Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jul:35:67-81.
doi: 10.1521/aeap.2023.35.suppA.67.

Preventing HIV Among Adolescent Boys and Young Men Through PEPFAR-Supported Voluntary Medical Male Circumcision in 15 Sub-Saharan African Countries, 2018-2021

Megan E Peck  1 , Katherine Ong  1 , Todd Lucas  1 , Anne G Thomas  2 , Ronald Wandira  3 , Bene Ntwaaga  4 , Mandzisi Mkhontfo  3 , Tiruneh Zegeye  3 , Fikirte Yohannes  3 , Dejene Mulatu  5 , Teruwork Gultie  6 , Ambrose Wanyonyi Juma  7 , Elijah Odoyo-June  3 , Alice Maida  3 , Wezi Msungama  3 , Marcos Canda  3 , Gram Mutandi  3 , Brigitte L T Zemburuka  3 , Ida Kankindi  3 , Peter Vranken  3 , Nandi Maphothi  3 , Dayanund Loykissoonlal  8 , Sudhir Bunga  3 , Jonathan M Grund  3 , Kokuhumbya J Kazaura  3 , Geoffrey Kabuye  3 , Omega Chituwo  3 , Brian Muyunda  3 , Royd Kamboyi  9 , Godfrey Lingenda  10 , John Mandisarisa  3 , Amy Peterson  3 , Rickie Malaba  3 , Sinokuthemba Xaba  11 , Talent Moyo  11 , Carlos Toledo  1
Affiliations

Preventing HIV Among Adolescent Boys and Young Men Through PEPFAR-Supported Voluntary Medical Male Circumcision in 15 Sub-Saharan African Countries, 2018-2021

Megan E Peck et al. AIDS Educ Prev. 2023 Jul.

Abstract

Voluntary medical male circumcision (VMMC) is an HIV prevention intervention that has predominantly targeted adolescent and young men, aged 10-24 years. In 2020, the age eligibility for VMMC shifted from 10 to 15 years of age. This report describes the VMMC client age distribution from 2018 to 2021, at the site, national, and regional levels, among 15 countries in southern and eastern Africa. Overall, in 2018 and 2019, the highest proportion of VMMCs were performed among 10-14-year-olds (45.6% and 41.2%, respectively). In 2020 and 2021, the 15-19-year age group accounted for the highest proportion (37.2% and 50.4%, respectively) of VMMCs performed across all age groups. Similarly, in 2021 at the site level, 68.1% of VMMC sites conducted the majority of circumcisions among men aged 15-24 years. This analysis highlights that adolescent boys and young men are the primary recipients of VMMC receiving an important lifetime reduction in HIV risk.

Keywords: HIV prevention; adolescent health services; male; sub-Saharan Africa; voluntary medical male circumcision.

PubMed Disclaimer

Figures

FIGURE 1.
FIGURE 1.
Number and proportion of U.S. PEPFAR-supported voluntary medical male circumcisions (VMMC) performed among adolescent boys and men by age group and year, in 15 southern and eastern African countries between 2018 and 2021.
See this image and copyright information in PMC

References

    1. Babalola S (2006). Gender differences in the factors influencing consistent condom use among young people in Tanzania. International Journal of Adolescent Medicine and Health, 18(2), 287–298. - PubMed
    1. Centers for Disease Control and Prevention. (2013). Voluntary medical male circumcision—Southern and eastern Africa, 2010–2012. MMWR Morbidity Mortality Weekly Report, 62, 953–957. - PMC - PubMed
    1. Dam KH, Kaufman MR, Patel EU, Van Lith LM, Hatzold K, Marcell AV, Mavhu W, Kahabuka C, Mahlasela L, Njeuhmeli E, Seifert Ahanda K, Ncube G, Lija G, Bonnecwe C, & Tobian AAR (2018). Parental communication, engagement, and support during the adolescent voluntary medical male circumcision experience. Clinical Infectious Diseases, 66(3), S189–S197. - PMC - PubMed
    1. Davis SM, Hines JZ, Habel M, Grund JM, Ridzon R, Baack B, Davitte J, Thomas A, Kiggundu V, Bock N, Pordell P, Cooney C, Zaidi I, & Toledo C (2018). 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. British Medical Journal Open, 8, e021835. - PMC - PubMed
    1. Doyle AM, Ross DA, Maganja K, Baisley K, Masesa C, Andreasen A, Plummer ML, Obasi AIN, Weiss HA, Kapiga S, Watson-Jones D, Changalucha J, Hayes RJ, & MEMA kwa Vijana Trial Study Group. (2010). Long-term biological and behavioural impact of an adolescent sexual health intervention in Tanzania: Follow-up survey of the community-based MEMA kwa Vijana Trial. PLoS Medicine, 7(6), e1000287. - PMC - PubMed

Publication types