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Male circumcision coverage, knowledge, and attitudes after 4-years of program scale-up in Rakai, Uganda
Xiangrong Kong1, Joseph Ssekasanvu, Godfrey Kigozi
1Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, 627 N. Washington St. RM2-C, Baltimore, MD, 21205, USA, xikong@jhsph.edu.
Abstract:
We assessed medical male circumcision (MMC) coverage and knowledge and attitudes toward MMC adoption in men in Rakai, Uganda after 4 years of scale-up. MMC prevalence only reached 28 %, with an annual increase of 4 %. Prevalence was lower in men not using condoms or having never received HIV testing and counseling. Over 95 % of uncircumcised men knew the health benefits of and places offering MMC, but only 27 % were willing to adopt MMC. Main reasons for non-acceptance were fear of pain or injury. The data suggest MMC uptake in Rakai has been suboptimal and demand generation is key for scale-up.
