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Related Experiment Video

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Innovative Methods of Male Circumcision for HIV Prevention-Getting the Right Evidence.

Julia Samuelson1, Timothy Hargreave, Renee Ridzon

  • 1*Key Populations and Innovative Prevention Team, Department of HIV and AIDS, World Health Organization, Geneva, Switzerland; †Department of Clinical Sciences, Edinburgh University, Midlothian EH16 4TJ Scotland, United Kingdom; ‡Boston University School of Public Health, Boston, MA; and §Sigma3 Services SÀRL, Nyon, Switzerland.

Journal of Acquired Immune Deficiency Syndromes (1999)
|June 23, 2016
PubMed
Summary

Voluntary medical male circumcision programs are recommended by the World Health Organization for HIV prevention. New circumcision devices can improve safety, efficiency, and accessibility, aiding public health initiatives.

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Area of Science:

  • Public Health
  • Infectious Disease Prevention
  • Medical Device Evaluation

Background:

  • The World Health Organization (WHO) recommends voluntary medical male circumcision (VMMC) programs in regions with high HIV prevalence to reduce transmission.
  • Innovative male circumcision devices offer potential benefits like simplified procedures, reduced costs, and increased provider capacity.

Purpose of the Study:

  • To outline the pathway for evaluating the efficacy and safety of male circumcision devices.
  • To establish criteria for prioritizing devices and guiding their use in public health programs.
  • To inform the research, introduction, and implementation phases of new VMMC technologies.

Main Methods:

  • Development of a device classification scheme.
  • Establishment of an expert Technical Advisory Group on Innovations in Male Circumcision.
  • Implementation of a formal prequalification program for devices.

Main Results:

  • A structured pathway for device evaluation was defined, leading to coordinated research.
  • Standardization of research outcomes was improved.
  • Guidance was provided for the research, introduction, and implementation of VMMC devices.

Conclusions:

  • A rigorous evaluation framework ensures the safe and effective use of VMMC devices for public health.
  • Lessons learned from this process can inform the evaluation of future public health innovations.
  • The established pathway supports the expansion of VMMC programs and contributes to HIV prevention efforts.