Category Archives: Safe Male Circumcision

Reach and Cost-Effectiveness of the PrePex Device for Safe Male Circumcision in Uganda

This paper was published at PLOS ONE on May 22nd, 2013. (access here, or by clicking image) Abstract Introduction Modelling, supported by the USAID Health Policy Initiative and UNAIDS, performed in 2011, indicated that Uganda would need to perform 4.2 … Continue reading

Posted in Safe Male Circumcision | Tagged , , , , , | 1 Comment

Literature Review: Medical Male Circumcision

This literature review follows the logical and steady progress over 20 years of studies and research that led, in 2007, to the WHO and UNAIDS recommending medical male circumcision (MMC) as an essential element of a comprehensive HIV prevention package. … Continue reading

Posted in Safe Male Circumcision | Tagged ,

Mass Safe Male Circumcision: early lessons from a Ugandan urban site – a case study

This paper was published in the PanAfrican Medical Journal on December 28th, 2012; read it here. It has been proven in several randomised clinical trials that HIV transmission from female to male is reduced by at least 60% among circumcised … Continue reading

Posted in Safe Male Circumcision | Tagged , ,

GoU Plans Forced HIV Test for All Patients

I read in today’s Monitor that the Government of Uganda is planning to require all those who attend a health centre or hospital to have an HIV test. Whilst I understand why some will support such a policy, there will … Continue reading

Posted in Safe Male Circumcision | Tagged ,

20,000 HIV Infections Averted

The SMC Programme in Uganda started in the second half of 2010. In the twelve months October 2010 to September 2011, a total of 40,000 SMCs were performed. From October 2011 to September 30th, 2012, PEPFAR reports a total of … Continue reading

Posted in Safe Male Circumcision | Tagged , ,

348,099 Safe Male Circumcisions in Uganda

I’ve just heard that in the 12 months to September 30th Uganda performed 348,099 safe male circumcisions. That’s a significant step forward and shows promise for the coming year, in which the target is 1,000,000.

Posted in Safe Male Circumcision

Gaming the System

There seems to be no end to people’s ingenuity when it comes to gaming a system. Donors funding the national safe male circumcision programme ask partners to provide lists of names and contact details for those that they have circumcised, … Continue reading

Posted in Safe Male Circumcision

Factors Influencing SMC Scale-Up

Each day some 45 health centres are reporting the number of medical male circumcisions performed at that centre in the previous day. It’s clear even from a very quick skim of these numbers that there is still a long way … Continue reading

Posted in Safe Male Circumcision | Tagged ,

Uganda's ABC Strategy Revisited

During this last week or so I’ve been reading about the history of HIV/AIDS in Uganda. The international charity Avert has an excellent webpage which discusses this and how strategies such as the ABC campaign helped to significantly reduce the … Continue reading

Posted in Safe Male Circumcision | Tagged , , ,

Reaching Men with a Minimum Package

Removal of the foreskin is only one element of a comprehensive SMC Programme. PEPFAR and other donors have a ‘minimum package’ of services that programme implementers must provide. This starts with community engagement and mobilisation during which we have a … Continue reading

Posted in Safe Male Circumcision | Tagged , , ,