agenda and Priority Actions for Voluntary Medical Male Circumcision for HIV Prevention

PURPOSE OF REVIEW: Since 2007, voluntary medical male circumcision (VMMC) programs have been associated with substantially reduced HIV incidence across 15 prioritized countries in Eastern and Southern Africa. Drawing on the programmatic experience of global VMMC leaders, this report reviews progress...

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Autores principales: Peck, Megan E., Lucas, Todd, Ong, Katherine S., Grund, Jonathan M., Davis, Stephanie, Yansaneh, Aisha, Kiggundu, Valerian L., Thomas, Anne G., Curran, Kelly, Laube, Catharine, Sundaram, Maaya, Ameyan, Wole, Zembe, Lycias, Toledo, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9651117/
https://www.ncbi.nlm.nih.gov/pubmed/36367637
http://dx.doi.org/10.1007/s11904-022-00640-y
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author Peck, Megan E.
Lucas, Todd
Ong, Katherine S.
Grund, Jonathan M.
Davis, Stephanie
Yansaneh, Aisha
Kiggundu, Valerian L.
Thomas, Anne G.
Curran, Kelly
Laube, Catharine
Sundaram, Maaya
Ameyan, Wole
Zembe, Lycias
Toledo, Carlos
author_facet Peck, Megan E.
Lucas, Todd
Ong, Katherine S.
Grund, Jonathan M.
Davis, Stephanie
Yansaneh, Aisha
Kiggundu, Valerian L.
Thomas, Anne G.
Curran, Kelly
Laube, Catharine
Sundaram, Maaya
Ameyan, Wole
Zembe, Lycias
Toledo, Carlos
author_sort Peck, Megan E.
collection PubMed
description PURPOSE OF REVIEW: Since 2007, voluntary medical male circumcision (VMMC) programs have been associated with substantially reduced HIV incidence across 15 prioritized countries in Eastern and Southern Africa. Drawing on the programmatic experience of global VMMC leaders, this report reviews progress made in the first 15 years of the program, describes programmatic and research gaps, and presents considerations to maximize the impact of VMMC. RECENT FINDINGS: Overall, key programmatic and research gaps include a lack of robust male circumcision coverage estimates due to limitations to the data and a lack of standardized approaches across programs; challenges enhancing VMMC uptake include difficulties reaching populations at higher risk for HIV infection and men 30 years and older; limitations to program and procedural quality and safety including variations in approaches used by programs; and lastly, sustainability with limited evidence-based practices. Considerations to address these gaps include the need for global guidance on estimating coverage, conducting additional research on specific sub-populations to improve VMMC uptake, implementation of responsive and comprehensive approaches to adverse event surveillance, and diversifying financing streams to progress towards sustainability. SUMMARY: This report’s findings may help establish a global VMMC research and programmatic agenda to inform policy, research, and capacity-building activities at the national and global levels.
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spelling pubmed-96511172022-11-14 Defining the Global Research and Programmatic Agenda and Priority Actions for Voluntary Medical Male Circumcision for HIV Prevention Peck, Megan E. Lucas, Todd Ong, Katherine S. Grund, Jonathan M. Davis, Stephanie Yansaneh, Aisha Kiggundu, Valerian L. Thomas, Anne G. Curran, Kelly Laube, Catharine Sundaram, Maaya Ameyan, Wole Zembe, Lycias Toledo, Carlos Curr HIV/AIDS Rep Voluntary Medical Male Circumcision: Progress and Challenges (S Vermund, Section Editor) PURPOSE OF REVIEW: Since 2007, voluntary medical male circumcision (VMMC) programs have been associated with substantially reduced HIV incidence across 15 prioritized countries in Eastern and Southern Africa. Drawing on the programmatic experience of global VMMC leaders, this report reviews progress made in the first 15 years of the program, describes programmatic and research gaps, and presents considerations to maximize the impact of VMMC. RECENT FINDINGS: Overall, key programmatic and research gaps include a lack of robust male circumcision coverage estimates due to limitations to the data and a lack of standardized approaches across programs; challenges enhancing VMMC uptake include difficulties reaching populations at higher risk for HIV infection and men 30 years and older; limitations to program and procedural quality and safety including variations in approaches used by programs; and lastly, sustainability with limited evidence-based practices. Considerations to address these gaps include the need for global guidance on estimating coverage, conducting additional research on specific sub-populations to improve VMMC uptake, implementation of responsive and comprehensive approaches to adverse event surveillance, and diversifying financing streams to progress towards sustainability. SUMMARY: This report’s findings may help establish a global VMMC research and programmatic agenda to inform policy, research, and capacity-building activities at the national and global levels. Springer US 2022-11-11 2022 /pmc/articles/PMC9651117/ /pubmed/36367637 http://dx.doi.org/10.1007/s11904-022-00640-y Text en © This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Voluntary Medical Male Circumcision: Progress and Challenges (S Vermund, Section Editor)
Peck, Megan E.
Lucas, Todd
Ong, Katherine S.
Grund, Jonathan M.
Davis, Stephanie
Yansaneh, Aisha
Kiggundu, Valerian L.
Thomas, Anne G.
Curran, Kelly
Laube, Catharine
Sundaram, Maaya
Ameyan, Wole
Zembe, Lycias
Toledo, Carlos
Defining the Global Research and Programmatic Agenda and Priority Actions for Voluntary Medical Male Circumcision for HIV Prevention
title Defining the Global Research and Programmatic Agenda and Priority Actions for Voluntary Medical Male Circumcision for HIV Prevention
title_full Defining the Global Research and Programmatic Agenda and Priority Actions for Voluntary Medical Male Circumcision for HIV Prevention
title_fullStr Defining the Global Research and Programmatic Agenda and Priority Actions for Voluntary Medical Male Circumcision for HIV Prevention
title_full_unstemmed Defining the Global Research and Programmatic Agenda and Priority Actions for Voluntary Medical Male Circumcision for HIV Prevention
title_short Defining the Global Research and Programmatic Agenda and Priority Actions for Voluntary Medical Male Circumcision for HIV Prevention
title_sort defining the global research and programmatic agenda and priority actions for voluntary medical male circumcision for hiv prevention
topic Voluntary Medical Male Circumcision: Progress and Challenges (S Vermund, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9651117/
https://www.ncbi.nlm.nih.gov/pubmed/36367637
http://dx.doi.org/10.1007/s11904-022-00640-y
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