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Voluntary Medical Male Circumcisions for HIV Prevention - 13 Countries in Eastern and Southern Africa, 2017-2021

Megan E Peck et al. MMWR Morb Mortal Wkly Rep. .

Abstract

In 2007, voluntary medical male circumcision (VMMC) was endorsed by the World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS after it was found to be associated with approximately a 60% reduction in the risk for female-to-male transmission of HIV (1). As a result of this endorsement, the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), through partnerships with U.S. government agencies, including CDC, the U.S. Department of Defense, and the U.S. Agency for International Development, started supporting VMMCs performed in prioritized countries in southern and eastern Africa. During 2010-2016, CDC supported 5,880,372 VMMCs in 12 countries (2,3). During 2017-2021, CDC supported 8,497,297 VMMCs performed in 13 countries. In 2020, the number of VMMCs performed declined 31.8% compared with the number in 2019, primarily because of COVID-19-related disruptions to VMMC service delivery. PEPFAR 2017-2021 Monitoring, Evaluation, and Reporting data were used to provide an update and describe CDC's contribution to the scale-up of the VMMC program, which is important to meeting the 2025 Joint United Nations Programme on HIV/AIDS (UNAIDS) target of 90% of males aged 15-59 years having access to VMMC services in prioritized countries to help end the AIDS epidemic by 2030 (4).

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Conflict of interest statement

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

Figures

FIGURE
FIGURE
CDC-supported voluntary medical male circumcisions, by year — 13 eastern and southern African countries, 2017–2021 * COVID-19 was declared a pandemic in 2020.
See this image and copyright information in PMC

References

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    1. CDC. Voluntary medical male circumcision—southern and eastern Africa, 2010–2012. MMWR Morb Mortal Wkly Rep 2013;62:953–7. - PMC - PubMed
    1. Joint United Nations Programme on HIV/AIDS. Prevailing against pandemics by putting people at the centre—World AIDS Day report 2020. Geneva, Switzerland: Joint United Nations Programme on HIV/AIDS; 2020. https://www.unaids.org/en/resources/documents/2020/prevailing-against-pa...
    1. Davis SM, Hines JZ, Habel M, et al. Progress in voluntary medical male circumcision for HIV prevention supported by the US President’s Emergency Plan for AIDS Relief through 2017: longitudinal and recent cross-sectional programme data. BMJ Open 2018;8:e021835 .10.1136/bmjopen-2018-021835 - DOI - PMC - PubMed