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Medical male circumcision coverage in Rakai, Uganda
Xiangrong Kong1, Godfrey Kigozi, Joseph Ssekasanvu
1aDepartment of EpidemiologybDepartment of Biostatistics, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland, USAcRakai Health Sciences Program, Entebbe, UgandadJohns Hopkins University School of MedicineeDepartment of Health Behavior and Society, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland, USAfSchool of Public Health, Makerere University, Kampala, Uganda.
Abstract:
We assessed medical male circumcision (MMC) scale-up in Rakai, Uganda using population-based surveys during 2007-2014. MMC coverage increased from 28.5 to 52.0%. Coverage was initially lower in 15-19-year-olds but increased in 2014, was higher in married men and in trading communities, and lowest in the sexually inactive. Coverage did not vary by self-perceived risk of HIV or HIV serostatus. Increasing generalized coverage suggested that MMC became normative, but coverage falls short of WHO/Joint United Nations Programme on HIV and AIDS (UNAIDS) 80% targets, indicating the need for demand generation.
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