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Effectiveness of an "Exclusive Intervention Strategy" to increase medical male circumcision uptake among men aged 25-49 years in South Africa.


ABSTRACT: BACKGROUND:South Africa introduced medical male circumcision (MMC) to reduce HIV incidence. Mathematical modeling suggested that targeting MMC services to men aged 20-34 years could provide the most immediate impact on HIV incidence. However the majority of MMCs performed have been among males aged ?25 years. We evaluated an intervention package to increase MMC uptake among men aged 25-49 years. METHODS:We conducted a pre-post study to compare the proportion of men (aged 25-49 years) presenting for MMC during the formative (Phase 1) and intervention (Phase 2) phases in Ekurhuleni, Johannesburg, South Africa. The intervention included infrastructure changes that separated adults from adolescents at the MMC site, an exclusive men's health club, adult-specific demand generation materials, and discussions with community members. RESULTS:Overall 2817 enrolled in the study with 1601 from Phase 1 and 1216 in Phase 2. A higher proportion of participants aged 25-49 years accessed MMC in Phase 2 compared to Phase 1 (59.4% vs. 54.9%; Prevalence Ratio?=?1.08; 95% Confidence Interval: 1.01-1.15; p =?0.019). Participants with multiple partners in the past 12 months in Phase 2 were more likely to access MMC services compared to participants in Phase 1 (unadjusted Odds Ratio, 1.37; 95% CI:1.17-1.61; p?

SUBMITTER: Grund JM 

PROVIDER: S-EPMC6044089 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Effectiveness of an "Exclusive Intervention Strategy" to increase medical male circumcision uptake among men aged 25-49 years in South Africa.

Grund Jonathan M JM   Chetty-Makkan Candice M CM   Ginindza Sibuse S   Munyai Reuben R   Kisbey-Green Helen H   Maraisane Mpho M   Charalambous Salome S  

BMC public health 20180713 1


<h4>Background</h4>South Africa introduced medical male circumcision (MMC) to reduce HIV incidence. Mathematical modeling suggested that targeting MMC services to men aged 20-34 years could provide the most immediate impact on HIV incidence. However the majority of MMCs performed have been among males aged ≤25 years. We evaluated an intervention package to increase MMC uptake among men aged 25-49 years.<h4>Methods</h4>We conducted a pre-post study to compare the proportion of men (aged 25-49 yea  ...[more]

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