Voluntary medical male circumcision (VMMC) in Tanzania and Zimbabwe: service delivery intensity and modality and their influence on the age of clients

Scaling up voluntary medical male circumcision (VMMC) to 80% of men aged 15-49 within five years could avert 3.4 million new HIV infections in Eastern and Southern Africa by 2025. Since 2009, Tanzania and Zimbabwe have rapidly expanded VMMC services through different delivery (fixed, outreach or mob...

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Published in:PloS one 2014-05, Vol.9 (5), p.e83642-e83642
Main Authors: Ashengo, Tigistu Adamu, Hatzold, Karin, Mahler, Hally, Rock, Amelia, Kanagat, Natasha, Magalona, Sophia, Curran, Kelly, Christensen, Alice, Castor, Delivette, Mugurungi, Owen, Dhlamini, Roy, Xaba, Sinokuthemba, Njeuhmeli, Emmanuel
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Age
AIDS
Analysis
Biology and Life Sciences
Child
Circumcision
Circumcision, Male - statistics & numerical data
Clients
Delivery of Health Care - methods
Delivery of Health Care - statistics & numerical data
Health aspects
HIV
HIV infections
Human immunodeficiency virus
Humans
Male
Medicine and health sciences
Norms
Outpatients - statistics & numerical data
Scaling
Tanzania
Teenagers
Young Adult
Zimbabwe
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creator Ashengo, Tigistu Adamu
Hatzold, Karin
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Kanagat, Natasha
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Mugurungi, Owen
Dhlamini, Roy
Xaba, Sinokuthemba
Njeuhmeli, Emmanuel
description Scaling up voluntary medical male circumcision (VMMC) to 80% of men aged 15-49 within five years could avert 3.4 million new HIV infections in Eastern and Southern Africa by 2025. Since 2009, Tanzania and Zimbabwe have rapidly expanded VMMC services through different delivery (fixed, outreach or mobile) and intensity (routine services, campaign) models. This review describes the modality and intensity of VMMC services and its influence on the number and age of clients. Program reviews were conducted using data from implementing partners in Tanzania (MCHIP) and Zimbabwe (PSI). Key informant interviews (N = 13 Tanzania; N = 8 Zimbabwe) were conducted; transcripts were analyzed using Nvivo. Routine VMMC service data for May 2009-December 2012 were analyzed and presented in frequency tables. A descriptive analysis and association was performed using the z-ratio for the significance of the difference. Key informants in both Tanzania and Zimbabwe believe VMMC scale-up can be achieved by using a mix of service delivery modality and intensity approaches. In Tanzania, the majority of clients served during campaigns (59%) were aged 10-14 years while the majority during routine service delivery (64%) were above 15 (p
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subjects Acquired immune deficiency syndrome
Adolescent
Age
AIDS
Analysis
Biology and Life Sciences
Child
Circumcision
Circumcision, Male - statistics & numerical data
Clients
Delivery of Health Care - methods
Delivery of Health Care - statistics & numerical data
Health aspects
HIV
HIV infections
Human immunodeficiency virus
Humans
Male
Medicine and health sciences
Norms
Outpatients - statistics & numerical data
Scaling
Tanzania
Teenagers
Young Adult
Zimbabwe
title Voluntary medical male circumcision (VMMC) in Tanzania and Zimbabwe: service delivery intensity and modality and their influence on the age of clients
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