Prevalence of Voluntary Medical Male Circumcision for HIV Infection Prevention — Chókwè District, Mozambique, 2014–2019

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Hines, Jonas Z. ; Thompson, Ricardo ; Toledo, Carlos ; Nelson, Robert ; Casavant, Isabelle ; Pals, Sherri ; Canda, Marcos ; Bonzela, Juvencio ; Jaramillo, Alicia ; Cardoso, Judite ; Ujamaa, Dawud ; Tamele, Stelio ; Chivurre, Victor ; Malimane, Inacio ; Pathmanathan, Ishani ; Heitzinger, Kristen ; Wei, Stanley ; Couto, Aleny ; Come, Jotamo ; Vergara, Alfredo ; MacKellar, Duncan
• Description:
  Male circumcision is an important preventive strategy that confers lifelong partial protection (approximately 60% reduced risk) against heterosexually acquired HIV infection among males (1). In Mozambique, the prevalence of male circumcision was 51% when the voluntary medical male circumcision (VMMC) program began in 2009. The Mozambique Ministry of Health set a goal of 80% circumcision prevalence among males aged 10-49 years by 2019 (2). CDC analyzed data from five cross-sectional surveys of the Chókwè Health and Demographic Surveillance System (CHDSS) to evaluate progress toward the goal and guide ongoing needs for VMMC in Mozambique. During 2014-2019, circumcision prevalence among males aged 15-59 years increased 42%, from 50.1% to 73.5% (adjusted prevalence ratio [aPR] = 1.42). By 2019, circumcision prevalence among males aged 15-24 years was 90.2%, exceeding the national goal (2). However, circumcision prevalence among males in older age groups remained below 80%; prevalence was 62.7%, 54.5%, and 55.7% among males aged 25-34, 35-44, and 45-59 years, respectively. A multifaceted strategy addressing concerns about the safety of the procedure, cultural norms, and competing priorities that lead to lack of time could help overcome barriers to circumcision among males aged ≥25 years.
• Subjects:
  Adolescent Adult Circumcision, Male HIV Infections Humans Male Middle Aged Prevalence Program Evaluation Voluntary Programs Young Adult

  More +
• Source:
  MMWR Morbidity Mortal Weekly Rep. 70(26):942-946
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  34197361
• Pubmed Central ID:
  PMC8248593
• Document Type:
  Journal Article
• Place as Subject:
  Mozambique
• Pages in Document:
  5 pdf pages
• Volume:
  70
• Issue:
  26
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:eb49d65a50fab508e7e5b33a280fab1140cfea479b0c2531b62792423962eefb3df32bd90faaec267dfff665b52525e1eb95321ee2d82a4ef47ae50d3d62d4f5
• Download URL:
  https://stacks.cdc.gov/view/cdc/108083/cdc_108083_DS1.pdf
• File Type:
  [PDF - 122.02 KB ]