Rolling out adult male circumcision services for HIV prevention in sub-Saharan Africa.
Adult male circumcision (AMC) is one of the most effective interventions in the prevention of heterosexually-acquired HIV in men, as demonstrated by three randomised controlled trials conducted in Africa, which all had similar 60% efficacy. Despite these findings and guidelines produced by WHO/UNAIDS, few countries in sub-Saharan Africa have provided large-scale AMC services. National authorities may face significant political, socio-cultural, economic and logistical challenges in rolling out AMC services. In South Africa, Tanzania, Swaziland and Ghana, the SRH&HIV Programme has been closely associated with the different stages of the process of “getting research into policy and practice” (GRIPP) regarding AMC services roll out. Challenges for such roll-out are briefly discussed and successful strategies are listed.
Programme for Research and Capacity Building in Sexual and Reproductive Health and HIV in Developing Countries research briefing no. 8, July 2010. 4 pp.