Male circumcision coverage, knowledge, and attitudes after 4-years of program scale-up in Rakai, Uganda

Xiangrong Kong; Joseph Ssekasanvu; Godfrey Kigozi; Tom Lutalo; Fred Nalugoda; David Serwadda; Maria Wawer; Ronald Gray

doi:10.1007/s10461-014-0740-0

Male circumcision coverage, knowledge, and attitudes after 4-years of program scale-up in Rakai, Uganda

Xiangrong Kong, Joseph Ssekasanvu, Godfrey Kigozi, Tom Lutalo, Fred Nalugoda, David Serwadda, Maria Wawer, Ronald Gray

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

We assessed medical male circumcision (MMC) coverage and knowledge and attitudes toward MMC adoption in men in Rakai, Uganda after 4 years of scale-up. MMC prevalence only reached 28 %, with an annual increase of 4 %. Prevalence was lower in men not using condoms or having never received HIV testing and counseling. Over 95 % of uncircumcised men knew the health benefits of and places offering MMC, but only 27 % were willing to adopt MMC. Main reasons for non-acceptance were fear of pain or injury. The data suggest MMC uptake in Rakai has been suboptimal and demand generation is key for scale-up.

Original language	English (US)
Pages (from-to)	880-884
Number of pages	5
Journal	AIDS and behavior
Volume	18
Issue number	5
DOIs	https://doi.org/10.1007/s10461-014-0740-0
State	Published - May 2014

Keywords

Demand creation
HIV prevention
Male circumcision
Reproductive health service underutilization in men

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-014-0740-0

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title = "Male circumcision coverage, knowledge, and attitudes after 4-years of program scale-up in Rakai, Uganda",

abstract = "We assessed medical male circumcision (MMC) coverage and knowledge and attitudes toward MMC adoption in men in Rakai, Uganda after 4 years of scale-up. MMC prevalence only reached 28 %, with an annual increase of 4 %. Prevalence was lower in men not using condoms or having never received HIV testing and counseling. Over 95 % of uncircumcised men knew the health benefits of and places offering MMC, but only 27 % were willing to adopt MMC. Main reasons for non-acceptance were fear of pain or injury. The data suggest MMC uptake in Rakai has been suboptimal and demand generation is key for scale-up.",

keywords = "Demand creation, HIV prevention, Male circumcision, Reproductive health service underutilization in men",

author = "Xiangrong Kong and Joseph Ssekasanvu and Godfrey Kigozi and Tom Lutalo and Fred Nalugoda and David Serwadda and Maria Wawer and Ronald Gray",

note = "Funding Information: M. Serwadda D and Gray R designed and lead the field work in data collection. Lutalo T and Ssekasanvu J coordinated the data cleaning and management. This research is based on funding from the Bill and Melinda Gates Foundation, the National Institute of Allergy and Infectious Diseases, and a faculty grant from the Johns Hopkins University Center for Global Health for Kong X.",

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doi = "10.1007/s10461-014-0740-0",

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AU - Kong, Xiangrong

AU - Ssekasanvu, Joseph

AU - Kigozi, Godfrey

AU - Lutalo, Tom

AU - Nalugoda, Fred

AU - Serwadda, David

AU - Wawer, Maria

AU - Gray, Ronald

N1 - Funding Information: M. Serwadda D and Gray R designed and lead the field work in data collection. Lutalo T and Ssekasanvu J coordinated the data cleaning and management. This research is based on funding from the Bill and Melinda Gates Foundation, the National Institute of Allergy and Infectious Diseases, and a faculty grant from the Johns Hopkins University Center for Global Health for Kong X.

PY - 2014/5

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N2 - We assessed medical male circumcision (MMC) coverage and knowledge and attitudes toward MMC adoption in men in Rakai, Uganda after 4 years of scale-up. MMC prevalence only reached 28 %, with an annual increase of 4 %. Prevalence was lower in men not using condoms or having never received HIV testing and counseling. Over 95 % of uncircumcised men knew the health benefits of and places offering MMC, but only 27 % were willing to adopt MMC. Main reasons for non-acceptance were fear of pain or injury. The data suggest MMC uptake in Rakai has been suboptimal and demand generation is key for scale-up.

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KW - Demand creation

KW - HIV prevention

KW - Male circumcision

KW - Reproductive health service underutilization in men

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Male circumcision coverage, knowledge, and attitudes after 4-years of program scale-up in Rakai, Uganda

Abstract

Keywords

ASJC Scopus subject areas

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