Unprecedented Scale-Up of Voluntary Male Circumcision Begins in Swaziland and Zambia

By Prne, Gaea News Network
Wednesday, June 10, 2009

WASHINGTON - The Male Circumcision Partnership expands access to proven HIV prevention intervention

In a significant move from research on male circumcision to full-scale implementation, the Male Circumcision Partnership is launching a massive scale-up of voluntary male circumcision services in Swaziland and Zambia. The Partnership is supported by a five-year, US$50 million grant from the Bill & Melinda Gates Foundation to Population Services International (PSI). PSI and partners Marie Stopes International, Jhpiego, The Population Council and the governments of Swaziland and Zambia estimate that the project will provide voluntary male circumcision services to nearly 650,000 men.

The Male Circumcision Partnership program in Swaziland and Zambia also builds upon the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) supported medical male circumcision activities in each country. This partnership is evidence of a strong and growing coordination among the Gates Foundation, PEPFAR and other partners under the leadership of host country governments to support evidence-based medical male circumcision for the purpose of HIV prevention.

Cited by both the World Health Organization and UNAIDS as an “important intervention,” male circumcision reduces HIV infections among men by 60%, according to scientific research — more effective than any vaccine currently in development.

“Safe male circumcision in combination with other prevention programs has a critical role to play in the global effort to fight HIV/AIDS,” said Regina Rabinovich, Director of Infectious Disease Development in the Gates Foundation Global Health Program. “Studies confirm that safe, voluntary male circumcision has been shown to reduce HIV transmission rates and help save lives.”

In order to ensure quality scale-up and to meet the current demand for voluntary male circumcision, the Partnership is establishing a network of nearly 250 providers across the public, private and NGO sectors to deliver quality male circumcision services. This collaboration with the Swaziland and Zambia governments supports their national HIV prevention strategies by greatly expanding access to this important prevention intervention.

The Partnership will also launch a series of innovative behavior change communication campaigns focused on post-circumcision issues, such as the need for ongoing safe sex practices and continued condom use.

About PSI

A leading global health organization, PSI programs target malaria, child survival, HIV and reproductive health. Through partnerships and local markets, PSI empowers vulnerable communities to lead healthier lives. www.psi.org

Source: Population Services International

Anna Dirksen of Population Services International , +1-202-469-6673, adirksen at psi.org

Discussion

Mark Lyndon
September 16, 2009: 5:53 am

Circumcision is a dangerous distraction in the fight against AIDS. There are six African countries where men are more likely to be HIV+ if they’ve been circumcised: Cameroon, Ghana, Lesotho, Malawi, Rwanda, and *Swaziland*. Eg in Malawi, the HIV rate is 13.2% among circumcised men, but only 9.5% among intact men. In Rwanda, the HIV rate is 3.5% among circumcised men, but only 2.1% among intact men. If circumcision really worked against AIDS, this just wouldn’t happen. We now have people calling circumcision a “vaccine” or “invisible condom”, and viewing circumcision as an alternative to condoms.

The one study into male-to-female transmission showed a 50% higher rate in the group where the men had been circumcised btw.

ABC (Abstinence, Being faithful, Condoms) is the way forward. Promoting genital surgery will cost African lives, not save them.

June 12, 2009: 4:31 am

In Swaziland, the HIV rate is 21.8% among circumcised men and 19.5% among non-circumcised men, according to the National Demographic and Health surveys. Whatever controlled experiments in three other countries might seem to show, health officials should think again before spending vast sums of money, and skilled doctors’ time on this intervention.

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