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VMMC Programmatic Successes and Challenges: Western Kenya Case Study.
Kawango Agot1, Jacob Onyango2, Marylyn Ochillo2
1Impact Research and Development Organization, Mito Jura Road, Tom Mboya Estate, P.O BOX, Kisumu, 9171-40141, Kenya. kawango@impact-rdo.org.
Current HIV/AIDS Reports
|November 29, 2022
Summary
Voluntary medical male circumcision (VMMC) in Kenya
Area of Science:
- Public Health
- HIV Prevention
- Global Health
Background:
- Nyanza region, Kenya, is a key area for voluntary medical male circumcision (VMMC).
- The VMMC program in Kenya is largely based in this region.
- Understanding program successes and challenges is crucial for sustainability.
Purpose of the Study:
- To review the successes of the VMMC program in Kenya's Nyanza region.
- To identify challenges hindering the VMMC program's sustainability.
- To inform future VMMC program strategies in the region.
Main Methods:
- Literature review of programmatic data.
- Analysis of factors contributing to VMMC program success.
- Identification of barriers to VMMC program sustainability.
Main Results:
- Program successes include strong stakeholder engagement, policy support, and capacity building, leading to high VMMC prevalence (75.6-85.3% in 15-29-year-olds by 2019).
- Challenges include limited support for infant circumcision, insufficient domestic funding, and slow integration into public health facilities.
- Program sustainability is threatened by reliance on declining external funding despite increasing demand due to a youth bulge.
Conclusions:
- While VMMC program implementation in Nyanza has seen successes, sustainability is at risk.
- Increased domestic financing and accelerated service integration are essential.
- Strategies to boost domestic resource inflows are urgently needed to meet rising VMMC demand.
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