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RHO archives : Topics : Men and Reproductive Health

Special Meeting Report: Male Circumcision

Male Circumcision: Current Epidemiological and Field Evidence—Program and Policy Implications for HIV Prevention and Reproductive Health

September 18, 2002, Washington, DC

Sponsored by USAID Office of HIV/AIDS (in collaboration with Office of Population), AIDSMARK (PSI, PATH, MSH), and JHPIEGO.

For a broader discussion of male circumcision, please see the "Male circumcision and HIV" key issue in RHO's HIV/AIDS section.

Overview

These materials were prepared for a meeting focusing on the policy and programmatic implications of epidemiological, biological, and cultural acceptability studies of male circumcision (MC), recently begun MC clinical trials, and recent field assessments and planned introductions of MC pilot services.

Audience: USAID staff, NGOs, USAID Cooperating Agencies, NIH, CDC, bilateral and multilateral donor agencies including UNAIDS, UNICEF, UNFPA, and WHO, foundations, and other stakeholders.

The plenary and break-out sessions included:

  • Presentation of existing and emerging epidemiological and biological data, NIH, Canadian (CIDA), and French Government funded randomized trials, and recent and proposed MC introduction pilot studies. (See MC Information Summary Sheet.)
  • Discussion of key concerns and caveats related to safety and complication rates, age of circumcision, bioethics, informed choice/consent, potential for behavioral "disinhibition," cost-benefit analysis, introduction within existing RH service programs, and potential coordination with anti-Female genital mutilation advocacy programs.
  • Discussion of MC policy and implementation issues toward achieving consensus on when and how it may be appropriate to initiate MC programs.

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Materials

USAID/AIDSMark. Male Circumcision: Current Epidemiological and Field Evidence; Program and Policy Implications for HIV Prevention and Reproductive Health. September 18, 2002 Conference Report. Washington, DC : USAID (May 2003). (Click on title to view PDF file.)

September 18, 2002, Conference agenda. (Click on title to view PDF file.)

USAID MC Meeting Summary. (Click on title to view PDF file.)

USAID MC Meeting Participant List. (Click on title to view PDF file.)

USAID. Male Circumcision and HIV Prevention. Washington, DC : USAID Bureau of Global Health (August 2003). (Click on title to view PDF file.)

Weiss, H. "Male Circumcision and Risk of HIV Infection: Current Epidemiological Data." (Click on title to view PowerPoint presentation.)

Bailey, R.C. "A Randomized Controlled Trial of Male Circumcision to Reduce HIV Incidence in Kisumu." (Click on title to view PowerPoint presentation.)

Patterson, B.K. et al. Susceptibility to HIV-1 infection of human foreskin and cervical tissue in explant culture. American Journal of Pathology 161(3) (September 2002). (To be posted.)

Gray, R., Wawer, M., Serwadda, D. "Randomized Trial of Male Circumcision for HIV Prevention, Rakai, Uganda." (Click on title to view PowerPoint presentation.)

Puren, A., Taljaard, D., Auvert, B. "Male Circumcision Randomized Controlled Trial, Johannesbourg – South Africa." (Click on title to view PowerPoint presentation.)

Onyango, T., Bailey, R., Muga, R., Poulussen, R. "Trial Intervention of Male Circumcision Services in Nyanza Province, Kenya." (Click on title to view PowerPoint presentation.)

Brown, J. "Integration of Traditional and Clinical Male Circumcision at Chogoria Hospital in Central Kenya." (September 2002). (Click on title to view PDF file.)

Hodgins, S. "Circumcision in Zambia." (Click on title to view PowerPoint presentation.)

Shapiro, R. et al. "Male Circumcision: An Acceptable Strategy for HIV Prevention in Botswana." (Click on title to view PowerPoint presentation.)

Halperin, D. et al. "Acceptability of adult MC in Zimbabwe." (Click on title to view PowerPoint slide.)

Huber, D. "Safety and Quality of Care for Male Circumcision." (Click on title to view PowerPoint presentation.)

Roy, I. "Implementing Male Circumcision Research or Programs: Bioethical Issues." (Click on title to view PowerPoint presentation.)

Cates, W. "Male Circumcision for HIV Prevention: The 'Disinhibition Effect.'" (Click on title to view PowerPoint presentation.)

Tramont, E.C. "USAID Male Circumcision Meeting." (Click on title to view PowerPoint presentation.)

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For more information

For more information contact Imogen Fua ([email protected] or 202-822-0033) or Daniel Halperin ([email protected]).

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